STOMA & PERISTOMAL SKIN EVALUATION: Assessment of stoma color, moisture, height, and surrounding peristomal skin integrity to check for signs of excoriation, maceration, or fungal irritation.

ASEPTIC POUCH REMOVAL & GENTLE CLEANSING: Careful removal of the used appliance using medical adhesive remover wipes, followed by gentle cleansing of the stoma and surrounding skin with sterile warm water and non-residual swabs.

ACCURATE STOMA SIZING & FLANGE CUTTING: Precise measurement of stoma diameter using an ostomy measuring guide to cut the hydrocolloid wafer/baseplate for an exact, leak-free seal without constriction.

PERISTOMAL BARRIER APPLICATION & SECURE ATTACHMENT: Application of skin-prep barrier wipes, stoma paste/rings to level uneven skin folds, and secure placement of the 1-piece or 2-piece ostomy pouch with firm, warm hand pressure.

CAREGIVER TRAINING & ODOR MANAGEMENT: Clear instruction for family members on emptying techniques, charcoal filter care, flatus management, and safe disposal of used ostomy appliances.