Posted 4/4/2013 6:27 PM (GMT 0)
I'm not a veteran by any means (I'm 3 months post-op now) but here's my routine anyway:
- Start laying out my supplies on my counter, count out five marshmallows (I used to eat them straight out of the bag but then I would forget how many I had eaten! So now I take five out and put the bag away. Stupid tip but helps me :))
- If I'm going to shower beforehand, I shower before I eat the marshmallows -- they kick in quickly for me and don't last a long time, and I have long hair that takes a little while to dry enough after a shower for me to be able to change my wafer. YMMV obviously.
- Eat five marshmallows while I continue laying out stuff
- Cut my wafer (my stoma is a 1 3/8" x 1 1/8" oval -- my mail order pharmacy does do oval shape pre-cuts but only one more month left with this stoma so no point to switching), then tuck the wafer and Adapt barrier ring into my bra to warm up from body heat.
- Then I usually have about five minutes to twiddle my thumbs before the marshmallows kick in :)
- Remove the old wafer, 1 minute
- Clean the stoma and skin and examine for any irritation, 3 minutes
- Apply anti-fungal powder and skin prep, 1 minute
- Stretch and apply barrier ring, 1 minute
- Apply wafer, 1 minute
- Snap on bag, 1 minute
- Clean up! 2 minutes
So in total about 10 minutes from the time I start actually taking off my old wafer, more like 25 including set up time and waiting for marshmallows to kick in (but I do other stuff doing that time, like drying my hair, cleaning the apartment, etc). I don't have problems with getting a good seal with my appliance for whatever reason, so I don't need to lay down or blow dry afterwards. I just don't do anything that really distorts the skin (e.g. I try to avoid bending over to put on socks immediately after) for the first 30 minutes or so, and rest my hand on my stoma to help the seal with my body heat. No leaks so far :)
And yes, DEFINITELY close the pouch long before you snap it on!! LOL. I prepare individual change "packs" in sandwich size ziploc bags so I can just grab one and know I have everything I'll need: 1 wafer, 1 barrier ring, 1 pouch that is already velcro-ed shut, 2 prep wipes, 2 adhesive remover wipes, and a small garbage bag to dispose of the old pouch and catch any output during my change (I tuck it into the waistband of my shorts). Powder, hand mirror, scissors, and pre-cut Viva paper towels I keep in a caddy on the counter. Phew! It sounds like a lot of work but it is really second nature by now.