Published on: 09/12/2025

First Step in Changing an Ostomy Pouch

Author: John Rainier Yumang

Knowing the correct first step in changing an ostomy pouch is essential for preventing infection, protecting the skin, and ensuring a smooth and safe appliance change. Whether performed by a nurse or an ostomate at home, starting correctly sets the foundation for the entire procedure. This article explains the clinically recommended first step, the reasoning behind it, and how it fits into the broader sequence of ostomy care according to best practices from the Cleveland Clinic, Mayo Clinic, and UOAA.

Why the First Step Is So Important

Every step in ostomy care matters, but the first step in changing an ostomy pouch determines whether the process will be clean, safe, and comfortable. Beginning correctly minimizes contamination, reduces skin irritation, and prevents accidents during the change. Medical guidelines consistently emphasize preparation as the key to successful ostomy management.

According to the United Ostomy Associations of America (UOAA), patients who follow a structured sequence experience fewer leaks and better skin health over time.

The First Step in Changing an Ostomy Pouch

✔ Step 1: Wash Your Hands and Prepare a Clean Environment

The evidence-based first step in changing an ostomy pouch is simple yet critical: perform thorough hand hygiene and prepare a clean, organized workspace.

This step includes:

• Washing hands with warm water and soap
• Drying hands completely
• Putting on disposable gloves (recommended in clinical settings)
• Laying out all supplies before beginning

Why this is the correct first step in changing an ostomy pouch:

• Reduces the risk of bacterial contamination
• Improves patient comfort and confidence
• Prevents interruptions during the change
• Ensures the new appliance adheres properly

This preparation is endorsed by major clinical institutions, including the Cleveland Clinic and the Mayo Clinic.

What Comes After the First Step?

After the first step in changing an ostomy pouch, the remaining sequence typically includes:

2. Gather and Inspect All Supplies

Before beginning the hands-on steps, ensure your new pouch, barrier, measuring guide, wipes, scissors, and support products are ready.

3. Gently Remove the Current Appliance

Use adhesive remover wipes for painless removal. Avoid pulling too quickly, which can damage the skin.

4. Clean the Skin

Warm water and non-woven cloths help maintain healthy peristomal skin. Avoid soaps with oils that interfere with adhesion.

5. Measure and Prepare the New Appliance

Especially in the early months, stoma size changes frequently. Accurate cutting ensures proper fit and helps prevent leaks.

6. Apply the New Pouch

Ensure centered placement and firm adhesion. Support belts and underwear can stabilize the appliance immediately after application.

Why Preparation Reduces Complications

The first step in changing an ostomy pouch prevents many issues before they occur. Most complications, including leaks and skin irritation, happen when patients start the process unprepared. Studies show that careful preparation reduces errors and promotes long-term skin health.

Products That Help Support a Smooth Ostomy Pouch Change

After completing the first step in changing an ostomy pouch, using the right support products can significantly improve comfort and durability. SIIL Ostomy offers several options that complement clinical best practices:

• SIIL Ostomy Belt — prevents pouch movement and improves adhesion.
• Ostomy Underwear — designed for comfort, concealment, and daily security.
• Stoma Guard Protector — offers extra protection during travel, work, or sleep.

Real-Life Scenarios Where the First Step Matters Most

➤ When Teaching a New Ostomate

Patients feel more confident when nurses demonstrate a structured process, beginning with the correct first step in changing an ostomy pouch.

➤ During Emergencies or High-Output Days

Proper preparation helps prevent stressful situations and leakage issues.

➤ For People With Sensitive Skin

Clean, organized preparation reduces the risk of irritation and allows for quick removal of the old appliance.

Frequently Asked Questions

What is the correct first step in changing an ostomy pouch?

The first step is to wash your hands and prepare a clean environment.

Why is handwashing so important?

It prevents contamination and protects the skin and stoma from infection.

Do I need to wear gloves?

Gloves are recommended in clinical settings but optional for home users.

Should supplies be prepared before removing the old bag?

Yes. Having everything ready prevents interruptions and improves adhesion.

What products help stabilize the new pouch?

Ostomy belts, support underwear, and stoma protectors provide additional security.