WEB WOC Ostomy Care
Exam Coverage
Exam coverage for WEB WOC Ostomy Care includes foundational and
clinical ostomy nursing concepts related to the care of patients with
fecal or urinary stomas. It focuses on ostomy types (colostomy,
ileostomy, urostomy), stoma assessment, pouching systems, skin
protection, complication prevention, and patient education. The exam
also evaluates understanding of preoperative and postoperative care,
psychosocial support, nutrition and hydration considerations,
troubleshooting leakage or skin breakdown, and long-term self-care
management. Emphasis is placed on evidence-based ostomy care,
individualized teaching, complication recognition, and promoting
patient comfort, independence, and quality of life.
,jejunostomy location
LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure
ischemic bowel, crohn's, trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or
without small bowel resection, loop or end stoma
,jejunostomy function and management
*function begins in 24-48 hours
*initially gas, then watery clear/green output (fluid and digestive
enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications
*monitor for electrolyte imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
, ileostomy location
RUQ
ileostomy disease and procedure
crohn's, ulcerative colitis, familial adenomatous polyposis, trauma,
necrotizing enterocolitis, cancer, ischemic bowel
total proctocolectomy with end ileostomy, total proctocolectomy with
continent ileostomy, temporary ileostomy, temporary loop ileostomy
for ileal pouch-anal anastomosis
Exam Coverage
Exam coverage for WEB WOC Ostomy Care includes foundational and
clinical ostomy nursing concepts related to the care of patients with
fecal or urinary stomas. It focuses on ostomy types (colostomy,
ileostomy, urostomy), stoma assessment, pouching systems, skin
protection, complication prevention, and patient education. The exam
also evaluates understanding of preoperative and postoperative care,
psychosocial support, nutrition and hydration considerations,
troubleshooting leakage or skin breakdown, and long-term self-care
management. Emphasis is placed on evidence-based ostomy care,
individualized teaching, complication recognition, and promoting
patient comfort, independence, and quality of life.
,jejunostomy location
LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure
ischemic bowel, crohn's, trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or
without small bowel resection, loop or end stoma
,jejunostomy function and management
*function begins in 24-48 hours
*initially gas, then watery clear/green output (fluid and digestive
enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications
*monitor for electrolyte imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
, ileostomy location
RUQ
ileostomy disease and procedure
crohn's, ulcerative colitis, familial adenomatous polyposis, trauma,
necrotizing enterocolitis, cancer, ischemic bowel
total proctocolectomy with end ileostomy, total proctocolectomy with
continent ileostomy, temporary ileostomy, temporary loop ileostomy
for ileal pouch-anal anastomosis
