About Us

Andrea (Andy) Manson
RN, BSN, ET, NCA

In 1979, I graduated the nursing program from the College of New Caledonia in Prince George. Upon completing my nursing course, I worked the medical and surgical wards of Ridge Meadows Hospital.

Four years later, I took the critical care-nursing course at St. Paul’s Hospital and worked two years in Intensive Care at St. Paul’s. These hospital years provided many experiences, which serve me well to day.

While working Intensive Care, I realized two things. First, I discovered I like to talk with people; however, very ill people on ventilators heavily sedated don’t talk much. I often found I was talking to myself and getting in the last word. Secondly, I found I like to teach. Over the years, I’ve conducted ostomy seminars for patients, ostomy associations, and for home care, hospital and ET nurses.

In 1989, I obtained my nursing degree from the University of British Columbia. That year, I traveled to Toronto (those who know me well, know I like to travel), and graduated with a specialty in Enterostomal Therapy. Later in 1999, I completed a Nurse Continence Advisor (NCA) course at McMaster University.

After my ET course in 1989, I worked with my mother, Helen Manson, one of the first ET nurses in BC. She has an ostomy and saw the need for ostomy care in the hospital. In the early 1970’s, she developed the ET - Ostomy clinics at St Paul’s and Surrey Hospitals. Then in 1983, she saw the need in the community to provide continued care and support for people with ostomies for as long as they have their ostomy, so she started the Ostomy Care and Supply Centre. Upon her retirement in 1989, I proudly took ownership of the Centre. I knew I had big shoes to fill, for Helen helped to improve ostomy care in BC working tirelessly with the United Ostomy Association, and both with home care and hospital nurses.

I recall looking after ostomy patients when I first started nursing. I can honestly say, I don’t know what they did after surgery when they went home. I am ashamed to think that in 1979, there were very few ostomy appliances available and the options were very limited. Now, I am pleased to say, there are many more appliances, options and companies providing ostomy products. Recently, a company presented an opportunity for me to help develop and test new products. I find it interesting and gratifying to assist ostomy manufacturer’s to improve and to continually modify their products to benefit the end user.

The most difficult part of my job, yet the most fulfilling, is to help people adjust to their ostomy. It’s easy to teach someone to put on an appliance and to empty it but the gratifying part for me is to help people incorporate their ostomy into their life.

The advice I can give to a person with a new ostomy is you are not alone. New clients feel they are alone, or feel they’re the only ones with appliances, or think the appliance they’re wearing is the only type available so I encourage you to ask for help.

New clients often are not aware of the options. At the Centre, we provide options. There are many different types of appliances, deodorants, lubricants, pouch covers, underwear and accessories available to make life with an ostomy easier.

We provide all encompassing ostomy services to our clients and their family. Our examination room allows us to consult privately with clients about their ongoing care. We help select and outfit the appropriate appliance obtained from a wide selection of readily available stock from the various suppliers we carry at the Centre.


For me, I find it satisfying to watch the progress of a person with a new ostomy, who is nervous and unsure of them self, to grow in confidence, progress and to resume living life again. I take pleasure in assisting and showing both new and “experienced” ostomates new appliances, which may make their lives easier.

I am honoured and grateful to be in the ET field of nursing. I acknowledge the trust, confidence and confidentiality that people with an ostomy place in me with this very private part of their lives.

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Muriel Larsen
RN, ET

It is a privilege to be a part of a person's life as they "journey" through the surgical experience of having and adjusting to living with an ostomy. I am committed to offering continued support to anyone living with an ostomy.

A 1969 Royal Columbian Hospital School of Nursing graduate and recipient of that years' George T Wilson Surgical Award, my career in surgical nursing commenced on the RCH surgical ward. Later I took a four year hiatus to raise my four children while working part time at both the Burnaby General and Royal Columbian Hospitals.

In 1984, I began to provide vacation relief for the Enterostomal Therapist Clinic at RCH. The impetus for making a career shift from bedside nursing to the role of the Enterostomal Therapist at RCH in 1994 was the satisfaction of caring for this specific group of patients\clients. It was during this time that I decided to enter the Enterostomal Therapy Nurse Education Program offered by the Albany Medical Center, New York, from where, in 1995, I received my course certification as an Enterostomal Therapist.

As the Royal Columbian Hospital joined with Eagle Ridge, Ridge Meadows and Burnaby Hospitals under the Fraser Health Authority, the continuous population growth in these areas demanded an Enterostomal Therapist at each site.

I developed an outpatient clinic at Ridge Meadows Hospital in 1996 which, at present continues to provide pre and post-operative care at the hospital and ongoing rehabilitative care in the clinic.

In 1997 I expanded the RCH Clinic and began to visit Burnaby Hospital also to provide pre and post-operative care to patients having ostomy surgery. At this time, I was joined by a colleague, another Enterostomal Therapist, on a part time basis.

As an Enterostomal Therapist, I specialize in advanced chronic wound care and fistula management and am a founding member of the Clinical Task Team Skin and Wound Care Team for the Fraser Health Authority. The role of this team is to standardize and regionalize the delivery of chronic wound care using best practice. It has always been a driving principle in my practice to engage every aspect of clinical issues, to promote best practices achieving optimum results for each patient\client under my care.

It has and continues to be a great joy to teach at the many workshop presentations with which I have been involved both while working for the Fraser Health Authority and at the Ostomy Care and Supply Center.

I joined Andrea Manson at the Ostomy Care and Supply Center in August, 2005. I retired from RCH in May 2007 and continue to enjoy and value my contact with clients at the Ostomy Care and Supply Center.