ConvaTec SUR-FIT Natura Two-Piece Cut-to-Fit Stomahesive Skin Barrier Without Tape Collar

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• Preparation of Skin Barrier/Wafer:
  - Begin by cleansing the peristomal skin with mild soap and water (soaps should be free of oils, creams and aloe). Pat dry thoroughly. The skin should be free of any solvent or greasy substances.
  - Measure your stoma using the measuring guide provided. Select a skin barrier with a flange (white ring) at least 1/2 inch larger than your stoma size. For flush or retracted stomas, convex skin barriers are recommended.
  - Trace the exact same stoma size onto the center white release paper on the back of the skin barrier.
  - Cut along the tracing with a curved scissor.
  - A caulking material, such as Stomahesives Paste or an Eakin Cohesive Seal, can be applied to the back of the skin barrier to further fill gaps between the wafer and the stoma. Allow the paste to set for one minute prior to application to the skin. (Do not spread the paste.)
• Application of Skin Barrier/Wafer:
  - Center the skin barrier over the stoma. Press the skin barrier against the skin. If using a tape bordered skin barrier, remove the remaking backing paper one side at a time.
  - During application, maintain gentle pressure on the skin barrier for 30 seconds to improve adhesion.
• Attachment of Pouch:
  - Before attaching the pouch, allow a small amount of air to enter the pouch by gently separating it.
  - If you are using a SUR-FIT Naturao drainable pouch with a clip, for attachment of the tail clip, fold the bottom of the pouch over the tail clip only once. Press firmly on the center of the clip until it snaps securely closed.
  - If you are using a SUR-FIT Natura urostomy drainable pouch with a tap, make sure the tap on the pouch is closed before attaching pouch to wafer.
  - Align the flange on the pouch with the flange on the skin barrier. Press them together beginning at the bottom and circling around the top side of the flange. You will hear several clicks as the system locks into place.
• Removal of Pouch:
  - To easily remove the pouch from the skin barrier, gently pull downward on the plastic pouch tab and lift the pouch off. Anchor the wafer by holding it down with your other hand.
  - Filter covers are waterproof and should be used when bathing or swimming to prevent the filter from becoming wet. Remove filter cover after patting pouch dry.
• Removal of Skin Barrier/Wafer:
  - Gently pull the skin barrier down, away from the skin, while supporting the adjacent skin with your other hand.
  - To assist with the barrier removal, an AllKare Adhesive Remover wipe may be used to remove any adhesive buildup.

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