Lancashire Care NHS Foundation Trust Wound Care Formulary ... · Wound contact Hydrocolloid or...

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Lancashire Care NHS Foundation Trust Wound Care Formulary

Version 5.0 (July 2019)

Wound Bed Example Depth Aim Choice Low - mod

exudate Mod - High

exudate

Post op wound or sutures / strips

Superficial

Protect

Simple post op island dressing

Consider cause - ? refer

Pink (Epithelialising)

Superficial

Protect

Wound contact layer or Hydrocolloid or Island dressing

Foam Dressing / Wound Contact + Absorbent pad

Red (Granulating)

Superficial Absorb / Protect

Foam or Wound Contact layer + Absorbent Pad

Wound Contact layer + Absorbent Pad

Red (Granulating)

Deep / Cavity

Absorb / Protect

Alginate / gelling fibre as filler + Foam or Absorbent Pad


Yellow (Sloughy)

Superficial Remove slough

Honey + Foam or Absorbent Pad

Alginate / gelling fibre + Foam or Absorbent Pad

Yellow (Sloughy)

Deep / Cavity

Remove slough

Alginate / honey as filler + Foam or Absorbent Pad


Black (Necrotic / Eschar)

Caution –not suitable to debride. Never debride black stable eschar from lower limb without seeking specialist advice. In heel / foot pressure ulcers, this may serve as the body’s natural protection and should not be removed. Consider use of Inadine strips around the wound edge to protect healthy skin from non-viable tissue

If appropriate wound for debridement consider speed of debridement (to reduce risk of infection). Conservative sharp (by trained Podiatrist / TVN; Autolytic (hydrogel / hydrocolloid) or Larvae (via TVN)

Clinically Infected

Superficial or deep

Reduce bacteria in wound

Wound swab + Oral antibiotics + antimicrobial dressing. Change to alternative antimicrobial if no improvement. Ensure observations for sepsis are in place

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Previous formulary changes

Version Date Additions Deletions Amendments

4 March 2017

4.1 July 2017 Zetuvit Plus

4.2 October 2017 Urgo K Two (Southport & Formby trained staff)

Promogran Cast re-lining Kerralite Cool (18x12.5cm)

Corrections to sizes Zetuvit Plus (red)

4.3 December 2017

Premier Pad Zetuvit E Sterile

Povitulle (replacing Inadine)

Inadine (replaced by Povitulle)

Iodosorb Powder (for cavities)

4.3a (amended)

January 2018 Inadine

Povitulle

Supply issue with Povitulle

4.4 May 2018

Kytocel Suprasorb x +PHMB Change of

antimicrobial

Melolite (Sterile) Advazorb Silfix

Liquiband flow control

Liquiband Optima

Prontosan 350ml

Code for Supply Chain added

4.5 July 2018

Juzo ACS wrap Mediven harmony arm sleeve

Juzo Expert MTM Jobst Bella Light

Dressings packs EHC 2883, 2884, 2885, EHC2913

Mediven Elegance

Mediven for men

4.6 September 2018 Xupad dressings Premier Pad dressings

4.7 January 2019 Liquiband Optima Liquiband flow control

Kendall AMD 20x20 FP10 only

Liquiband Optima code updated

5.0 June 2019

365 wound closure strips Activheal Silicone Contact Layer Opsite film and Opsite film + pad Medihoney apinate ProDerma Foam (FP10 only) ProDerma Ointment (FP10 only)

Steristrips Kendall AMD Adaptic touch silicone contact layer Hydrofilm Leukomed T Algivon Proshield spray (FP10 only) Proshield Ointment (FP10 only)

Multiple changes to product groups to align to National

groups of products. Some products &

product sizes (rarely used) have

been removed

Urgo KTwo now available via Supply

Chain

Originally Produced by the Tissue Viability Team & Non-Medical Prescribing Lead

of Lancashire Care Foundation Trust.

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Contents

New - Colour Guide to Wound Dressing Selection Introduction 4

Section 1– Dressing Packs 5 Dressing Packs 5

Section 2 – Dressings and Irrigation 5 Irrigation Simple Adhesive Island Dressings / Films (+pads) 5 Securing Cannulae / lines 6 Wound Closure Strips 6 Wound Contact Layers / Low Adherence Dressings 6 Absorbent / Superabsorbent dressings 7 Film dressings 7 Foams: non adhesive 8 Foams: Adhesive 8 Foams: Silicone Adhesive 8 Hydrogels 9 Hydrocolloids 9

Alginates / Gelling fibres 9 Antimicrobial Dressings 10 Odour Absorbing Dressings 10

Section 3 – Other Wound Care Products 11 Barrier Films & Creams - for peri-wound management only (Community) 11

Tapes 11 Medicated Bandaging 11 Tubular Bandages 12 Simple Bandages 12 Stockinette 12 Compression Bandages (40mmHg compression) 13 Hosiery Kits (40mmHg compression) for treating leg ulcers 13

Section 4 – Compression Hosiery & Applicators 14 Maintenance Hosiery for prevention of leg ulcers 14 Applicators 14

Section 5– Specialist Products 15 Specialist products (only via TVN referral) 15

Index 16

Exception Reporting form 17

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Introduction

This wound care formulary is your guide to information regarding management of wounds in daily practice. The Trust has a statutory obligation to provide clinical and cost-effective wound care treatments for the population covered by LCFT. By adhering to products contained within the formulary, practitioners will provide clinically and cost effective treatment to manage the vast majority of wounds. Products represent 1st choice in terms of clinical and cost effectiveness. Practitioners are encouraged to consider these products first and provide rationale for using alternatives. The formulary products have been RAG rated, as follows:

Green – Universally available to appropriately trained staff

Amber- should not be stocked routinely but are available on request

Red- highly specialist / high cost products.

When a non-formulary item is prescribed an exception form must be completed and returned (see page 16). Please also refer to the following LCFT guidelines:

Clinical Wound Management guidelines

Pressure Ulcer guidelines

Lower Limb guidelines Ordering Key: Prices shown are from NHS Supply Chain catalogue

Green Universally available

to appropriately trained staff

Amber Available but not routinely stocked

Red highly specialist / high cost products

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Section 1: Dressing Packs ** Please order Dressing Packs from usual supplies Requisition Point

not from community dressings requisition point **

Product Size NHS Code Unit Cost Pack Size

365 Healthcare 365 Wound Dressing Pack With small gloves EHC3256 £0.40 80

365 Wound Dressing Pack With medium gloves EHC3257 £0.40 80

365 Wound Dressing Pack With large gloves EHC3258 £0.40 80

365 Supplementary/minor procedure pack (swabs, gloves and bag)

With medium gloves EHC2913 £0.29 80

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Section 2: Dressings

NB: All remaining products to be ordered from

Community Dressings Requisition Point for Central Lancs / BwD/ Southport (other than FP10 only products)

Irrigation Use warm saline for irrigation


Crest

Saline Pod 20mls MRB1140 £0.11 25

Simple Adhesive Island Dressing Use as a protective primary dressing for surgical closed wounds or minor wounds


Richardson

Softpore 6cm x 7cm EIJ023 £0.04 60





Smith and Nephew

Opsite Post op 5cm x 6.5cm (wcp 2.5cm x 4cm)

ELW052 0.06 100

Opsite Post op 8.5cm x 9.5cm (wcp 3.5cm x 7.5cm)

ELW051 0.14 20

Opsite Post op 10cm x 25cm (wcp 5.5cm x 20cm)

ELW092 0.35 20

Opsite Post op 10cm x 30cm (wcp 5.5cm x 25cm)

ELW045 0.45 20

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Products for Securing Cannula/Lines


To secure subcutaneous lines for syringe drivers

Smith and Nephew

Opsite flexigrid 10cm x 12cm ELW325 £0.16 50

To secure central lines, PICC lines etc

Aquilant

IV3000 Central Line 10cm x 12cm ELW054 £1.24 50

To secure IV peripheral lines

3M

Tegaderm IV Peripheral Line

7cm x 8.5cm ELW056 £0.14 100

Wound Closure Strips


365 Healthcare

Wound Closure Strip 6 x 38mm x 6 strips EIR125 £0.09 50

Wound Closure strip 3 x 75mm x 5 strips EIR126 £0.08 50

Wound Contact Layers / Low-Adherence Indicated for use as a wound contact layer for low exuding and granulating wounds

Product Size NHS Code

Unit Cost

Pack Size

Hartmann

Atrauman 7.5cm x 10cm EKA032 £0.19 10 Basic first line low adherence Atrauman 10cm x 20cm EKA036 £0.38 30

Systagenix

N-A dressing 9.5cm x 9.5cm EKG011 £0.25 40 Suitable for wounds which should be kept

dry N-A dressing 19cm x 9.5cm EKG013 £0.60 25

Advanced Medical Solutions

Activheal silicone wound contact layer

5cm x 7cm ELA849 £0.84 10 For use under Topical Negative Pressure and

for a non adherent dressing in painful

wounds


10cm x 10cm ELA835 £1.50 10


10cm x 20cm ELA836 £3.94 10

Simple non-adhesive: Podiatry use H&R Healthcare

Melolite 5cm x 7.5cm EJE171 £0.06 100

Melolin 5cm x 5cm EJE011 £0.12 100

Melolin 10cm x 10cm EJE013 £0.29 100

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Absorbent Dressings / Superabsorbent Dressings For use on exuding wounds.

For highly exuding wounds where exudate is not contained with absorbent dressing Then step up to use super-absorbent. Step down as exudate reduces.


Unit Cost

Pack Size

1st line – use Xupad

Xupad 10cm x 12cm EJA092 £0.07 25 Low to moderate absorbency Xupad 10cm x 20cm EJA093 £0.09 25

Xupad 20cm x 20cm EJA094 £0.12 15

Xupad 20cm x 40cm EJA095 £0.24 8

If Xupad not suitable and regular absorbent pad required use Zetuvit E via FP10

Zetuvit E Sterile 10cm x 12cm

FP10 only

Low to Moderate

absorbency Zetuvit E Sterile 10cm x 20cm



If Xupad / Zetuvit E not absorbent enough then step up to Kliniderm Super Absorbent

Kliniderm Super Absorbent

7.5cm x 7.5cm EKH071 £0.28 50 For managing high to very highly

exuding wounds Kliniderm Super Absorbent

10cm x 10cm EKH072 £0.39 50

Kliniderm Super Absorbent

10cm x 20cm EKH073 £0.56 50

Use Zetuvit Plus (for larger wounds or where greater conformability is required)

Zetuvit Plus 10cm x 20cm EME047 £0.79 10 For very high exuding wounds –

step down as exudate reduces

Zetuvit Plus 15cm x 20cm EME048 £0.85 10



Films Films are non-absorbent wound contact layers which can also be used to retain some

dressings


Unit Cost

Pack Size

Smith and Nephew For use as a primary dressing on very low exudate wound or as a secondary dressing

to secure

Opsite Flexigrid 6cm x 7cm ELW322 £0.07 100



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Foams: Non-Adhesive


Unit Cost

Pack Size

Advanced Medical Solutions (1st line)

ActivHeal Foam Non-Adhesive

5cm x 5cm ELA214 £0.77 10 Foams are best suited to wounds with a medium

level of exudate. Use of shaped

foams is discouraged


10cm x 10cm ELA216 £1.41 10


10cm x 20cm ELA246 £2.06 10


20cm x 20cm ELA218 £3.62 10

ActivHeal Foam Heel

18cm x 12cm (Heel)

ELM160 £3.94 5

Foams: Adhesive


Unit Cost

Pack Size


ActivHeal Foam Adhesive 7.5cm x 7.5cm ELM161 £1.07 10 Foams are best suited to wounds

with a medium level of exudate.

Use of shaped foams is

discouraged.

ActivHeal Foam Adhesive 10cm x 10cm ELA210 £1.19 10

ActivHeal Foam Adhesive 12.5cm x 12.5cm ELA211 £1.52 10



Foams: Silicone Adhesive


Unit Cost

Pack Size

Aria

Kliniderm Silicone Foam Adhesive

7.5cm x 7.5cm ELA741 £1.30 5 Use of a silicone foam will reduce

absorbency. This should be reserved for those patients

with fragile skin and /or those who

experience pain from removal of adhesive foams.


10cm x 10cm ELA742 £1.79 5


15cm x 15cm ELA744 £3.61 5


10cm x 20cm ELA745 £3.37 5

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Hydrogels Note: Patients with wounds to the lower limb must have their vascular status assessed

by obtaining an ABPI/TBPI using a Doppler, prior to any dressing regime involving debridement.


Unit Cost

Pack Size Indications

Advanced Medical Solutions Use on dry and necrotic wounds to

rehydrate the necrosis and aid

autolysis if aim is to remove necrosis

ActivHeal Hydrogel 8g ELA639 £1.05 10

Crawford Health

Kerralite Cool 6cm x 6cm EME081 £1.91 5

Kerralite Cool 12cm x 8.5cm EME082 £2.80 5

Hydrocolloids

Note: Patients with wounds to the lower limb must have their vascular status assessed by obtaining an ABPI/TBPI using a Doppler, prior to any dressing regime involving

debridement.


Unit Cost


Convatec Wounds with low to medium exudate levels. They should NOT be used on diabetic foot ulcers without seeking specialist advice.

DuoDerm Extra Thin 7.5cm x 7.5cm ELM311 £0.74 5

DuoDerm Extra Thin 10cm x 10cm ELM050 £1.21 10

DuoDerm Extra Thin 15cm x 15cm ELM051 £2.64 10

3M Healthcare Ltd

Tegaderm Hydrocolloid 10cm x 10cm ELM087 £2.21 5

Tegaderm Hydrocolloid 10cm x 12cm – Oval

ELM084 £2.07 5

Tegaderm Hydrocolloid 13cm x 15cm – Oval

ELM373 £4.08 5

Alginates / Gelling Fibre


Unit Cost


Advanced Medical Solutions for review Use as a filler in medium to high

exuding wounds to absorb exudate.

Gelling fibre are more suitable for

high exudate wound

ActivHeal Alginate 5cm x 5cm ELS139 £0.57 10



ActivHeal Alginate 2cm x 30cm (rope)

ELS142 £1.75 5

Convatec

Aquacel Extra 5cm x 5cm ELY377 £0.92 10



Aquacel Ribbon 1cm x 45cm (rope)

ELY368 £1.82 5

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Antimicrobial Dressings Limit use to 2 weeks treatment and then review.


Unit Cost


Advancis (1st line)

Actilite 5cm x 5cm EJE079 £0.61 10 Mild antimicrobial –

low exudate Actilite 10cm x 10cm EJE042 £1.04 10

Actilite 10cm x 20cm EJE040 £2.03 10

Dermasciences

Medihoney apinate 5cm x 5cm EJE076 £1.80 5 Suitable for moderate to high

exudate Medihoney apinate 10cm x 10cm EJE000 £3.18 5

Advanced Medical Solutions Activon Tube 25g ELZ069 £1.85 12 Low exudate

(tube can be used for up to 28 days when open - for individual patient use) BSN Medical

Cutimed Sorbact Ribbon 2cm x 50cm ELY218 £4.20 20 Traps bacteria within dressing Cutimed Sorbact Swabs 4cm x 6cm ELY212 £1.93 5

Cutimed Sorbact Swabs 7cm x 9cm ELY213 £3.13 5

Aspen Medical

Kytocel 5cm x 5cm ELY712 £0.85 10 Mild antimicrobial Kytocel 10cm x 10cm ELY707 £2.06 10

Kytocel 15cm x 15cm ELY708 £3.80 10

Kytocel 4cm x 20cm ELY710 £1.45 10

Kytocel Ribbon 2.5cm x 45cm ELY774 £1.94 10

Inadine - First 48hrs post trauma or Podiatry recommendations only: Note: 1 – 3 days max wear time

Acelity

Inadine 5cm x 5cm EKB501 £0.41 25 1-3 days maximum wear time- short

acting Inadine 10cm x 10cm EKB095 £0.59 10

S & N Health

Iodosorb Ointment 10g EKB012 £5.38 4 Effective treatment of bacteria &

biofilms

Iodosorb Powder 3g Sachet EKB010 £2.49 7

Odour Absorbing

Product Size NHS Code Unit Cost

Pack Size

Indications

CliniMed For use as a deodoriser for a

variety of wounds Clinisorb 10cm x 10cm ELV051 £2.12 10

Clinisorb 10cm x 20cm ELV053 £2.72 10

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Section 3: Other Wound Care Products

Barrier Films and Creams Only for use on peri-wound skin and management of moisture lesions in community. Can be ordered for moisture associated skin damage in in-patients (Mental Health and Longridge Community) For ongoing prevention of Moisture Associated Skin Damage in patients in the community, use FP10 route for supply


Pack Size

Indications

Medicare Plus International

Mediderma S Barrier Cream 28g ELY563 £3.12 1 Cream for protection of intact

skin Mediderma S Barrier Cream

90g ELY538 £9.43 1

Mediderma S Barrier Film 1ml ELY532 £0.61 5 For management of superficial broken skin

Mediderma S Barrier Film 3ml ELY533 £0.92 5

Mediderma S Barrier Film Spray

30ml ELY562 £5.65 1

Tapes


Pack Size

Clinisupplies

Clinipore 1.25cm x 9.14m EHU019 £0.14 24 Paper tape Clinipore 2.5cm x 9.14m EHU020 £0.28 12

Clinipore 5cm x 9.14m EHU021 £0.44 6

3M Healthcare Ltd

Transpore 1.25cm x 5m EHA051 £0.30 24 Plastic perforated Transpore 2.5cm x 5m EHA053 £0.54 12

Transpore 5cm x 5m EHA055 £1.20 6

Transpore 7.5cm x 10m EHA057 £1.80 4

BSN Medical

Hypafix 5cm x 10m EHR111 £1.61 1 Fabric – caution with fragile skin Hypafix 10cm x 10m EHR113 £2.45 1

Hypafix 15cm x 10m EHR031 £4.48 1

Hypafix 20cm x 10m EHR117 £4.74 1

Medicated Bandages-Available on a named patient basis only


Pack Size

S & N Health

Ichthopaste 6m x 7.5cm EFA051 £5.78 1

Viscopaste 6m x 7.5cm EFA011 £5.22 1

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Simple Bandages for Securing and Retaining dressings

Tubular Bandage To be used for the retention of dressings under bandaging and to prevent wool bandage

from causing skin irritation


Pack Size

Indications

Synergy Healthcare

Comfitube Size 1 (20m roll) EGJ055 £0.98 1 toes

Comfitube Size 12 (20m roll) EGJ056 £1.60 1 hands

Comfitube Size 56 (20m roll) EGJ058 £4.51 1 arms

Comfitube Size 78 (20m roll) EGJ039 £4.17 1 legs

Simple Bandages

Suitable for use in mental health (following risk assessment) and other settings

Product Size NHS Code Unit Cost Pack Size Indications

Urgo

K-Band 5cm x 4m

EDB034 £0.12 20 Simple retention bandage

K-Soft #1 10cm x 3.5m

EPA028 £0.56 24 Soft wool bandage for absorbency and

protection

K-Lite #2 5cm x 4.5m

ECA100 £0.76 16 Light conformable bandage for leg

wounds (used as part of compression) or

where compression is not suitable

Stockinettes

To be used for the retention of dressings/ bandages where appropriate – care should be taken to use the appropriate size for the limb


Unit Cost Pack Size Indications

Synergy Healthcare

Comfifast Green 5cm x 10m EGP006 £2.20 1 digits

Comfifast Blue 7.5cm x 10m EGP007 £2.35 1 Small limbs

Comfifast Yellow 10.75cm x 10m EGP008 £3.45 1 Larger limbs

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Compression Systems Ensure that holistic leg ulcer assessment has been performed and ABPI/TBPI within

normal range prior to implementing compression therapy


1st line for small / low exudate venous leg ulcers

Urgo

For patients without Oedema Altipress Hosiery Kit - Beige Small Size Short Length FP10 Only

Altipress Hosiery Kit - Beige Small Regular FP10 Only

Altipress Hosiery Kit - Beige Medium Short FP10 Only

Altipress Hosiery Kit - Beige Medium Regular FP10 Only

Altipress Hosiery Kit - Beige Large Short FP10 Only

Altipress Hosiery Kit - Beige Large Regular FP10 Only

BSN Medical

For patients with Oedema

Jobst Hosiery Kit Small FP10 Only

Jobst Hosiery Kit Medium FP10 Only

Jobst Hosiery Kit Large FP10 Only

Product

Size NHS Code

Unit Cost Pack Size

Activa Healthcare (Short Stretch for ankle circumference 18cm – 25cm)

Short stretch compression. Use wool bandage as Layer #1

Actico Cohesive (short stretch) toe to knee

6m EBA016 £4.25 1

For ankle circumference > 25cm use a second Actico from ankle to below knee in reverse direction

Urgo (Traditional Four Layer Compression for ankle circumference 18 – 25cm)

K-Soft #1 10cm x 3.5m EPA028 £0.56 24 Layer #1

K-Soft Long 10cm x 4.5m ECA174 £0.71 24

K-Lite #2 5cm x 4.5m ECA100 £0.76 16 Layer #2

K-Lite Long 10cm x 5.25m

ECA173 £1.30 16

K-Plus #3 10cm x 8.7m ECA162 £2.03 24 Layer #3

K-Plus Long 10cm x 10.25m

ECA172 £3.07 24

Ko-Flex #4 10cm x 6m ECD018 £3.48 18 Layer #4

Ko-Flex Long 10cm x 7m ECD028 £3.98 18

K-Three C 10cm x 3m EBA060 £3.12 24 Use K-Three C in place of layers #2

& #3 for ankle circumference >

25cm

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URGO Two Layer Compression Systems

Also on FP10

Urgo K Two Kit 18-25cm ankle ECA152 £9.36 1

Urgo K Two Latex Free Kit 18-25cm ankle ECA236 £9.36 1

Urgo K Two Reduced Kit 18-25cm ankle ECA205 £9.14 1

Urgo K Two Reduced Latex Free 18-25cm ECA234 £9.36 1

3M Healthcare Ltd Coban 2 Comfort foam layer 10cm x 3.5m roll ECA210 £8.32 18

Coban 2 Comfort foam layer 15cm x 3.5m roll ECA211 £12.65 10

Coban 2 Compression layer 10cm x 4.5m roll ECA214 £5.36 32

Coban 2 Compression layer 15cm x 4.5m roll ECA215 £7.98 15

Coban 2 Lite Comfort foam layer 10cm x 2.7m roll ECA218 £6.49 18

Coban 2 Lite Comfort foam layer 15cm x 2.7m roll ECA219 £9.80 10

Coban 2 Lite Compression layer 10cm x 3.5m roll ECA222 £5.13 32

Coban 2 Lite Compression layer 15cm x 3.5m roll ECA223 £6.95 15

ONLY FOR USE FOLLOWING SPECIALIST ADVICE FROM LYMPHOEDEMA

Product

Sigvaris Advance – Arm sleeve FP10 Only

Haddenham Heathcare

Haddenham Microfine Toe Caps FP10 Only

Haddenham Microfibre Gloves FP10 Only

Ready Made: Sigvaris

Sigvaris Comfort Range FP10 Only

BSN Medical

Jobst Farrow Wrap FP10 Only

Made to Measure: BSN Medical Jobst Elvarex Custom Fit Range FP10 Only

Juzo Juzo ACS wrap FP10 Only

Juzo Expert MTM

Section 4: Hosiery & Applicators

Maintenance Hosiery for patients who have healed to prevent re-ulceration

Product

Ready Made: Activa hosiery – Ready made FP10 Only

Actilymph hosiery Ready made FP10 Only

Made to Measure: Actilymph hosiery– Made to measure lower limb hosiery when standard not appropriate

FP10 Only

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Applicators


Activa Health Care

Acti-Glide Stocking Applicator One size EUE049 £16.28 1

Moore UK Ltd

Ezy-As Stocking Applicator Various FP10 Only

Section 5: Specialist Products

ONLY FOR USE FOLLOWING SPECIALIST ADVICE FROM:

Tissue Viability, Lymphoedema, Diabetic Foot MDT & “HOT FOOT” TEAM Lymphoedema/Vascular Services Only


Unit Cost

Pack Size

Indications

Ark Therapeutics

Flaminal Forte Gel 15g FP10 Only Sinus management

Various Suppliers

Topical Negative Pressure

Order through Tissue Viability Service/Vascular Team/Hot Foot Team only:

Eg. Renasys / Pico etc

LarvE (Zoobiotic): Order through Tissue Viability Service/Vascular Team/Hot Foot Team only

For rapid debridement

Braun

Prontosan 40ml ELY424 £0.76 4 Soak for 20 minutes

Prontosan 350ml ELY248 £4.66 10

Activa Healthcare

Debrisoft-debridement pad (not for descaling)

10cm x 10cm ELZ354 £7.11 5 Only for debridement of

wounds

For Severe Incontinence Associated Dermatitis only:

Medihoney Barrier Cream FP10 Only Where there is infection present

H & R Healthcare

Medi Derma-Pro Plus Skin Protectant

115g FP10 Only Step down to Medi Derma S when skin

recovers Medi Derma-Pro Foam & Spray Cleanser

250ml FP10 Only

For Appropriately Trained Staff in BwD Treatment Rooms & Mental Health Units Only


Liquiband optima tissue adhesive

0.5g FVF009 £6.06 10

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INDEX

Product Page Product Page Actico Cohesive 13 Kliniderm Silicone Foam Adhesive 8

Acti-Glide Stocking Applicator 15 Kliniderm Super Absorbent 7

ActivHeal Alginate 9 Kytocel 10

ActivHeal Foam products 8 LarvE (Zoobiotic) 15

ActivHeal Hydrogel Gel 9 Liquiband 15

Activheal Silicone Wound Contact Layer 6 Medi Derma-S Barrier products 11

Actilite 10 Medi Derma-Pro products 15

Actilymph hosiery 14 Medihoney apinate 10

Activa Hosiery – Ready made 14 Medihoney barrier cream 15

Activon Tube 10 Melolin 6

Altipress Hosiery Kit 13 Melolite 6

Aquacel Extra 9 NA dressing 6

Atrauman 6 Opsite Flexigrid 6,7

Clinipore 11 Opsite Post op 5

Clinisorb 10 Prontosan 15

Coban 2 Products 14 ProDerma products 15

Comfifast 12 Sigvaris Advance – Arm Sleeve 14

Comfitube 12 Sigvaris Comfort Range 14

Cutimed Sorbact 10 Softpore 5

Debrisoft 15 Tegaderm Hydrocolloid 9

Dressing packs 5 Tegaderm IV Peripheral Line 6

DuoDerm Extra Thin 9 Transpore 11

Ezy-as stocking applicator 15 Urgo K Two 14

Flaminal Forte Gel 15 Viscopaste 11

Haddenham Microfibre/Mircrofine 14 Wound Closure Strips -365 6

Hypafix 11 Xupad 7

Ichthopaste 11 Zetuvit Plus/E 7

Idosorb Ointment & Powder 10

Irrigation 5

Inadine 10

IV3000 6

Jobst Hosiery Kit 13

Jobst Elvarex Custom Fit Range 14

Jobst Farrow Wrap 14 K-Bandages (all) 12, 13

Juzo products 14

Kerralite Cool 9

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Wound Care Formulary Exception Reporting Form

Name of formulary product not suitable

Reason

Non formulary item prescribed

Rationale for selection

Was this an acute trust request? YES NO Name of prescriber Date

Contact number

PLEASE NOTE: All Exception forms to be completed electronically and returned

to

[email protected]

Lancashire Care NHS Foundation Trust Wound Care Formulary ... · Wound contact Hydrocolloid or...

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Transcript of Lancashire Care NHS Foundation Trust Wound Care Formulary ... · Wound contact Hydrocolloid or...