What is the first action a patient care technician should take when performing ostomy care?

The first action a patient care technician should take when performing ostomy care is to cleanse the skin around the stoma with warm water. This step is crucial as it prepares the site for further care and helps prevent infection. Cleansing removes any built-up debris, adhesive residues from the previous bag, and can also reveal any irritation or abnormalities that might need attention.

By prioritizing cleanliness, the technician ensures the skin is in optimal condition to adhere to the new ostomy appliance. This helps prevent leaks, skin irritation, and complications such as infections, which could occur if the area is not properly cleaned.

While inspecting the stoma for abnormalities is also an important part of ostomy care, it is typically conducted after the area has been cleansed to allow for a clearer view and better assessment of the stoma's condition. Similarly, applying a new ostomy bag or measuring the size of the stoma are actions that come after the initial cleansing to ensure everything is done in a safe and hygienic manner.