Tubes, lines and devices
Stoma and ostomy care at home
A suitably skilled nurse checks a stoma and the surrounding skin and helps manage its pouch.
Also known as: colostomy bag change, ileostomy care, ostomy pouch change. In Urdu: اسٹوما یا اوسٹومی کی نگہداشت. In Roman Urdu: Ghar par colostomy care aur stoma.
- Needs a doctor’s order
- PNMC Registered Nurse with proof of training
- About 1 hour per visit
- The nurse’s own price, no fee for families
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Guide version: e03c82de1e4686b3 · Clinical review confirmed by the publisher for this version
Publisher-confirmed review:
Review recorded:
Review scope: Clinical nursing information reviewed by PNMC-registered nurses, including service preparation, supplies, family guidance, articles and FAQs.
The publisher confirms this review. Reviewer identities are not published.
Check whether this guide version is current
A version identifies this wording; it is not a certificate of safe care.
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Before the visit
Needs a doctor’s order
-
What the nurse does
PNMC Registered Nurse with proof of training
-
What the nurse records
What the nurse does
- Inspect the stoma, surrounding skin and output
- Empty or change the pouch and protect the skin when appropriate
- Teach basic pouch care and refer bleeding, blockage or worsening skin
Nurses give the care that was booked, within the patient’s care plan. They do not diagnose or prescribe.
What the nurse records
Site & device
Every record also notes how the patient tolerated the care, any advice to see a doctor and a note for the family. The nurse signs it, and you check it together before the visit closes.
Before the visit
Confirm the supplies, quantities and equipment with the treating clinician or an appropriately trained nurse for the patient’s care plan before arranging care.
The family
Agree the visit time, access arrangements, main contact and handover.
What the nurse brings
- Measuring jug or graduated containerA drainage bag's own scale also serves for urine
These are the nurse’s own instruments and are never charged.
Used needles, dressings and other clinical waste are sealed and removed safely, and the nurse records how. You can confirm or flag it in the app.
Supplies to confirm
Family, or the nurse if you agree
- Ostomy or colostomy bag
- Stoma paste or barrier ring
- Adhesive remover wipes
- Skin barrier protective wipes
- Sterile gauze pieces
- Examination gloves
- Disposable apron
- Two-piece ostomy base plate or flangeIf needed
- Stoma measuring guide and scissorsIf needed
- Clinical waste disposal bag
What to prepare
- Have the current prescription or doctor’s order ready, and add a clear photo of it in the app when you send the request.
- Save the patient’s profile in the app, with allergies, conditions and mobility.
- Tick the supplies you already have. The nurse can bring what is missing if you approve the amount in the app.
- Check the map pin on the patient’s door, and mention pets, stairs or anything else the nurse should know.
Catalogue supplies to confirm
Catalogue quantities and package sizes are stock estimates, not doses or instructions for dilution, flushing or device selection. Use only the items and amounts confirmed for the patient’s prescribed care plan.
When bookings open, discuss what you already have and agree who will arrange any confirmed missing supplies. Items bought at a medical store are charged at the receipt amount only after you approve the amount.
| Item | Catalogue quantity or pack size | List status | Who provides it |
|---|---|---|---|
| Ostomy or colostomy bag | 2 bags | Listed | Family, or the nurse if you agree |
| Stoma paste or barrier ring | 1 tube | Listed | Family, or the nurse if you agree |
| Adhesive remover wipes | 3 wipes | Listed | Family, or the nurse if you agree |
| Skin barrier protective wipes | 3 wipes | Listed | Family, or the nurse if you agree |
| Sterile gauze pieces | 10 pieces (4×4 inch) | Listed | Family, or the nurse if you agree |
| Examination gloves | 2 pairs | Listed | Family, or the nurse if you agree |
| Disposable apron | 1 piece | Listed | Family, or the nurse if you agree |
| Two-piece ostomy base plate or flange | 1 piece | If needed | Family, or the nurse if you agree |
| Stoma measuring guide and scissors | 1 set | If needed | Family, or the nurse if you agree |
| Clinical waste disposal bag | 3 bags | Listed | Family, or the nurse if you agree |
Do I need a doctor’s prescription for stoma care?
Yes. Add a clear photo of the current prescription or doctor’s order when you send the request. Care cannot start until the order has been checked and approved, and the nurse follows it exactly. Nurses do not diagnose or prescribe.
How long does a stoma care visit take?
About 1 hour. This is the typical visit length set for the service.
Who comes to the home for stoma care?
Only a Registered Nurse whose registration has been checked on the official Pakistan Nursing & Midwifery Council (PNMC) register and whose identity has been reviewed by a person. For this procedure the nurse must also have an approved training or competency record for this exact procedure. Until it is approved, the service stays hidden.
How much does stoma care at home cost?
Each nurse sets the visit price, which you review before confirming. Supplies are separate and need your approval. Online payments for visits and availability passes are planned but are not available yet. See pricing and the payment process.
How do I check stoma care availability in my city?
See the city guides and booking availability. Confirm the care tasks, visit hours and coverage at the patient’s address before agreeing a visit.
Not for emergencies
Do not book a home visit for severe difficulty breathing, chest pain, signs of a stroke, heavy bleeding or other emergency signs. Call Rescue 1122 or go to the nearest hospital emergency department now.
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Bookings are not open yet
Nurse at Home is preparing to launch. Booking availability will depend on verified nurses and operational readiness in your area. Explore city planning guides and published home nursing costs while preparing for care.
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Visit preparation sheet
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Guide version: e03c82de1e4686b3 · Clinical review confirmed by the publisher for this version
Publisher-confirmed review:
Review recorded:
Review scope: Clinical nursing information reviewed by PNMC-registered nurses, including service preparation, supplies, family guidance, articles and FAQs.
The publisher confirms this review. Reviewer identities are not published.
Check whether this guide version is current
A version identifies this wording; it is not a certificate of safe care.
Nurse at Home · nurseathome.pk
Stoma and ostomy care at home
Bookings are not open yet. This information supports planning; it is not medical advice. Follow the care plan agreed with the treating team.
Not an emergency service. In an emergency, call Rescue 1122
- Typical duration
- about 1 hour
- Doctor’s order
- Needs a doctor’s order
- Training requirement
- PNMC Registered Nurse with proof of training
What the nurse does
A suitably skilled nurse checks a stoma and the surrounding skin and helps manage its pouch.
- Inspect the stoma, surrounding skin and output
- Empty or change the pouch and protect the skin when appropriate
- Teach basic pouch care and refer bleeding, blockage or worsening skin
Preparation to discuss
Confirm the supplies, quantities and equipment with the treating clinician or an appropriately trained nurse for the patient’s care plan before arranging care.
- Confirm the current prescription or doctor’s order before ordered care.
- Agree the visit time, access arrangements, main contact and handover.
Supplies and equipment
Catalogue supplies to confirm
Confirm the supplies, quantities and equipment with the treating clinician or an appropriately trained nurse for the patient’s care plan before arranging care.
Catalogue quantities and package sizes are stock estimates, not doses or instructions for dilution, flushing or device selection. Use only the items and amounts confirmed for the patient’s prescribed care plan.
- Ostomy or colostomy bag — Catalogue quantity or pack size: 2 bags; List status: Listed; Who provides it: Family, or the nurse if you agree
- Stoma paste or barrier ring — Catalogue quantity or pack size: 1 tube; List status: Listed; Who provides it: Family, or the nurse if you agree
- Adhesive remover wipes — Catalogue quantity or pack size: 3 wipes; List status: Listed; Who provides it: Family, or the nurse if you agree
- Skin barrier protective wipes — Catalogue quantity or pack size: 3 wipes; List status: Listed; Who provides it: Family, or the nurse if you agree
- Sterile gauze pieces — Catalogue quantity or pack size: 10 pieces (4×4 inch); List status: Listed; Who provides it: Family, or the nurse if you agree
- Examination gloves — Catalogue quantity or pack size: 2 pairs; List status: Listed; Who provides it: Family, or the nurse if you agree
- Disposable apron — Catalogue quantity or pack size: 1 piece; List status: Listed; Who provides it: Family, or the nurse if you agree
- Two-piece ostomy base plate or flange — Catalogue quantity or pack size: 1 piece; List status: If needed; Who provides it: Family, or the nurse if you agree
- Stoma measuring guide and scissors — Catalogue quantity or pack size: 1 set; List status: If needed; Who provides it: Family, or the nurse if you agree
- Clinical waste disposal bag — Catalogue quantity or pack size: 3 bags; List status: Listed; Who provides it: Family, or the nurse if you agree
Equipment to confirm
- Measuring jug or graduated container — The nurse; List status: Listed
Questions to confirm
- Which tasks are in the treating team’s care plan?
- Who will arrange the supplies and equipment?
- What is included in the written quote?
- What are the agreed visit time, contact and handover arrangements?
Set by the nurse; agreed before booking. Ask for a written quote covering visit time, travel and supplies.
Source: the maintained Nurse at Home service catalogue. https://nurseathome.pk/services/stoma-care
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