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Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition
Name Date
Unit Position
Instructor/Evaluator: Position
SKILL 13-5Applying a Fecal Incontinence Pouch
Goal:The patient expels feces into the pouch and maintains
intact perianal skin. Comments- Bring necessary equipment to the bedside stand or overbed
table. - Perform hand hygiene and put on PPE, if indicated.
- Identify the patient.
- Close curtains around bed and close the door to the room,
if possible. Explain what you are going to do and why you
are going to do it to the patient. - Adjust bed to comfortable working height, usually elbow
height of the caregiver (VISN 8 Patient Safety Center,
2009). Position the patient on the left side (Sims’ position),
as dictated by patient comfort and condition. Fold top
linen back just enough to allow access to the patient’s rec-
tal area. Place a waterproof pad under the patient’s hip. - Put on nonsterile gloves. Cleanse perianal area. Pat dry
thoroughly. - Trim perianal hair with scissors, if needed.
- Apply the skin protectant or barrier and allow it to dry.
- Remove paper backing from adhesive of pouch.
- With nondominant hand, separate buttocks. Apply fecal
pouch to anal area with dominant hand, ensuring that
opening of bag is over anus. - Release buttocks. Attach connector of fecal incontinence
pouch to urinary drainage bag. Hang drainage bag below
patient. - Remove gloves. Return the patient to a comfortable posi-
tion. Make sure the linens under the patient are dry.
Ensure that the patient is covered. - Raise side rail. Lower bed height and adjust head of bed to
a comfortable position. - Remove additional PPE, if used. Perform hand hygiene.
Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:ExcellentSatisfactoryNeeds Practice