Certified Ostomy Care Nurse (COCN) Practice Exam 2025 - Free COCN Practice Questions and Study Guide

The Kock pouch, a type of continent ileostomy, usually remains connected to straight drainage for a period of approximately 14 days postoperatively. This duration allows for the initial healing of the stoma and the surrounding tissues, as well as for the avoidance of undue pressure or tension on the newly formed pouch. During this time, the healthcare team monitors the patient for any complications and ensures the pouch is functioning appropriately before transitioning to a continent drainage method.

The choice of 14 days is critically aligned with the surgical protocol designed to optimize healing and ensure an effective transition to the patient's post-operative self-management plan. By this time, the surgical site typically demonstrates sufficient healing, and the patient can begin learning how to manage the pouch effectively, including roles in voiding and care techniques.

Longer durations, such as 21 or 30 days, would generally exceed the typical healing period required for the Kock pouch, possibly delaying the patient’s autonomy in managing their ostomy. Similarly, a shorter period of 7 days might not allow adequate time for thorough assessment and stabilization of function, which is crucial for the patient’s long-term success with the pouch.