Stoma care and follow-up card

Complete with your treating team. Keep with your supplies.

Patient name

Stoma type and operation date

Brand and product family

Pouch code / closed or drainable

Barrier code / flat or convex

Stoma opening size and date measured

Coupling diameter (different from stoma opening)

Required accessories and instructions

Usual change schedule

Team-prescribed fluid and rehydration plan

Output threshold / symptoms for contacting the team

Medicines and specific instructions

Follow-up appointment

Clinician / stoma nurse

Contact number and out-of-hours plan