NSWOCC and CSCRS Preoperative Stoma Marking Position Statement Launch

NSWOCC and CSCRS Preoperative Stoma Marking Position Statement Launch

March 18, 2020

Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC) partnered with the Canadian Society of Colon and Rectal Surgeons (CSCRS) in order to develop and launch the:

Preoperative Stoma Site Marking for Fecal Diversions: Ileostomy and Colostomy:

Position Statement of the Canadian Society of Colon and Rectal Surgeons (CSCRS) and the Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC).

Each year a projected 10,000 Canadians have colorectal surgery to create an ostomy. Widely adopted complication rates in the literature suggest that 21-70% of these will result in complications.  Obesity, emergency surgery, diabetes and preoperative stoma site marking have been demonstrated to have the most significant impact on complication rates.  Stoma site marking has a preventative role.

The purpose of this position statement is to guide surgeons and NSWOCs in the effective placement of fecal stomas for patients undergoing ostomy surgery and to improve patient outcomes through reduced postoperative complications. The location of the stoma is a crucial factor in preventing problems. Stoma complications often result in an extended hospital stay and longer recovery for the patient, at an already stressful time.

The evidence is clear; preoperative marking of the patient by qualified personnel for ideal stoma site placement reduces the risk of early complications and leads to higher health-related quality of life. A more informed patient involved in comprehending the impact of the stoma and its care will lead to a better quality of life after discharge.

The body of literature is emphatic that preoperative site marking should be mandatory in elective cases. This position statement reinforces the necessity to have NSWOC and surgeons available at all times for emergency case interventions for stoma site marking.

This position statement marks a collaborative project between the Canadian Society of Colon and Rectal Surgeons (CSCRS) and the Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC).

Read the full position statement here:

Access the Canadian Practice Enabler from the Position Statement on Preoperative Stoma Site Marking for Fecal Diversions – Ileostomy & Colostomy here:

NSWOCC grants permission for you to make copies of this enabler of practice. Users of this enabler of practice must ensure they have first familiarized themselves with the full position statement.

The NSWOCC would like to thank the 5 Colon and Rectal Surgeons and 12 NSWOCs from across Canada who dedicated time and effort over the past year in completing this project.

Add a comment

*Please complete all fields correctly

Related Blogs

Posted by caet-admin | March 13, 2020
Together, we’ll reduce the risk of transmitting CVOID-19, all while obtaining the highest level of Wound, Ostomy and Continence education!All NSWOCs from across Canada will have the opportunity to participate...
Posted by caet-admin | March 12, 2020
Un message en français suivra. To NSWOCC Members, 2020 NSWOCC Conference Delegates and Industry Partners, There are currently over 100 cases of COVID-19 confirmed in Canada which are expected to...
Posted by caet-admin | December 13, 2019
The NSWOCC Board of Directors is pleased to announce that Debra Johnston, MN, RN, WOCC (C) has accepted the leadership position for the NSWOCC Professional Practice Core program. Debra will...