During morning care, a UAP notes that thick green drainage is seeping around the appliance of a client's new ostomy. What should the UAP have been instructed to do?
1. Clean around the drainage.
2. Remove the ostomy appliance and cover the stoma with toilet tissue.
3. Perform complete ostomy care.
4. Report the drainage to the nurse.
Correct Answer: 4
Rationale 1: UAP should have been instructed to clean drainage off of the skin.
Rationale 2: UAP should not be instructed to remove the appliance and cover the stoma with toilet tissue.
Rationale 3: UAP should not be instructed to perform care to a new ostomy.
Rationale 4: Care of a new ostomy is not delegated to UAP. However, aspects of ostomy function are observed during usual care, and may be recorded by persons other than the nurse. Abnormal findings must be validated and interpreted by the nurse.
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