This topic is about whether skipping the plain-water rinse before applying a new colostomy wafer makes a difference in the care routine. A caregiver is wondering if not rinsing off soap could cause issues like a rash, loosening of the wafer, or the need to redo the application. The hospital instructions were not clear on whether the rinse is necessary, so the caregiver is seeking advice.

Here are some helpful insights and advice:

1. Missing a single rinse is unlikely to cause harm or loosen the wafer. Just keep an eye out for any leaks or irritation until the next scheduled change.

2. The main reason for a plain-water rinse is to remove any soap residue that might interfere with the wafer's adhesion or irritate the skin.

3. Many people have found success by cleaning with just warm water, skipping soap altogether, and ensuring the area is thoroughly dried with a hair-dryer or small fan before applying the wafer, barrier ring, and bag.

4. Some use mild soap, like Ivory, but stress the importance of rinsing well and patting the area completely dry.

5. Care routines can vary widely. Some people use adhesive remover wipes or spray and a barrier spray, while others prefer moisturising soap due to dry skin. The key is to have clean, dry skin.

6. The worst-case scenario of leaving soap residue is an earlier leak. If you notice stool under the flange, it's best to change the appliance sooner.

7. Flange extenders, which are crescent-shaped strips applied around the wafer, and an ostomy belt can offer extra security and help detect leaks early. They can be used regularly or just when there's a higher risk of leaks.

8. Barrier rings are a helpful layer between the stoma and wafer for many users, providing additional protection and security.