Look, learn, learned: Development of a stoma observation and education care plan

Desiree Davies1, Narelle Cusack1, Brooke Goldfinch1

1Sir Charles Gairdner Hospital


A survey was completed, to evaluate the standard of documentation. There was variation in the quality of documentation, depending on the knowledge and experience of the nurse.

The development of the Stoma Observation and Education Care Plan was designed to improve nurse’s knowledge, understanding and skills. The Stoma Observation and Education Care Plan, has improved clinical handovers with a focus on documentation, stoma assessment and discharge planning with the involvement of the patient.

The Stoma Observation and Education Care Plan has been supported by presenting education sessions with inter-active diagrams, practical education session. This allowed  nurses to use all aspects of stomal therapy equipment and accessories to gain knowledge, to understand the advantages and dis-advantages of equipment. This has increased the confidence within the nurses and able to support patient individual in aspect of stomal care.



I am passionate about providing high quality nursing care and qualified in 2010 as a stomal therapist. Since 2014,acting Clinical Nurse Consultant of a 570 bed teaching hospital in Perth. This opportunity has allowed me to develop my interest in research in stomal therapy, being proactive in the development of High Output Stoma Guidelines, Stoma Observation and Education Care Plan, Patient Education Booklets for Ileostomy, Colostomy and Urostomy, completed four quality improvement activity. In addition I focus on education for patient and health professionals. I regularly present lectures on stomal therapy to nursing student at Notre Dame University.