The incidence range of fecal incontinence in acute care settings has been reported as 17%-33%. Patients with fecal incontinence commonly report anxiety, shame and embarrassment over the condition. Their families and significant others become distressed over odor and the obvious discomfort of their loved one. Caring for acutely or critically ill patients with fecal incontinence consumes substantial caregiver time and cost related to linen, laundry, absorptive and containment products and skin care products. In addition to patient and family dissatisfaction, adverse outcomes associated with fecal incontinence include spread of pathogens, infection, increased length of stay, falls, and pressure injuries. WOC nurses are uniquely qualified to improve outcomes for this patient population by initiate interventions aimed at skin protection, containment and management of modifiable factors related to FI.