GP Practice Woundcare Formulary

Transcription

1 Agreed jointly by Ipswich and East Suffolk and West Suffolk Clinical Commissioning Groups GP Practice Woundcare Formulary Version 26 October 2016 Formulary items should be prescribed wherever possible. If a nonformulary item is required, an exception reporting form should be completed (available on IESCCG & WSCCG websites).

2 1. Saline Irripod 2 x 20ml Non Adherent dressing N-A Ultra 9.cm x9.cm cm x 9.cm Soft polymer wound contact dressing Atrauman Urgotul cm x cm cm xcm cm x 20cm cm x 30cm cm x cm cm x 20cm Soft silicone wound contact dressing Mepitel One 6cm x 7cm cm x cm cm x 1cm Adhesive dressing with absorbent pad Mepore Ultra 7cm x 8cm cm x 11cm cm x 1cm cm x 20cm Tap water is preferred for leg ulcers and to irrigate clean wounds To encourage moist wound healing. Use under compression or retention bandages on granulating wounds Lasts up to 7 days; requires a secondary dressing. Suitable for use on fragile/ delicate skin. 7 days Can remain in place for up to 14 days during which time the outer absorbent pad should be changed as needed Low to moderate exudate Suitable for surgical wounds, cuts and abrasions Low-adherent wound contact layer Do not apply under tension Cosmopore E cm x 7.2cm cm x cm cm x 1cm cm x 20cm cm x 2cm Primary dressing to cover wounds without the need for additional tape or bandages For use on lightly exuding wounds e.g. post-operative wounds or minor injuries and epithelialising wounds Not suitable for use on leg ulcers

3 6. Vapour-permeable adhesive film dressing Tegaderm film 6cm x 7cm cm x 12cm cm x 20cm Hydrogels Intrasite Gel 8g g cm x cm Intrasite cm x 20cm Conformable cm x 40cm cm x 6.cm Actiform Cool cm x cm cm x 1cm Hydrocolloids 8a) Low exudate Duoderm Extra Thin 8b) Low to moderate exudate cm x cm cmx7.cm cm x cm cm x 1cm Granuflex cm x cm Granuflex Bordered 6cm x 6cm cm x cm cm x 13cm cm x 1cm Avoid if exudate present risk of maceration Do not use on sensitive skin. Can be left in place up to 7 days Often used as a secondary dressing, or as a prophylactic dressing to prevent friction and shearing damage. Avoid use on ischemic and diabetic feet, infected and heavily exuding wounds Requires a secondary dressing Actiform Cool can be left in place for up to 7 days. For minor burns, abrasions, lacerations and postoperative wounds, stage 1-2 pressure ulcers, lightly exuding leg ulcers 7 days; no secondary dressing required. Allow overlap over wound edge Waterproof dressing For pressure ulcers, leg ulcers, minor burns, skin donor sites, other surgical and traumatic wounds Select a dressing that extends at least 3cm beyond the wound edges. 7 days Waterproof dressing Tegaderm oval (bordered) cm x 12cm cm x 1cm days Shower-proof dressing

4 9. Alginates Algisite M cm x cm cm x cm cm x 20cm Flaminal Hydro 1g Flaminal Forte 1g Gelling cellulose dressing Durafiber 11. Cavity Dressings cm x cm cm x cm cm x 1cm Aquacel Ribbon 1cm x 4cm cm x 4cm Foam Dressings 12a) Adhesive Allevyn Gentle Border Allevyn Life Allevyn Gentle Border Sacrum 7.cmx7.cm cmxcm cm x 20cm cmx.3cm cmx12.9cm cmx1.4 cm cm x 21cm cmx17.1cm Primary dressing; forms a viscous gel on contact with exudate; do not wet the dressing before application Cut or fold to shape of wound to avoid maceration of surrounding skin; can be left in place for up to 7 days Slight to moderate exudate Can be re-capped and reused on the same patient Moderate to heavy exudate Can be re-capped and reused on the same patient For medium and heavily exuding granulating wounds. Can remain in place for up to 7 days; cover with a moisture retentive dressing. Forms a soft cohesive gel on contact with exudate; do not wet dressing before use Do not pack too tightly 7 days except the sacral area where dressings can be left in place for up to days. Tegaderm foam 14cm x 1cm Second line choice 12b) Non-Adhesive Allevyn Gentle cm x cm cm x cm cm x 20cm cm x 20cm days

5 Allevyn Non- Adhesive Heel.cm x 13.cm Absorbent Dressings - For moderate to heavily exuding wounds Zetuvit E (non-sterile) cm x cm cm x 20cm cm x 40cm Caution: risk of maceration when Allevyn Heel used on exuding wounds Use as secondary dressing Not suitable for application under compression Zetuvit E (sterile) cm x cm cm x 20cm cm x 40cm cm x 22cm Kerramax care 20cm x 22cm cm x 30cm Cellulose dressing Sorbion Sachet Extra cm x cm cm x 20cm cm x cm cm x 20cm Odour absorbent charcoal dressings CliniSorb cm x cm cm x 20cm cm x 2cm Use as secondary dressing Not suitable for application under compression Primary or secondary dressing; stackable to increase absorption Primary dressing suitable for moderate to highly exuding wounds; may remain in place for up to 4 days Do not use in conjunction with other dressings unless absolutely necessary. Moderately and lightly exuding wounds (use a separate primary dressing for lightly exuding wounds to prevent adherence) Can be used for up to 7 days Carboflex 8cm x 1cm (oval) cm x cm cm x 20cm Primary or secondary dressing for moderately to heavily exuding malodorous wounds Overlap the wound edge by at least 3cm 16. Anti-Microbials 16a) Povodine Iodine cm x cm Inadine 9.cm x9.cm b) Cadexomer Iodine Low adherent knitted viscose fabric containing povidone iodine Colour change from orange to white as iodine released

6 Iodoflex paste g c) Honey Algivon Activon Tulle 17. Dressing S/M or M/L Nurse It gloves 18. Adhesive Tapes For highly exuding wounds Changes colour as iodine is released Duration of treatment should not exceed 3 months cm x cm Alginate dressing cm x cm impregnated with honey cm x cm cm x cm Micropore 2.cm Mefix 19. Paste Bandages cm cm cm Steripaste 7.cm x 6m Zipzoc Stocking 17cm x 13cm x 1cm Viscopaste PB7 7.cm x 6m Retention Bandages K-Band stretched 21. Support Bandages 4m x cm m x 7cm m x cm K-Lite cm x 4.m Compression Bandages 22a) Short-Stretch Actico (cohesive) 8cm x 6m cm x 6m cm x 6m Knitted viscose mesh dressing impregnated with honey Dressing retention on nonflexing areas Dressing retention on areas prone to rubbing e.g. elbows, heels Light bandage for securing dressings. When applying on legs, apply from toes to knee to prevent oedema. When applying on oedematous limbs make sure K-soft is applied first to prevent the bandage cutting into the skin.

7 22b) Multi-Layer K Two kit 18-2cm cm cm K Two Reduced 2-32cm K-Four kit 18cm x 2cm K-Soft layer # 1 cm x 3.m K-Lite layer # 2 cm x 4.m K-Plus layer # 3 cm x 8.7m Ko-Flex layer # cm x 6m c) High Compression Profore + cm x 3m Select latex-free option 24. Elasticated Tubular bandages.0cmx 1m (green) cm x 3m cm x m cm x 1m (blue) Comfifast 7.cm x 3m cm x m cm x 1m (yellow) cm x 3m cm x m Barrier film (peri-wound protection) Clinimed LBF Sterile No Sting Barrier Film 26. Swabs Non-woven fabric swab 1ml swab ml swab ml spray Sterile 7.cmx7.cm Non-sterile cm x cm To secure dressings and bandages m and 3m lengths are less wasteful than 1m and can accommodate various limb s Consider if blue (7.cm) line will suffice before requesting a yellow (cm) line bandage Do not use Tubigrip or crepe as a retention bandage 1ml swab covers area of at least 1cm x 1cm Reapply at each dressing change May be used on intact or damaged skin For cleaning wounds and providing protection to boney prominences. Do not use as a dressing

8 2 dressings + 1 pump Secondary Formulary Approved non-formulary items for second line use only FP prescription Item pack unit Hydrocolloid fibrous 6cm x 6cm For exuding or sloughy wounds UrgoClean cm x cm cm x 20cm cmx40cm rope Silver Antimicrobials cm x cm. 0.1 Soft polymer wound contact Atrauman Ag cm x cm dressing cm x 20cm Urgotul Silver cm x 12cm Soft polymer wound contact dressing; can be left in place 1cm x 20cm for up to 7 days cm X cm Gelling cellulose dressing cm X cm Designed to be left in place for Durafibre Ag 1cm X 1cm up to 7 days 2cm X 4cm cm x 30cm Cutimed Sorbact swabs Cutimed Sorbact gel Pico 4cm x 6cm cm x 9cm cm x 7.cm cm x 1cm cm x 20cm cm x 30cm cm x 40cm cm x 1cm cm x 20cm cm x 30cm cm x 20cm cm x 2cm Primary dressing for contaminated, colonised or infected superficial or deep wounds. Change every 1 3 days depending on the wound condition Cutimed Sorbact swab with an amorphous hydrogel Change every 1 3 days depending on the wound condition Can be used for all types of dry to low exuding wounds that are contaminated, colonised or infected