Colostomy/Ileostomy: Restricted Health Conditions

Title 22 §87621

The facility shall be permitted to accept or retain a resident who has a colostomy or ileostomy under the following circumstances:

(1) The resident is mentally and physically capable of providing all routine care for his/her ostomy; and the physician has documented that the ostomy is completely healed; OR

(2) If assistance in the care of the ostomy is provided by an appropriately skilled professional.

(3) Privacy is afforded when care is provided.

(4) The used bags are discarded appropriately.

Additionally, the bag and adhesive may be changed by facility staff who have been instructed by the appropriately skilled professional.  The facility must maintain written documentation provided by the appropriately skilled professional,  outlining the instruction of the procedures delegated, and the names of the facility staff who have been instructed.  The appropriately skilled professional shall review the procedures and techniques no less than twice a month.