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hey everyone is cereth register nurse sorry and calm and in this video im going to demonstrate how to change an ostomy pouching system in the previous video i did an in clicks review over colostomies and it we asked me so be sure to check out that video so first lets talk about the supplies you will need you will need a pouching system here I have a one piece pouching system and it has a skin barrier also called a wafer for land and its attached to the pouch so it comes together and some people have the two-piece systems and the skin barrier and the pouch are separate and they snap on to each other whenever youre placing the system Im also what you may need that I dont have right here you may need a barrier ring and the barrier ring will go around the stoma for extra protection in case the patients having a lot of skin breakdown from still getting on to the skin and the skin barrier just isnt really protecting it so the barrier ring would go around the stoma and you would set t
