In NSW, a Stomal Therapy Nurse also known as stoma nurse or enterostomal therapy nurse (ET nurse) is a registered nurse with advanced training in stoma management (colostomy, ileostomy, urostomy), skin care, wounds and continence issues. This is consistent with the broader international profile of Wound‑Ostomy‑Continence (WOC) nursing (NSWOCC, Bladder & Bowel Community).

Generally an STN in NSW has completed postgraduate education such as a Graduate Certificate/ Graduate Diploma in Stomal Therapy Nursing/ a broader WOC qualification.

Comprehensive Role Across the Continuum of Care

a)Pre‑operative Support & Stoma Siting

• Education & counselling: Before elective stoma surgery, first the STNs explain procedure, second expected lifestyle changes and at last help patients prepare emotionally and physically.
• Stoma positioning: STNs work with surgical teams to mark optimal location of the stoma on the abdomen before surgery—taking into account body shape, clothing, mobility and self‑care practicality.

b) Inpatient Post‑operative Care

• Hands‑on training: In hospital, STNs guide patients and carers through appliance changes, ostomy hygiene, monitoring stoma output as well as early detection of complications (e.g. skin irritation, leakage, hernia)
• Emotional support: A new stoma can be painful. STNs address psychological adjustment, help patients navigate body image & identity shifts and link to peer support groups

c) Discharge Planning & Community Continuity

• Discharge coordination: STNs liaise with surgeons, ward staff & community providers to make sure referrals & follow‑up mechanisms are in place
• Follow‑up care: Many STNs deliver telephone follow‑up or else outpatient clinic support—especially valuable in regional/ rural areas where travel to hospital is difficult. Studies confirm that telephone based support improves self efficiency and reduces complications

Ongoing Long‑Term Support

• Annual reviews: Organisations like NSW Stoma recommend seeing an experienced STN at least once per year to review skin condition, appliance suitability, dietary changes and emerging issues such as parastomal hernia or else leakage
• Remote and telehealth clinics: For members of Ostomy NSW, virtual clinics operate regularly (e.g. on Tuesdays) providing video or else phone consultations with contracted STNs like Lee Gavegan
• Product trials and supply guidance: STNs advise on new ostomy products, trial alternative systems and help refine bag fit or adhesion techniques to prevent skin breakdown and improve comfort

Clinical Consultancy, Education & System Leadership

• Clinical advice to other health professionals: STNs often act as expert resources for ward staff, junior nurses, allied health, GPs and aged care staff in managing stomas, complex wounds/ continence issues
• Education and mentorship: STNs provide in‑servicing, training sessions and mentorship for other nurses and students. In some institutions, “stoma link nurses” help extend specialist knowledge on wards where an STN may not always be available
• Policy and research: Senior STNs contribute to quality improvement, policy development, service evaluation and publish case studies or product findings—thereby advancing best practices in ostomy care

Overcoming Barriers & Facilitators in NSW Context

• Specialised training is critical: Quality ostomy care hinges on nurses possessing specialized knowledge and also confidence; inexperienced staff may avoid essential education/ troubleshooting
• Referral & staffing gaps: Studies show that not all patients are referred to STNs in a timely way. And some wards lack sufficient STN coverage especially impacting continuity of care post discharge
• Supportive systems improve outcomes: Providing sample supplies, peer education, telehealth options and also making sure strong nurse-physician collaboration increase patient satisfaction and reduce complications.

What This Means for Patients in NSW?

Where to Access a Stomal Therapy Nurse

• Hospitals and surgical wards: Most district and tertiary hospitals in NSW employ STNs who provide pre and post operative support.
• NSW Stoma Ltd: Offers clinics, virtual consultations, annual reviews and peer support groups available to members across the state (including rural areas)
• Community health & GP networks: STNs may work through local health districts or outreach programs; telephone and virtual support helps bridge geographic gaps.

What Patients Can Expect?

• Guidance and training in appliance use and also skin care
• Ongoing emotional as well as practical support through recovery phase
• Expert monitoring & early intervention for complications
• Access to alternative product options and also updated clinical practices
• Collaboration between hospital, community and also home based care providers

Related Posts:

» Nursing Services in NSW

» Adapting to life after colostomy, ileostomy or urostomy

» Nursing Services in New South Wales: Ensuring Quality Care

» The Essential Role of Nursing Care in Family Health

» Navigating Aged Care Nursing Services in NSW

Summary

In summary, the role of nurse specifically the Stomal Therapy Nurse in ostomy care in NSW spans clinical, educational, psychological and system level leadership. These nurses are central to:

• Preparing patients before surgery
• Delivering hands‑on as well as emotional support post operatively
• Make sure continuity of care after discharge via clinics & telehealth
• Educating multidisciplinary teams and supporting less experienced ward staff
• Leading policy, quality improvement and product innovation

Their expertise significantly increases patients ability to adapt, self manage and maintain quality of life after ostomy surgery. Get details about Wound Care Services in NSW.

Patient Tips

• Be referred early: Ask to be seen by stoma nurse pre‑surgery; early mapping reduces risks.
• Take advantage of ongoing access: You are entitled to annual reviews/ additional consults if issues arise.
• Ask about product options: Don’t assume the initial appliance is only choice.
• Use telehealth services: For remote patients Ostomy NSW virtual clinics are invaluable.
• Seek emotional and peer support: Attend support groups/ forums for shared experiences.