BIX-H38 Ostomy Nursing Model: Building a Stoma Care Session That Transfers to the Ward

Stoma care is learned with the hands, and the two errors that reach patients are a pouch applied to wet skin and an irrigation routine that ignores the stoma type, so a model has to allow both mistakes to be made and corrected. BIX-H38 is a PVC ostomy nursing model reproducing the anatomy of a latero-abdominal median incision with both a colostomy and an ileostomy; it can be used in the erect or side-lying position, allows intubation feeding through the ileostomy, and supports colostomy care including synthetic stool removal, irrigation and pouch care. This guide sets out how to run a session on it and which parts of the procedure the model genuinely trains.

What the two stomas let you teach differently

Colostomy: output that can be managed. A colostomy produces formed or semi-formed stool, so the teaching focus is pouch emptying, irrigation and skin protection around a solid output. The model's synthetic stool removal and irrigation features make that sequence physical rather than verbal [1].

Ileostomy: output that harms skin quickly. Ileostomy effluent is liquid and enzyme-rich, and high-output ileostomy is a recognised clinical problem with nutritional and fluid consequences [2]. On the model, the ileostomy is the right site to teach why the pouch seal matters, why skin barriers are used, and why output volume is recorded rather than estimated.

Two stomas on one model means one conversation about type. Students routinely conflate colostomy and ileostomy care. Having both on the same abdomen forces them to state which stoma they are looking at before they choose a pouch — a habit that carries directly into the ward.

A 50-minute session in four steps

1. Minutes 0–8: identify before touching. Student names the incision, the colostomy and the ileostomy, and states which output each produces. No pouch opened yet.
2. Minutes 8–20: pouch application. Fit, measure, cut, apply, press and check the seal. Score the sequence, not the speed. Repeat with the model in the side-lying position, because a patient who cannot stand is the common case.
3. Minutes 20–32: irrigation. On the colostomy, run the irrigation sequence, including the volume check and the timing. Ask the student to say what would make them stop.
4. Minutes 32–42: ileostomy route. Demonstrate intubation feeding through the ileostomy and discuss why the route exists, then have the student repeat the handling with clean technique.
5. Minutes 42–50: patient teaching. Student explains pouch change to a partner in plain language, in under three minutes. Patient education is the intervention with the clearest evidence base in stoma care [3], and it is the part most often left untrained.

What the model does not do

• No skin complications. Peristomal moisture-associated damage, fungal infection and retraction are not represented, so those are taught from photographs and case histories.
• No output measurement. Synthetic stool is a handling aid, not a measurement exercise; fluid and electrolyte monitoring is a separate skill.
• No analgesia or consent. These belong in the scenario, not the model.
• PVC surface realism is limited. Adhesion of a real pouch on PVC differs from skin, so teach adhesion principles rather than force.

Buying notes

1. Confirm both stomas are functional for the skills you teach. Ask specifically whether irrigation and ileostomy intubation are both operable on the unit you receive.
2. Order synthetic stool and pouch consumables with the model. Teaching stops when the consumable runs out; price a term's supply with the quotation.
3. Check the mounting. A model used side-lying needs support; ask how the unit is positioned and whether a stand is included.
4. Request the care instructions. PVC tolerates most disinfectants, but the stoma openings need gentle cleaning to keep their shape.
5. Plan one model per four students. Pouch application is a two-hand skill; a queue turns it into a demonstration.

Documentation and quotation. Specification, consumable pricing and current unit cost for BIX-H38 are available from cprmodel@adaanatomy.com.

FAQ

Q1. Which stomas does BIX-H38 include? A colostomy and an ileostomy, reproduced on a latero-abdominal median incision, in PVC.

Q2. Can irrigation be practised on it? Yes. The listing describes colostomy care including synthetic stool removal, irrigation and stoma bag care.

Q3. What is the ileostomy used for? Intubation feeding can be performed through the ileostomy, in addition to pouch care teaching.

Q4. Can the model be used with the patient lying down? Yes, it can be operated in the erect or side-lying position, which covers the ward scenario for a bed-bound patient.

Q5. Is it ADA-456 or H38? The listing prints both: H38 as the model reference and ADA-456 as the product number. Quote both in an inquiry to avoid confusion.

Q6. What is the price? Quoted per order, depending on quantity and destination; ask for consumable pricing at the same time.

References

1. Danielsen AK, Rosenberg J. Patient education after stoma creation may reduce health-care costs. Dan Med J. 2014;61(4):A4659.
2. Harbaugh C, Chandhrasekhar D, Monge E, et al. Diagnosing and managing the high-output ileostomy: a comprehensive narrative literature review. Dig Dis Sci. 2026. doi:10.1007/s10620-026-10229-9
3. Faury S, Koleck M, Foucaud J, et al. Patient education interventions for colorectal cancer patients with stoma: a systematic review. Patient Educ Couns. 2017;100(10):1807–1819. doi:10.1016/j.pec.2017.05.034

For a quotation on BIX-H38 with pouch and synthetic-stool consumables, write to cprmodel@adaanatomy.com with your cohort size and the stoma skills you assess.