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 Formulary Chapter 19: Wound Care Formulary - Full Chapter
Notes:
Secondary Care Staff: Dressings are expensive and have specific uses. See dressings information sheet on ward for choice and use of dressings or discuss with a Trust Tissue Viability representative. Also, see the Countywide Wound Care Formulary for more information.
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19  Wound care products
Foam dressing with silicone (Allevyn® Gentle Border Lite)
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Formulary
Green

Sizes



  • 7.5cm x 7.5cm

  • 10cm x 10cm


Use



  • For use on low exuding wounds such as skin tears, chronic and acute wounds and burns.

  • Suitable for fragile and sensitive skin.


Application



  • Can be left in place for up to 7 days.


Caution



  • Not not use with oxidising agents such as hypochlorite solutions or hydrogen peroxide.


Tips



  • 2mm foam core allows excellent flexibility.

  • Showerproof.

  • Can be repositioned without losing adhesion.

  • Can be cut to help dress awkward areas.

  • Change when the exudate is within 0.5cm of the edge of the dressing pad.

 
 
19.01  Low adherence dressing
Low adherent dressings – knitted polyester primary dressing (Atrauman® dressing)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 7.5cm x 10cm

  • 10cm x 20cm

  • 20cm x 30cm


Use



  • Granulating and epithelializing wounds

  • Non to heavy exudate where adherence may occur

  • A primary dressing with a secondary for absorption


Application



  • Up to 7 days depending on levels of exudate


Cautions



  • Known product or component sensitivity


 

 
 
19.02  Absorbent dressing
Wound contact - Super absorbent cellulose and polymer primary dressing (Zetuvit Plus ®)
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Formulary
Green

Sizes



  • 10cm x 10cm

  • 10cm x 20cm

  • 15cm x 20cm

  • 20cm x 25cm

  • 20cm x 40cm


Use



  • Moderate to heavily exuding acute and chronic wounds

  • Secondary dressing only.


Application



  • 1-7 days.

  • If changing daily review if needs more highly absorbent dressing.

  • If lasting 7 days step down to Zetuvit E


Cautions



  • Known product or component sensitivity.


Tips



  • Do not cut or tear


 

 
 
Wound contact layer - absorbent perforated (Softpore ®)
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Formulary
Green

Sizes



  • 6cm x 7cm

  • 10cm x 10cm

  • 10cm x 15cm

  • 10cm x 20cm

  • 10cm x 25cm

  • 10cm x 30cm

  • 10cm x 35cm


Use



  • Low to moderately exuding wounds

  • Superficial wounds (closed)

  • Light amounts of exudate

  • As a protective dressing for sutured post-operative wounds or for newly epithelialized wounds and minor traumatic wounds.


Application



  • Apply directly to the wound.

  • Leave for maximum 7 days.

  • Review dressing type if changing daily.


Cautions



  • Known product or component sensitivity.

  • Avoid exuding or cavity wounds.


Tips



  • Use alone without other products

  • Showerproof.


 

 
 
Wound contact layer absorbent cellulose (Zetuvit E® sterile & non-sterile dressing)
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Formulary
Green

Sizes for non sterile & sterile



  • 10cm x 10cm

  • 10cm x 20cm

  • 20cm x 20cm

  • 20cm x 40cm


Use



  • Moderate exudating wounds as a secondary dressing.

  • Only sterile to be used in wound care.  

  • Non-sterile can be used in wet leaky legs where no leg ulcer is present

  • Can be used under compression.


Application



  • 1-7 days

  • Usually 1-2 days or when wet

  • If using daily, consider Zetuvit Plus®


Caution



  • Known product or component sensitivity.


Tips



  • Do not cut or tear.





 

 
 
19.03  Hydrogel dressings
Hydrogel dressing (IntraSite® Conformable dressing)
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Formulary
Green

Size



  • 10cm x 10cm

  • 10cm x 20cm


Use



  • Management of shallow and deep wounds healing by secondary intent, debridement and removal of devitalised tissue. 

  • Suitable for necrotic, sloughy and granulating wounds.

  • For debriding and deslouphing wounds.

  • Can be used next to bone.


Application



  • 1 to 3 days

  • Cover with secondary dressing.


Cautions



  • Known product or component sensitivity

  • Not suitable for heavily exuding wounds

  • Not suitable for full-thickness burns or infected wounds.

  • Do not apply to ischaemic wounds.


Tips 



  • Do not allow to dry out

  • To remove use forceps and irrigate with sterile saline.

  • Safe to use throughout the wound healing process.


 

 
 
Hydrogel dressing (Intrasite® Gel 8g)
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Formulary
Amber

ONLY UNLESS DIRECTED BY SPECIALIST


Size - 8g


Use



  • Aids auto debridement and removal of devitalised tissue.

  • Use in low exuding, necrotic or sloughy wounds.


Application  - 1 to 3 days


Cautions.



  • Known product or component sensitivity

  • Not suitable for heavily exuding wounds

  • Not suitable for full-thickness burns or infected wounds.

  • Do not apply to ischaemic wounds.


 

 
 
Hydrogel dressings (ActiFormCool® sheet)
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Formulary
Green

Sizes



  • 5cm x 5.6cm

  • 10cm x 10cm


Use



  • Will donate or absorb fluid, depending on the moisture level of the wound.

  • Necrotic or sloughy wounds that require debridement and can aid pain relief to wounds such as leg ulcers, burns, scalds and radiation damage.

  • Can be layered.

  • Ensure blue dotted side is upper most.

  • Requires a secondary dressing.


Application



  • 1-3 days or if dressing becomes discoloured or opaque or at first signs of exudate strikethrough.


Cautions



  • Known product or component sensitivity.

  • Should not be used as a covering for deep narrow cavities or sinuses.

  • Do not use on infected wounds.

  • Not suitable for heavily exuding wounds

  • Do not apply to ischaemic wounds.

  • Do not use as a covering for deep, narrow cavities or sinuses.

  • Dressings shoudl be changed if it becomes discoloured or opaque.


Tips



  • Can aid pain relief.





 

 
 
19.04  Vapour Permeable Films and membranes to top
Film dressing (Opsite® Flexigrid)
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Formulary
Green

Sizes



  • 6cm x 7cm

  • 12cm x 12cm

  • 15cm x 20cm


Use



  • Vapour permeable film dressing with a superior acrylic adhesive.

  • Used for superficial wounds such as shallow pressire sores, minor burns, cuts and abrasions.

  • Use as a secondary dressing

  • Used as a catheter fixation


Application



  • Can be left in place for up to 7 days.

  • Enables single handed application allowing the dressing to conform to the contours of the body.

  • Transparency enables accurate positioning over the wound site.


Caution



  • Can be used on clinically infected wounds but only if the patient is under medical supervision, the dressing is changed daily and the patient is receiving suitable systemic treatment.

  • Immuno-compromised patients and diabetic patients may require nextra supervision.

  • Care should be taken with fragile skin.


Tips



  • Showerproof

  • Good for awkward areas can can cut into strips or shapes for heels, elbows and knees.

 
 
Film dressing (Opsite® Post Op)
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Formulary
Green

Sizes



  • 8.5cm x 9.5cm

  • 12cm x 10cm

  • 15.5cm x 8.5cm

  • 10cm x 20cm

  • 10cm x 25cm

  • 10cm x 35cm


Use



  • Used for post op and surgical wounds or lightly exuding wounds.


Application



  • Apply directly to the wound.

  • Do not stretch when applying.


Cautions



  • Heavily exuding wounds and beneath compression.


Tips



  • Showerproof.

  • May be left in place for up to one week.

  • Allows constant monitoring on the wound and peri-wound area.

 
 
Intravenous line film dressing (IV3000®)
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Formulary
Green

Sizes



  • 5cm x 6cm (ported)

  • 6cm x 7cm

  • 7cm x 9cm (ported)

  • 9cm x 12cm (ported)

  • 10cm x 12cm

  • 11cm x 14cm (ported)


Use



  • A sterile film for fixation over intravenous catheter sites


Application



  • Do not apply under tension


Cautions



  • Not for use on deep cavity wounds

 
 
Intravenous line film dressing (Tegaderm® Paediatric IV610 )
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Formulary
Green

Size - 5cm x 5.7cm


Use



  • Secure and protect intravenous cannula and catheters including PIVs, CVCs (subclavian, femoral, jugular, tunnelled and implanted) PICCs, midlines and paediatric/neonatal catheters.


Application



  • Picture-frame delivery makes placement accurate and easy.

  • Additional securement strips and date strip included.

  • ANTT non-touch technique enabled by use of application "handles"(Advanced only)

  • Use application guides or book training with local representative.


Caution



  • Infected sites.

  • Sites which are bleeding.

  • Do not stretch the dressing during application.


Tips



  • Recommend use of waterproof cover over dressing and IV site when showering.

 
 
Intravenous line film dressing (Tegaderm® Central IV1635)
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Formulary
Green

Size - 8.5cm x 10.5cm


Use



  • Secure and protect intravenous cannula and catheters including PIVs, CVCs (subclavian, femoral, jugular, tunnelled and implanted) PICCs, midlines and paediatric/neonatal catheters.


Application



  • Picture-frame delivery makes placement accurate and easy.

  • Additional securement strips and date strip included.

  • ANTT non-touch technique enabled by use of application "handles"(Advanced only)

  • Use application guides or book training with local representative.


Caution



  • Infected sites.

  • Sites which are bleeding.

  • Do not stretch the dressing during application.


Tips



  • Recommend use of waterproof cover over dressing and IV site when showering.

 
 
Intravenous line film dressing (Tegaderm® IV Advanced PICC 1689)
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Formulary
Green

Size - 10cm x 15.5cm


Use



  • Secure and protect intravenous cannula and catheters including PIVs, CVCs (subclavian, femoral, jugular, tunnelled and implanted) PICCs, midlines and paediatric/neonatal catheters.


Application



  • Picture-frame delivery makes placement accurate and easy.

  • Additional securement strips and date strip included.

  • ANTT non-touch technique enabled by use of application "handles"(Advanced only)

  • Use application guides or book training with local representative.


Caution



  • Infected sites.

  • Sites which are bleeding.

  • Do not stretch the dressing during application.


Tips



  • Recommend use of waterproof cover over dressing and IV site when showering.

 
 
Intravenous line film dressing (Tegaderm® Peripheral IV1633)
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Formulary
Green

Size - 7cm x 8.5cm


Use



  • Secure and protect intravenous cannula and catheters including PIVs, CVCs (subclavian, femoral, jugular, tunnelled and implanted) PICCs, midlines and paediatric/neonatal catheters.


Application



  • Picture-frame delivery makes placement accurate and easy.

  • Additional securement strips and date strip included.

  • ANTT non-touch technique enabled by use of application "handles"(Advanced only)

  • Use application guides or book training with local representative.


Caution



  • Infected sites.

  • Sites which are bleeding.

  • Do not stretch the dressing during application.


Tips



  • Recommend use of waterproof cover over dressing and IV site when showering.

 
 
Vapour permeable dressing (Tegaderm® + pad dressing)
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Formulary
Green

Sizes



  • 5cm x 7cm

  • 9cm x 10cm

  • 9cm x 15cm

  • 9cm x 20cm

  • 9cm x 25cm

  • 9cm x 35cm


Use



  • Post- operative closed surgical wounds.


Application



  • Up to 7 days


Cautions



  • Clinically infected wounds bleeding or exiting exuding wounds 

 
 
Vapour permeable film (Hydrofilm® dressing)
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Formulary
Green

Sizes



  • 6cm x 7cm

  • 10cm x 12.5cm

  • 10cm x 15cm

  • 10cm x 25cm

  • 12cm x 25cm

  • 15cm x 20cm

  • 20cm x 30cm


Use



  • Dry non-infected wounds,

  • Retention of lines fixation

  • As secondary dressings protection of intact skin, 

  • Post-operative wounds,

  • Protection of skin against friction,

  • Protection of newly epithelialized wounds.


Application



  • Up to 7 days


Cautions



  • Clinically infected wounds, bleeding or exuding wounds


 

 
 
19.05  Soft polymer dressings
Soft polymer dressing with absorbent pad (Allevyn Life® dressing)
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Formulary
Green

Sizes



  • 10.3cm x 10.3cm

  • 12.9cm x 12.9cm

  • 15.4cm x 15.4cm

  • 21cm x 21cm


Uses



  • Wound management by secondary intention on acute, chronic, full-thickness or partial-thickness or shallow granulating wounds. 

  • Including pressure ulcers, leg ulcers, diabetic foot ulcers, surgical wounds, malignant wounds, donor sites and fungating ulcers

  • Can be used as a primary or secondary dressing


Application



  • 3-7 days depending on exudate level.

  • Too frequent dressing changes particularly in patients of fragile skin can result in skin stripping.

  • If redness or sensation occurs discontinue use


Cautions



  • Caution under compression when exudate levels are moderate to high.

  • Do not use with oxidising agents such as hypochlorite solutions or hydrogen peroxide.


Tips



  • In common with all adhesive products, some cases of irritation and maceration of the skin may occur.  

  • Change when exudate covers more than 50% of the absorbent pad.

  • Do not cut dressing.

 
 
Soft polymer dressing with absorbent pad (Biatain Silicone Lite ® dressing)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 5cm x 12.5cm

  • 7.5cm x 7.5cm

  • 10cm x 10cm

  • 12.5cm x 12.5cm


Uses



  • Wound management by secondary intention on acute, chronic, full-thickness or partial-thickness or shallow granulating wounds.

  • Including pressure ulcers, leg ulcers, diabetic foot ulcers, surgical wounds, malignant wounds, donor sites and fungating ulcers.

  • Can be used as a primary or secondary dressing.


Application



  • 3-7 days depending on exudate level.

  • Too frequent dressing changes particularly in patients of fragile skin can result in skin stripping.

  • If redness or sensation occurs discontinue use.


Cautions



  • Caution under compression when exudate levels are moderate to high.


Tips



  • In common with all adhesive products, some cases of irritation and maceration of the skin may occur.  

 
 
Soft polymer dressing with absorbent pad (Biatain® Silicone dressing)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Sizes



  • 7.5cm x 7.5cm

  • 10cm x 10cm

  • 10cm x 20cm

  • 12.5cm x 12.5cm

  • 15cm x 15cm

  • 17.5cm x 17.5cm

  • 18cm x 18cm (heel)

  • 14cm x 19.5cm

  • 15cm x 19cm

  • 25cm x 25cm (sacral)


Uses



  • Wound management by secondary intention on acute, chronic, full-thickness or partial-thickness or shallow granulating wounds. 

  • Including pressure ulcers, leg ulcers, diabetic foot ulcers, surgical wounds, malignant wounds, donor sites and fungating ulcers.

  • Can be used as a primary or secondary dressing.


Applications



  • 3-7 days depending on exudate level.

  • Too frequent dressing changes particularly in patients of fragile skin can result in skin stripping.

  • If redness or sensation occurs discontinue use.


Cautions



  • Caution under compression when exudate levels are moderate to high.


Tips



  • In common with all adhesive products, some cases of irritation and maceration of the skin may occur.  

 
 
Soft polymer dressing without absorbent pad (Adaptic Touch® dressing)
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Formulary
Green

Sizes



  • 5cm x 7.6cm

  • 7.6cm x 11cm

  • 12.7cm x 15cm

  • 20 x 32cm


Uses



  • Primary wound contact layer. 

  • Can be used in dry to heavily exuding wounds, to protect the fragile wound bed.

  • Partial and full thickness chronic wounds including venous ulcers, pressure ulcers.


Application



  • Up to 7 days depending on clinical need 

  • Select a size larger than the wound to ensure dressing can be applied to intact skin surrounding the wound margins.

  • Cut to size if necessary.

  • dressing will not unravel.


Cautions



  • Known  product or component sensitivity to silicone or cellulose acetate fabric.

 
 
Soft polymer dressing without absorbent pad (Mepitel One® dressing)
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Formulary
Amber

TVN ADVICE ONLY


Sizes



  • 6cm x 7cm

  • 9cm x 10cm

  • 13cm x 15cm

  • 24cm x 27.5cm

  • 27.5cm x 50cm


Uses



  • Soft polymer non adherent dressing. 

  • A primary wound contact layer, non-adherent, traumatic and chronic wounds.

  • Requires a secondary dressing  


Applications



  • 1-7 days


Cautions



  • Heavily bleeding wounds. 

  • Known product or component sensitivity to silicone.

 
 
Soft polymer dressing without absorbent pad (Urgotul® dressing)
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Formulary
Red

SECONDARY CARE ONLY


Sizes



  • 5cm x 5cm

  • 10cm x 10cm


Uses



  • A non-adherent flexible soft silicone wound contact layer. 

  • Non to low exuding wounds, traumatic, superficial blistering.

  • Can be used as a contact layer in cavity wounds with secondary absorbent dressing.


Applications



  • Up to 7 days


Cautions



  • Known product or component sensitivity


 

 
 
19.06  Hydrocolloid Dressings
Hydrocolloid dressing (Comfeel Plus Contour® dressing)
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Formulary
Green

Sizes



  • 6cm x 8cm

  • 9cm x 11cm


Uses



  • An absorbent hydrocolloid with waterproof top film. 

  • For moderately exuding wounds.

  • For the removal of superficial slough.


Applications



  • 1-7 days


Cautions



  • Not suitable for infected wounds, diabetic foot ulcers or ischaemic wounds. 

  • Known product or component sensitivity.


 

 
 
Hydrocolloid dressing (Comfeel Plus® dressing)
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Formulary
Green

Sizes



  • 4 x 6cm

  • 10cm x 10cm

  • 15cm x 15cm

  • 20cm x 20cm

  • 17cm x 17cm


Uses



  • An absorbent hydrocolloid with waterproof top film. 

  • For moderately exuding wounds.

  • For the removal of superficial slough.


Applications



  • 1-7 days


Cautions



  • Not suitable for infected wounds, diabetic foot ulcers or ischaemic wounds.

  • Known product or component sensitivity.

 
 
Hydrocolloid dressing (Comfeel® Plus Transparent)
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Formulary
Green

Sizes



  • 5cm x 7cm

  • 10cm x 10cm


Use



  • Suitable for low to non-exuding chronic and superficial acute wounds in the final stages of wound healing.

  • Used for superficial burns, superficial partial thickness burns, donor sites, post operative wounds and skin abrasions.

  • Faster wound healing by sealing and protection of the wound.


Caution



  • Patietns with known sensitivity to one of the ingredients.


Tips



  • Transparency for wound inspection.

  • Ultra thin dressing that makes it very flexible

  • Offers excellent support for closure of wounds.

  • Bacteria and waterproof top film.

 
 
Hydrocolloid fibrous dressing (Durafiber® dressing)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 10cm x 10cm

  • 15cm x 15cm

  • 4cm x 10cm

  • 4cm x 20cm

  • 4cm x 30cm


Uses



  • Moderate to heavy exudate, sloughy, necrotic or granulating wounds.

  • Available as rope for cavities.


Applications



  • 1-7 days depending on clinical need


Cautions



  • Not suitable for dry wounds. 

  • Non-dissolvable.

  • Do not use in blind cavities.

  • Known product or component sensitivity


Tips



  • Do not cut


 

 
 
Hydrocolloid dressing (DuoDERM Extra Thin® dressing)
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Restricted Drug Restricted
Red

Specialist use only - for making fixation tapes for paediatric use only


Sizes



  • 5cm x 10cm

  • 7.5cm x 7.5cm

  • 10cm x 10cm

  • 9cm x 15cm

  • 9cm x 25cm

  • 9cm x 35cm

  • 15cm x 15cm


Uses



  • In paediatrics to make fixation tapes for tubing. 


Applications



  • 3-7 days


Cautions



  • Not suitable for infected wounds, full thickness burns, all wounds with exposed bone, muscle or tendon or wounds that are likely to macerate. 

  • Known product or component sensitivity


 

 
 
19.07  Foam Dressings
Foam adhesive dressing (Allevyn® Adhesive dressing)
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Formulary
Green

Sizes



  • 7.5cm x 7.5cm

  • 10cm x 10cm

  • 12.5cm x 12.5cm

  • Other sizes are available where needed but not routinely used.


Uses




  • Used on low to moderate exuding wounds.

  • Acute chronic full thickness or partial thickness or shallow granulating wounds 

  • Including pressure ulcers, leg ulcers, diabetic foot ulcers, malignant wounds, surgical wounds, donor sites and fungating ulcers

  • Can be used as primary or secondary dressing.


Applications



  • 3-7 days depending on exudate level


Cautions



  • Care with fragile skin.

  • Not to be used under compression


Tips



  • Can be used in conjunction with gels for necrotic/sloughy wounds.

  • A 2cm overlap around the would be advisable.

  • Showerproof


 

 
 
Foam adhesive dressing (Biatain® Adhesive dressing)
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Formulary
Green

Sizes



  • 7.5cm x 7.5cm

  • 10cm x 10cm

  • 12.5cm x 12.5cm

  • Other sizes are available where needed but are not routinely used.


Uses



  • Acute chronic full thickness or partial thickness or shallow granulating wounds

  • Including pressure ulcers, leg ulcers, diabetic foot ulcers, malignant wounds, surgical wounds, donor sites and fungating ulcers 

  • Can be used as primary or secondary dressing.


Applications



  • 3-7 days depending on exudate level


Cautions



  • Care with fragile skin

 
 
Foam adhesive dressing (Tegaderm® Foam adhesive dressing)
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Formulary
Green

ONLY WHERE SHAPE IS CLINICALLY NECESSARY


Sizes



  • Oval - 6.9cm x 7.6cm

  • Oval - 10cm x 11cm

  • Oval - 14.3cm x 15.6cm

  • Oval - 19cm x 22.2cm

  • Circular - 13.9cm x 13.9cm


Uses



  • Acute chronic full thickness or partial thickness or shallow granulating wounds

  • Including pressure ulcers, leg ulcers, diabetic foot ulcers, malignant wounds, surgical wounds, donor sites and fungating ulcers 

  • Can be used as primary or secondary dressing.

  • Comproses of four layers for high fluid absorption.

  • Film border increases adherence

  • Adapts to changing fluid levels in the wound to create a moist environment that promotes healing.

  • More expensive than square or rectangular foam dressings and should only be used where oval size is necessary for example heels and elbows


Applications



  • 3-7 days depending on exudate level


Cautions



  • Care with fragile skin


Tips



  • Their shape is also useful where patients pull at their dressings because the clear border is harder to see and pull

 
 
Foam dressing with silicone (Allevyn® Gentle Border)
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Formulary
Green

Sizes



  • 7.5cm x 7.5cm

  • 10cm x 10cm

  • 12.5cm x 12.5cm

  • 15cm x 15cm


Use



  • Suits variety of wounds to inlude

  • Pressure ulcers, leg ulcers, diabetic foot ulcers, surgical wounds, first and second degree burns, skin tears, donor sites.

  • Suitable for sensitive, fragile skin.

  • For low to moderate exuding wounds.


Application



  • Can be left in place for up to 7 days.


Caution



  • Do not use with oxidising agents such as hypchlorite solutions or hydrogen peroxide.


Tips



  • Change when exudate is within 1.5cm of the edge of the dressing pad.

  • Showerproof

  • Can be cut to help dress awkward areas.

  • Can be repositioned easily without its adherent properties.

 
 
Foam dressing with silicone (Allevyn® Gentle Border Multisite)
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Formulary
Green

Size



  • 17.1cm x 17.9cm


Use



  • Ideal for awkward areas such as knee, axilla, breast, elbow, head and heels.


Application



  • Can be left in place for up to 7 days


Tips



  • Can be cut

  • Showerproof

  • Easily repositioned


 

 
 
Foam dressing with silicone (Allevyn® Life Non-Bordered)
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Formulary
Green

Sizes



  • 10.5cm x 10.5cm

  • 10cm x 20cm

  • 16cm x 16cm


Use



  • Use on moderate to heavily exuding wounds.

  • For fragile sensitive skin

  • Suitable for use under compression therapy.

  • Suitable for use on variety of wounds such as pressure ulcers, diabetic foot ulcers. skin tears, fungating wounds, first degree and decond degree burns

  • Can handle range of viscosities


Application



  • Needs a secondary dressing to secure.

  • Can be left in place for up to 7 days depending on level of exudate.

  • Recommended for use on patients requiring 3 or more dressing changes per week to reduce amount of changes


Caution



  • Do not use with oxidising agents such as hypochlorite solutions or hydrogen peroxide.


Tips



  • Can be cut to fit more awkward areas.

  • Opaque pink film helps prevent bacterial strikethorugh and aids in dressing being waterproof.

  • Dressing to be changed when exudate is within 0.5cm of dressing edge.

 
 
Foam dressings (Biatain® Soft Hold)
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Formulary
Green

Sizes



  • 10cm x 10cm

  • 10cm x 20cm

  • 15cm x 15cm


Use



  • Non-adhesive with added gentle tack across 50% of the foam to help provide that 3rd hand when dressing difficult areas.

  • Will conform to the wound bed to fill the gap and reduce pooling of exudate.


Application



  • Needs secondary dressing eg retnetion bandage or tape.

  • May be left in place for up to 7 days depending on exudate levels.


Tips



  • A 1cm overlap around the wound is advisable.

 
 
Foam non-adhesive dressing (Allevyn® non-adhesive dressing)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 10cm x 10cm

  • 10.5cm x 13.5cm (heel)

  • Other sizes are available where needed but are not routinely used.


Uses



  • Wound management by secondary intention on acute, chronic, full thickness or partial thickness or shallow granulating wounds 

  • Including pressure ulcers, leg ulcers, diabetic foot ulcers, malignant wounds, surgical wounds, donor sites and fungating ulcers.

  • Can be used as a primary or secondary dressing


Applications



  • 3-7 days depending on exudate level


Cautions



  • If redness or sensitisation occur, discontinue use.

  • Caution under compression when exudate levels are moderate to high

 
 
Foam non-adhesive dressing (Biatain® Non-Adhesive dressing)
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Restricted Drug Restricted
Amber

PODIATRY USE ONLY


Sizes



  • 10cm x 10cm

  • 15cm x 15cm

  • 5cm x 7cm

  • 10cm x 20cm


Uses



  • Affectively absorbs and retains wound exudates with a semi-permeable splash proof backing.

  • Suitable for high exuding wounds including leg ulcers, pressure ulcers, second degree burns, donor sites, postoperative wounds, skin abrasions and skin tears.

  • Wound management by secondary intention on acute, chronic, full thickness or partial thickness or shallow granulating wounds

  • Suitable under compression


Applications



  • 3-7 days depending on exudate level

  • Needs secondary dressing ie retention bandage or tape.


Cautions



  • If redness or sensitisation occur, discontinue use.

  • Caution under compression when exudate levels are moderate to high.

  • Do not use with oxidising solutions such as hypochlorite and hydrogen peroxide.


Tips



  • A 1cm overlap arounf the wound is advisable.

 
 
19.08  Alginate Dressings
Alginate dressing (Biatain® Alginate dressing)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 10cm x 10cm

  • 15cm x 15cm


Uses



  • Calcium alginate dressing used in moderate to highly exuding wounds with a sloughy or granulating wound bed. 

  • Can also help with haemostasis in wounds with minor bleeding.

  • Is biodegradable and available in flat and rope dressing.

  • Primary dressing only. Secondary dressing will be required.


Applications



  • 1-4 days depending on exudate level


Cautions



  • KNown product or component sensitivity.

  • Do not use on lightly exuding wounds as adherence is an issue.

  • Extreme caution if used with tumours with friable tissue.


Tips



  • Do not wet before use.


 

 
 
Gelling fibre dressing (Kerracel®)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 10cm x 10cm

  • 2.5cm x 45cm


Use



  • For use on moderate and heavily exuding wounds including leg ulcers, pressure ulcers, diabetic foot ulcers, donor sites, cavity wounds and partial thickness burns.

  • Locks in exudate to protect peri-wound skin.

  • Forms a soothing gel when wet helping maintain a moist healing environment.

  • Suitable for under compression.

  • Maintains its integrity without the need for stitching.


Application



  • Cleanse wound according to local procedures.

  • Select appropriate size dressing.

  • Apply to wound and cover with appropriate secondary dressing.

  • When using ribbon leave at least 2.5cm outside wound for ease of removal.

  • Check dressing at regular intervals and change according to the clinical condition of the wound.


Caution



  • Can control minor bleeding but not for use on heavily bleeding wounds.

  • Not for use on patients with known allergy or hypersensitivity to carboxymethyl cellulose.

  • Not to be used for surgical implantation.


Tips



  • Overlap wound margin by approximately 1cm (5cm for partial thickness burns) to allow for shrinkage.

  • For dry wounds Kerracel can be moistened with saline over the wound area.

 
 
19.09  Capillary-acting dressings to top
19.10  Odour absorbent dressings
Odour absorbing dressing (Clinisorb® dressing)
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Formulary
Green

Sizes



  • 10cm x 10cm

  • 10cm x 20cm

  • 15cm x 25cm


Uses



  • Odour absorbent charcoal dressing for malodorous wounds such as fungating wounds


Applications



  • 1-7 days dependent on exudate levels


Cautions



  • Do not use as a primary dressing in wounds

  • Exudate levels will reduce the effectiveness of the charcoal


 Tips



  • Both sides of the dressing are identical.

 
 
19.11  Honey Dressings
Honey based topical application (Activon® Medical Grade Manuka honey dressing)
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Formulary
Green

Size - 25g


Uses



  • Burns, chronic wounds, necrotic/sloughy wounds, donor sites, fungating wounds, pressure ulcers, leg ulcers, diabetic ulcers, surgical wounds, graft sites, cavity wounds and sinuses.


Application



  • 3-7 dyas depending on exudate level

  • Osmotic reaction may in rease the exudate levels to begin with so cover with a secondary absorbant dressing.


Cautions



  • Known product or component sensitivity.

  • Known allergy to bee venom and honey products.

  • Honey is not absorbed into the bloodstream however it is advised to check blood glucose levels on diabetics.

  • Not suitable for full thickness burns or deep narrow cavities.


Tips



  •  Change dressing when honey is diluted by exudates.

  • A change in colour is a useful indicator of when to change.

 
 
Honey dressing (Algivon® Plus)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 2.5cm x 20cm ribbon

  • 10cm x 10cm


Uses



  • Slow release dressing best suited to wtter wounds as the alginate has a small capacity to absorb meaning the honey is not washed away with exudate.

  • Can be used on all wound types especially pressure ulcers, leg ulcers, diabetic ulcers, surgical wounds, burns, graft sites, and infected wounds.

  • Use to debride and deslough infected and maladourous wounds.


Applications



  • Dressings can be placed sise by side to cover large wound areas or cut to size.

  • In wounds with high exudate a highly absorbant dressing can be introduced


Avoid



  • Honey is not absorbed into the bloodstream however it is recommended to check blood glucose levels in diabetics.

  • Avoid  if allergic to honey or bee stings.

  • Some discomfoart may be felt so if applicable consider appropraite analgesia


Tips



  •  Has osmotic action and fluid will be drawn from the wound and can increase pain.

  • Change dressing when honey is diluted by exudates.

  • A change in colour is a useful indicator of when to change a dressing.


 


 


 

 
 
Honey dressings sheet (Activon® Tulle gauze dressing)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 10cm x 10cm


Uses



  • Infected wounds that need debriding. 

  • Creates a moist healing environment

  • Effectively eliminates odour.

  • Provides antimicrobial action.

  • Debrides and de-sloughs wounds.

  • Requires a secondary dressing


Application



  • Daily in acute infection

  • Up to 4 days in chronic infection dependent on exudate.


Cautions



  • Wounds with active blood loss. 

  • Known allergies to bee venom and honey products

  • Stinging sensation may be experienced on immediate contact especially in leg wounds. Discontinue and irrigate the wound if this occurs.


Tips



  • Blood sugars should be monitored in diabetic patients


 

 
 
Honey dressings sheet (Algivon® dressing)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 10cm x 10cm


Uses



  • Primary dressing for infected, shallow cavity wounds, particularly if necrotic or malodorous with moderate exudate. 

  • Requires secondary dressing.  


Application



  • Daily in acute infection.

  • Up to 4 days in chronic infection dependent on exudate


Cautions



  • Wounds with active blood loss.

  • Known allergies to bee venom and honey products. 

  • Stinging sensation may be experienced on immediate contact especially in leg wounds. Discontinue and irrigate the wound if this occurs.


Tips



  • Blood sugars should be monitored in diabetic patients.


 

 
 
Honey sheet dressing (Actilite® dressing)
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Formulary
Green

Sizes



  • 10cm x 10cm

  • 10cm x 20cm


Uses



  • Suitable for granulating or epitheliasing wounds.

  • Antibacterial protection whilst promoting the ideal moist wound healing environment.

  • Suitable for all wound types where a primary layer is indicated and an antibacterial effect may be advantageous such as cuts, abrasions, burns, surgical wounds, leg ulcers, pressure ulcers, diabetic ulcers and infected wounds.

  • Used to debride, deslough infected and maladourous wounds.


Application



  • Can be kept on the wound for 7 days.

  • Designed to be applied as a triple layer as packaged.

  • May be unfolded but this will reduce the efficacy of the honey.

  • Creases may cause pressure areas.

  • Osmotic action may increase the exudate levels to begin with so cover with a secondary absorbant dressing.


Caution



  • Honey is not absorbed into the blood stream however it is recommended to check blood glucose levels on diabetics.

  • Avoid if allergy to honey or bee stings.


Tips



  • Pre warm prior to application.

  • The osmotic action can increase pain due to the fluid drawn from the wound.

  • Change dressing when honey is diluted by exudates.

  • A change in colour is a useful indicator of when to change a dressing.

 
 
19.12  Iodine dressings
Iodine dressing (Iodoflex® paste dressing)
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Formulary
Green

Sizes



  • 5g

  • 10g


Uses



  • Iodine paste in gauze mesh for chronic infected sloughy wounds with moderate exudate

  • Including pressure ulcers, leg ulcers, diabetic foot ulcers

  • Can be used under compression bandaging.

  • Is an alternative to honey products for patients with bee allergy


Application



  • Daily for acute infection

  • Up to 3 days for chronic wounds and infection depending on exudate levels


Cautions



  • Allergy or sensitivity to iodine.

  • Precaution with large wounds due to absorption.

  • Not suitable for dry necrotic wounds, thyroid disorders, renal impairment

  • Not suitable for children, pregnant or lactating mothers or concurrent lithium therapy.


Tips



  • Do not use more than 50g in a single application and no more than 150g in 7 days

  • Do not use for more than three months if used constantly.

 
 
Iodine dressing (Iodosorb® ointment dressing, Iosdosorb® powder dressing sachets)
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Formulary
Green

Sizes



  • Ointment dressing - 10g

  • Powder dressing sachet - 3g


Uses



  • Chronic exuding sloughy wounds and infected wounds. 

  • Including leg ulcers, pressure ulcers, diabetic foot ulcers

  • Cleans by absorbing fluids, removing exudate, slough and debris and forms a gel over the wounds surface.

  • Can be used under compression bandaging


Application



  • Daily for acute infection

  • Up to 3 days for chronic infection

  • Apply directly to the wound.


Cautions



  • Allergy or sensitivity to iodine products

  • Not suitable for dry necrotic tissue

  • Not suitable for children, pregnant or lactating mothers, thyroid disorders or renal impairment


Tips



  • Needs at least twice weekly dressings for iodine to be effective

  • Do not use more than 50g in a single application and no more than 150g in 7 days.

  • Do not use for more than 3 months if used constantly

  • A change in colour indicates whendressing needs changing.

 
 
Povidone Iodine dressing (Inadine® dressing)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 9.5cm x 9.5cm


Uses



  • Non-adherent dressing impregnated with povidone- iodine (10%). 

  • Mild local infection where there are low exudate levels.

  • Broad spectrum of antimicrobial activity.

  • Used for the prevention and treatment of infection in minor burns, minor trauma injuries, pressure ulcers with low levels of exudate.


Application



  • 1-3 days depending on uptake of iodine from dressing. 

  • The dressing will change colour from orange to white indicating when it needs to be changed


Cautions



  • Iodine allergy or sensitivity, thyroid disorders, renal impairment. 

  • Not suitable for children, pregnant or lactating women.

  • Do not use on large wounds or for prolonged periods of time due to possible systemic absorption.


Tips



  • Rapidly deactivated by wound exudate.


 

 
 
19.13  Silver dressings
Silver - topical (Flamazine® (sulfadiazine silver 1%) cream)
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Formulary
Green

Sizes



  • 50g

  • 250g

  • 500g


Use



  • For use on infected leg ulcers


Applications



  • Daily – occasionally alternate days 


Cautions



  • DO NOT USE FOR BURNS

  • Known product sensitivity.

  • Caution in patients with G6PD deficiency


 

 
 
Silver alginate dressing (Biatain® Alginate Ag dressing)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 10cm x 10cm

  • 15cm x 15cm

  • 3cm x 44cm


Uses



  • Calcium alginate dressing with silver used in moderate to highly exuding wounds with a sloughy or granulating wound bed. 

  • Can also help haemostasis in wounds with minor bleeding.

  • Is biodegradable

  • Primary dressing only. Secondary dressing will be required.


Application



  • 1-4 days dependent on exudate levels.


Cautions



  • Do not use in individuals with a known sensitivity to any of the components of the dressing. 

  • Do not use on lightly exuding wounds as adherence is an issue

  • Extreme caution if used to tumours with friable tissue


Tips



  • Do not wet before use.


 

 
 
Silver dressing - low adherent
(Acticoat Flex 3® dressing)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 10cm x 10cm

  • 10cm x 20cm


Uses



  • Clinically infected shallow, granulating wounds with low exudate. 

  • To be used as a primary dressing with a secondary for absorption.


Application



  • 1-7 days depending on levels of exudate


Cautions



  • Known product or component sensitivity. 

  • Must be removed prior to x-ray, ultrasound, diathermy and MRI


 

 
 
Silver dressing - low adherent (Acticoat Flex 7® dressing)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 10cm x 12.5cm

  • 15cm x 15cm


Uses



  • Clinically infected shallow, granulating wounds with low exudate. 

  • To be used as a primary dressing with a secondary for absorption.


Application



  • 1-7 dys depending on levels of exudate


Cautions



  • Known product or component sensitivity. 

  • Must be removed prior to x-ray, ultrasound, diathermy and MRI


 

 
 
Silver dressings - low adherent (Atrauman® Ag dressing)
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Formulary
Green

Sizes



  • 5cm x 5cm

  • 10cm x 10cm

  • 10cm x 20cm


Uses



  • Wound contact layer for clinically infected wounds. 

  • To be used as a primary dressing with a secondary for absorption.


Application



  • 1-7 days depending on levels of exudate


Cautions



  • Known product or component sensitivity

  • Must be removed prior to x-ray, ultrasound, diathermy and MRI


 

 
 
19.14  Antimicrobial and specialised dressings to top
Antimicrobial dressing (Cutimed® Sorbact Swabs)
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Formulary
Green

Sizes



  • 4cm x 6cm

  • 7cm x 9cm


Uses



  • Used for effective binding and removal of bacteria from contaminated, colonised or infected exuding wounds (providing moisture is present)


Application



  • Dressing can be left in place for up to 7 days but recommended that it is checked every 1-3 days.

  • Can be combined with all types of absorbent secondary dressings such as foams or alginates.


Caution



  • Do not use on dry wounds.

  • Do not use in combination with ointments or creams as they will interfere with the dressings' microbe binding effect.


 

 
 
Antimicrobial Gel (Cutimed® Sorbact Gel)
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Formulary
Green

Sizes



  • 7.5cm x 7.5cm

  • 7.5cm x 15cm


Uses



  • Can be used for all types of dry, sloughy or low exuding wounds that are contaminated, colonised or infected.


Application



  • Should be changed every 1-3 days depending on wound condition.


Caution



  • Avoid if known product sensitivity.


 


 

 
 
Antimicrobial Irrigation Fluids (Octenilin® Irrigation Solution)
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Formulary
Green

Size - 350ml


Use



  • Cleansing, decontamination and moisturising of acute and chronic wounds including 1st and 2nd degree burns


Application



  • At each dressing change


 

 
 
Antimicrobial ribbon gauze (Cutimed® Sorbact Ribbon Gauze)
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Formulary
Green

Sizes



  • 2cm x 50cm

  • 5cm x 200cm


Uses



  • Used for effective binding and removal of bacteria from contaminated, colonised or infected exuding wounds (providing moisture is present)

  • Can be used for all types of deep or cavity wounds showing signs of infection.

  • Suitable for fungal infection in the groin, skin folds or between digits.


Application



  • Dressing can be left in place for up to 7 days but recommended that it is checked every 1-3 days.

  • Can be combined with all types of absorbent secondary dressings such as foams or alginates.


Caution



  • Do not use on dry wounds.

  • Do not use in combination with ointments or creams as they will interfere with the dressings' microbe binding effect.

 
 
DACC coated antimicrobial dressing (Leukomed® Sorbact)
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Formulary
Red

FOR SECONDAY CARE USE ONLY


Sizes



  • 5cm x 7.2cm

  • 8cm x 10cm

  • 8cm x 15cm

  • 10cm x 20cm

  • 10cm x 25cm

  • 10cm x 30cm

  • 10cm x 35cm


Uses



  • Used for all types of post-operative and traumatic wounds with up to and including moderate levels of exudate such as surgical incisions, lacerations, cuts, abrasions, dehisced wounds and minor burns.


Caution



  • Known sensitivity to the dressing components.


Tips



  • A 2cm overlap around the wound is advisable.

 
 
Enzyme alinogel (Flaminal® Forte gel dressing)
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Formulary
Green

For moderate to heavily exuding wounds.


Size - 15g and 50g tube


Use



  • Colonised wound bed.

  • More suited to sloughy wounds but can be used on all wound types.

  • Useful for cavity wounds and sinuses.

  • Requires a secondary dressing.

  • Will help aid autolytic debridement, balance moisture in the wound, kill bacteria and reduce bioburden.


Application



  • 1-7 days dependent on exudate levels


Caution



  • Sensitivity to alginate dressings or polyethylene glycol.

  • Full thickness burns

 
 
Enzyme alinogel (Flaminal® hydrogel dressing)
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Formulary
Green

For low to moderate exuding wounds.


Size - 15g and 50g tube


Use



  • Colonised wound bed.

  • More suited to sloughy wounds but can be used on all wound types.

  • Useful for cavity wounds and sinuses.

  • Requires a secondary dressing.

  • Balances moisture in the wound, kill bacteria and reduce bioburden.


Application



  • 1-7 days dependent on exudate levels


Caution



  • Sensitivity to alginate dressings or polyethylene glycol.

  • Full thickness burns.

  • Do not use on or around the eyes.

 
 
Specialised dressing (Mepiform® dressing)
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Formulary
Green

Size



  • 5cm x 7cm

  • 9cm x 18cm

  • 4cm x 31cm


Use



  • Not for use on open wounds.

  • To be used to improve function of movement around a scar and should not be used for aesthetic purposes.


Application



  • Can be washed and reused.


Caution



  • Do not use on open infected wounds.

  • Do not use on skin affected by acne.

  • Discontinue use if a rash or itching occur.


 

 
 
19.15  Surgical absorbents
Surgical absorbents (Gauze swabs type 13 light BP 1988 8ply non-sterile)
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Formulary
Green

Size



  • 10cm x 10cm (pack of 100)


Use



  • For use to clean peri wound area

  • Wound bed cleansing should be done by irrigation.


Caution



  • Not to be applied as a wound dressing.


 

 
 
Surgical absorbents (Gauze Swabs type 13 light BP 1988 8ply sterile)
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Formulary
Green

Size



  • 7.5cm x 7.5cm (pack of 5)


Use



  • For use to clean peri wound area.

  • Wound bed cleansing should be done by irrigation.


Caution



  • Not to be applied as a wound dressing.


 

 
 
Absorbant cellulose dressing (Vliwasorb Pro®)
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Restricted Drug Restricted
Green

PRIMARY CARE USE ONLY.


Sizes



  • 12.5cm x 12.5cm

  • 12.5cm x 22.5cm

  • 22cm x 22cm

  • 22cm x 32cm


Use



  • Highly conformable superabsorbant dressing with intergrated wound contact layer.

  • To be used on heavily exuding wounds.

  • Suitable for leaking legs and lymphorrhaea

  • Suitable for use under compression bandaging.


Caution



  • Do not use on lightly exuding wounds.

  • Not suitable for cavity wounds as the dressing will expand on absorption of exudate.

  • DO NOT CUT OR TEAR.

 
 
Surgical absorbants (Xupad)
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Restricted Drug Restricted
Green

Size



  • 10cm x 12cm

  • 10cm x 20cm

  • 20cm x 40cm


Use



  • Only for use on in-patient units

  • Latex free, ultra absorbent dressing pad.


Application



  • 1-7days depending on exudate.


Caution



  • Not for more moderate or exuding wounds.

  • Always consider an interactive dressing.

 
 
19.16  Wound drainage pouches
Wound drainage pouch (Option® wound manager bag (Oakmed Ltd))
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Formulary
Amber

TVN recommendation only


Size



  • Various sizes


Use



  • Complex abdominal wounds, moderate to large fistulas, orthopaedic wounds or fungating wounds with high levels of exudate that are unmanaged with conventional dressings.


Application



  • Empty drainage bag as required.

  • If no port for drainage, change as required.

  • To be used as long as adhesive remains.


Caution



  • Known product component sensitivity to hydrocolloid, (gelatin and pectin)

  • Any wound where a conventional dressing cannot manage the exudate levels.

 
 
19.17  Physical debridement pads
Debrisoft® Lolly
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Formulary
Green

Use



  • Acute or chronic wounds with surface debris eg. pressure ulcers, leg ulcers, diabetic foot ulcers, hyperkeratosis.

  • Thick hyperkeratosis may take more than one treatment.

  • Particularly suitable for shallow wounds and accessible areas of the skin.


Application



  • At each dressing change or as required.


Caution



  • Known sensitivity to polyester. 

  • Heavy slough and necrotic tissue may require automatic autolytic debridement to soften prior to use.


Tips



  • Must be wet with clean warm water prior to use.

  • Do not get an emollient on the pad as this blocks the monofilaments.

 
 
Debrisoft® pad
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Formulary
Green

Sizes



  • 10cm x 10cm

  • 13cm x 20cm


Use



  • Acute or chronic wounds with surface debris eg. pressure ulcers, leg ulcers, diabetic foot ulcers and hyperkeratosis, gravel rash, burns or dehisced surgical wounds.

  • Thick hyperkeratosis may take more than one treatment.


Application



  • At each dressing change or as required.


Caution



  • Known sensitivity to polyester.

  • Must be used as a wound dressing.

  • Do not cut.

  • Heavy slough and necrotic tissue may require automatic autolytic debridement to soften prior to use.


Tips



  • Must be wet with clean warm water prior to use.

  • Do not get an emollient on the pad as this blocks the monofilaments.

 
 
UCS® debridement Pad
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Formulary
Green

Use



  • Acute or chronic wounds with surface debris eg. pressure ulcers, leg ulcers, diabetic foot ulcers.

  • Especially good with hyperkeratosis but thick hyperkeratosis may take more than one treatment.


Application



  • At each dressing change or as required.


Caution



  • Heavy slough and necrotic tissue may need autolytic debridement to soften prior to use.


 

 
 
19.18  Negative wound pressure therapy
Negative pressure wound therapy (RENASYS-F® foam kit)
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Formulary
Green

Small



  • foam dressing 10cm x 8cm x 3cm,

  • transparent film 20cm x 30cm


Medium



  • foam dressing 20cm x 13cm x 3cm

  • transparent film 20cm x 30cm


Uses



  • To suit a range of wound types including postoperative and dehisced wounds, pressure ulcers, diabetic/neuropathic ulcers, traumatic wounds, skin flaps and grafts, venous insufficiency ulcers and explored fistulae.


Avoid



  • Untreated osteomyelitis.

  • Presence of necrotic tissue with eschar.

  • Exposed organs, blood vessels or nerves.

  • Malignancy in the wound bed (Except palliative care)

  • Non-enteric or unexplored fistulae.

  • Anastomotic sites


Tips



  • Patients receiving NPWT in hospital must be referred to DN and discharged with a canister and NPWT dressing.

  • Machine provided by the Community team.

  • Hospital pumps remain in hospital setting.

 
 
Negative pressure wound therapy (RENASYS-G® gauze kit)
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Formulary
Green
 
 
Portable negative wound pressure therapy (Pico® dressing kit (complete))
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Formulary
Amber

TVN advice ONLY


Do not require supply of separate pump


 Sizes - Various


Use



  • Disposable and portable system designed to encourage granulation of the wound bed to kick start wound healing.

  • Can be used on various wounds including incision wounds to help strengthen the suture line.

  • Consider standard interactive dressing first.


Application



  • Twice a week dressing change.

  • PICO® device weekly change.





Should not be used on:



  • Confirmed and untreated osteomyelitis

  • Malignancy in wound bed or wound margins

  • Exposed blood vessels,

  • Organs

  • Unexplored fistulae

  • Necrotic wounds

  • Anastomotic sites

  • Emergency airway aspiration

  • Plueral, mediastinal or chest tube drainage.

  • Surgical suction





 


 


 

 
 
Portable negative wound pressure therapy (Snap® cartridge system, Snap® foam dressing kit)
View adult BNF View SPC online View SMC online View childrens BNF
Formulary
Amber

PRESCRIBE SEPARATELY


Various sizes


Use



  • Disposable and portable system designed to encourage granulation of a wound bed or kick start wound healing in a chronic wound.

  • As a step down from non-portable negative wound pressure therapy.


Application



  • Can be left in place for up to seven days.


Should not be used on:



  • Confirmed and untreated osteomyelitis

  • Malignancy in wound bed or wound margins

  • Exposed blood vessels

  • Organs

  • Unexplored fistulae

  • Necrotic wounds

  • Anastomotic sites

  • Emergency airway aspiration

  • Pleural, mediastinal or chest tube drainage

  • Surgical suction

 
 
V.A.C.® KCl Medical Ltd Negative Wound Pressure Therapy system
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Formulary
Red

SECONDARY CARE ONLY Trust contract (Must send a referral form to TVN for funding approval.


 


Use



  • Required components: Pump, dressings, foam or gauze, tubing and canister.

  • Acute, chronic and traumatic wounds.

  • Can be used as an adjunct to surgery and for salvage procedures such as wound dehiscence.

  • Benefits are that it removes excess fluid that may contain bacterial pathogens, reduces soft tissue oedema, promotes granulation and provides a moist wound healing environment. 





Application



  • Canister change determined by exudate levels.

  • Different canister sizes available.

  • Dressings changed every three days.


It should not be used on:



  • Grossly infected or bleeding wounds

  • Malignancy

  • Exposed blood vessels

  • Organs

  • Unexplored fistulae

  • Extensive necrotic wounds.



Caution with foam - document the number inserted and ensure all pieces are retrieved.


Tips



  • The use of sub atmospheric pressure to promote or assist wound healing or to remove fluids from a site.

  • Required components: pump, dressings foam or gauze, tubing and canister.


 

 
 
19.19  Dressing packs to top
Dressing pack (Nurse It® Sterile dressing pack)
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Formulary
Green

Use



  • PRIMARY CARE ONLY

  • To be used for all wounds requiring aseptic dressing procedures.


Application



  • Single use

 
 
Dressing packs (Softdrape® sterile dressing pack)
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Formulary
Red

Use



  • NHS supplies for INPATIENT USE ONLY

  • To be used for all wounds requiring aseptic dressing procedures.


Application



  • Single use


 

 
 
19.20  Wound care and accessories
Adhesive remover spray (Lift Plus® 360 Citrus medical adhesive remover)
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Formulary
Green

Use




  • Adhesive dressing or appliance removal where skin stripping, loss of skin integrity and pain is a concern.




Application



  • Use at dressing change where needed.


Caution



  • Should not be used when there is a known sensitivity to any of the ingredients.

  • If in doubt, patch test a small area, prior to use

  • Avoid use around flames and sources of ignition


 

 
 
Adhesive remover spray (Lifteez® non-sting medical adhesive remover aerosol)
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Formulary
Green

Use




  • Adhesive dressing or appliance removal where skin stripping, loss of skin integrity and pain is a concern




Application



  • Use at dressing change where needed.


Caution



  • Should not be used when there is a known sensitivity to any of the ingredients

  • If in doubt, patch test a small area, prior to use

  • Avoid use around flames and sources of ignition

 
 
Adhesive remover spray (Offmate® stoma adhesive remover spray)
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Formulary
Green

Use




  • Adhesive dressing or appliance removal where skin stripping, loss of skin integrity and pain is a concern




Application



  • Use at dressing change where needed.


Caution



  • Should not be used when there is a known sensitivity to any of the ingredients.

  • If in doubt, patch test a small area, prior to use

  • Avoid use around flames and sources of ignition

 
 
Adhesive remover spray (StoCare® Remove medical adhesive remover spray)
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Formulary
Green

Use




  • Adhesive dressing or appliance removal where skin stripping, loss of skin integrity and pain is a concern




Application



  • Use at dressing change where needed.


Caution



  • Should not be used when there is a known sensitivity to any of the ingredients

  • If in doubt, patch test a small area, prior to use

  • Avoid use around flames and sources of ignition

 
 
Adhesive remover spray (ZenSetiv® adhesive remover spray)
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Formulary
Green

Use




  • Adhesive dressing or appliance removal where skin stripping, loss of skin integrity and pain is a concern




Application



  • Use at dressing change where needed.


Caution



  • Should not be used when there is a known sensitivity to any of the ingredients

  • If in doubt, patch test a small area, prior to use

  • Avoid use around flames and sources of ignition


 

 
 
Larvae (Larvae 100, Larvae 200)
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Formulary
Green

FREE RANGE OR IN BAGS.


Size



  • Need to order the appropriate number of larvae for the wound size.

  • Help is available on the website


Use



  • Debridement of non-healing necrotic skin and soft tissue wounds, including pressure ulcers,venous stasis ulcers, neuropathic foot ulcers and non-healing traumatic or post-surgical wounds.


Application



  • An application of BioBag can be left in place for up to 4 days, dependent on the condition of the wound.


Larvae should not be used in patients with:



  • Known hypersensitivities to fly larvae, polyester, PVA (polyvinyl alcohol) or the components of the media on which the larvae are raised (including soya protein, yeast protein, potato starch and bovine protein) as this may result in dermatitis or more severe immunological reactions in susceptible individuals. If treatment is undertaken then these patients should be under strict medical supervision for the duration of the treatment with immediate access to care.

  • Life or limb-threatening, rapidly advancing infections as LDT may interfere with the close and frequent observation these patients require.

  • Infected tendon and bone. These wounds should be treated surgically and/or with antibiotics before using LDT.

  • Wounds not directly exposed to the outside. Wounds should never be allowed to close over the larvae either intentionally or unintentionally.

  • Wounds with an inadequate blood supply, as this reduces the ability of the wound to heal. LDT will enlarge the wound as necrotic tissue is debrided but the resulting clean wound is at risk from re-infection.

  • Wounds that have a tendency to bleed or wounds close to an exposed major blood vessel, especially if considered to be necrotic as this can lead to rupture of the blood vessels which could be life-threatening. If LDT is attempted, the patient must remain under strict medical supervision for the duration of the treatment.

  • With an inborn or medication-induced coagulopathy or in patients being treated with anticoagulants. If these patients are treated with LDT, they should remain under strict medical supervision for the duration of the treatment.


Should never be used in sterile body cavities.

 
 
Over granulation tape (Fludroxycortide® 4mcg/square cm tape 7.5cm)
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Formulary
Green

Size - 20cm


For use in over-granulation


Application



  • Apply for 12 hours at a time. 

  • Maximum treatment time 7 days.


Formerly "Healan tape"


 

 
 
Wound dressing (Hydroclean Plus® dressing)
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Formulary
Green

Size



  • 4cm round

  • 4cm round cavity

  • 5.5cm round

  • 7.5cm x 7.5cm

  • 7.5cm x 7.5cm cavity

  • 10cm x 10cm


Use



  • Debriding indluding the removal of slough.


Application



  • Up to 3 days


Caution



  • Single use only.

  • No other contraindications listed.


Tips



  • Hydroresponsive wound dressing that cleanses, debrides, desloughs and absorbs.

 
 
Wound irrigation (Octenillin®)
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Formulary
Green

Size - 350ml


Uses - For treating infected wounds.


 

 
 
Wound irrigation (Sodium chloride 0.9% irrigation solution 20ml - Clinipod®)
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Formulary
Green

25 x 20ml


Use



  • Wound cleansing.

  • Topical irrigation of the eye.

  • Single use.

 
 
Adhesive remover wipes (Lifteez® non-sting medical adhesive remover wipes)
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Restricted Drug Restricted
Green

A spray product should be provided unless patient has a specific need for wipes e.g. for people who lack the manual strength or dexterity to use a spray.


Use




  • Adhesive dressing or appliance removal where skin stripping, loss of skin integrity and pain is a concern




Application



  • Use at dressing change where needed.


Caution



  • Should not be used when there is a known sensitivity to any of the ingredients

  • If in doubt, patch test a small area, prior to use

  • Avoid use around flames and sources of ignition

 
 
Adhesive remover wipes (Salts® adhesive remover wipes)
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Restricted Drug Restricted
Green

A spray product should be provided unless patient has a specific need for wipes e.g. for people who lack the manual strength or dexterity to use a spray.


Use




  • Adhesive dressing or appliance removal where skin stripping, loss of skin integrity and pain is a concern




Appliction



  • Use at dressing change where needed.


Caution



  • Should not be used when there is a known sensitivity to any of the ingredients

  • If in doubt, patch test a small area, prior to use

  • Avoid use around flames and sources of ignition


 

 
 
Adhesive remover wipes (StoCare® Remove - medical adhesive remover wipes)
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Restricted Drug Restricted
Green

A spray product should be provided unless patient has a specific need for wipes e.g. for people who lack the manual strength or dexterity to use a spray


Use




  • Adhesive dressing or appliance removal where skin stripping, loss of skin integrity and pain is a concern




Application



  • Use at dressing change where needed.


Caution



  • Should not be used when there is a known sensitivity to any of the ingredients

  • If in doubt, patch test a small area, prior to use

  • Avoid use around flames and sources of ignition

 
 
Adhesive remover wipes (Universal® remover wipes)
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Restricted Drug Restricted
Green

A spray product should be provided unless patient has a specific need for wipes e.g. for people who lack the manual strength or dexterity to use a spray


Use




  • Adhesive dressing or appliance removal where skin stripping, loss of skin integrity and pain is a concern




Application



  • Use at dressing change where needed.


Caution



  • Should not be used when there is a known sensitivity to any of the ingredients

  • If in doubt, patch test a small area, prior to use

  • Avoid use around flames and sources of ignition

 
 
Radiotherapy dressing (PolyMem® dressing (non adhesive)
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Restricted Drug Restricted
Green

RESTRICTED TO MANAGEMENT OF RADIOTHERAPY INDUCED SKIN REACTIONS


Size



  • 8cm x 8cm

  • 10cm x 10cm

  • 13cm x 13cm

  • 17cm x 19cm

  • 10cm x 61cm

  • 20cm x 60cm


Use



  • Non adhesive foam dressing containing glycerol with vapour permeable film backing for the use in radio therapy burns.


Caution



  • Not to be used in full thickness burns or in conjunction with hypochloride containing solutions.


 


 

 
 
19.21  Surgical adhesive tapes
Permeable Non-Woven Synthetic Adhesive Tape
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Restricted Drug Restricted
Green

Chemipore® tape - FOR PRIMARY CARE USE ONLY



  • 1.25cm x 5m

  • 2.5cm x 5m

  • 5cm x 5m


Scanpore® tape



  • 2.5cm x 5m

  • 5cm x 5m


Micropore® tape - FOR SECONDARY CARE USE ONLY



  • 1.25cm x 5m

  • 2.5cm x 5m

  • 5cm x 5m


Use



  • Permeable non-woven and synthetic adhesive tape for securing bandages.


Application



  • Determined by wound type and dressing change.

 
 
19.22  Bandages
Compression bandage (K-Lite® bandage, K-Lite Long® bandage)
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Formulary
Green

Sizes


K-Lite®



  • 5cm x 4.5m

  • 7cm x 4.5m

  • 10cm x 4.5m

  • 15cm x 4.5m


K-Lite Long®



  • 10cm x 5.25m


Application



  • 1 to 7 days


Use



  • Layer 2 of multilayer compression

  • Designed for use on sprains/strains.

  • Provides Type 2 light support.

  • Recommend a wadding bandage is applied beneath.


Caution



  • Known product or component sensitivity.

 
 
Compression bandage (Ko-Flex® bandage, Ko-Flex Long ® bandge)
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Formulary
Green

Size



  • Ko-Flex - 10cm x 6m

  • Ko-Flex Long - 10cm x 7m


Use



  • Venous ulceration

  • Oedema

  • Managing straight sprains and strains

  • Following orthopaedic surgery

  • Forms part of the K Four bandage system


Application



  • 1 to 7 days dependent on exudate levels if wound present or oedema management.


Caution



  • Not recommended on those patients with an ankle brachial pressure index lower than 0.8.

  • Contains latex

  • Known product or component sensitivity.


 

 
 
Compression bandage (K-Plus® bandage, K-Plus Long® bandage)
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Formulary
Green

Size



  • K-Plus® - 10cm x 8.7m

  • K-Plus Long® - 10cm x 10.25m


Application



  • 1 to 7 days


Use



  • Layer 3 of multilayer compression

  • Type 3a light compression bandage for use with multilayer compression for the treatment of venous leg ulcers.


Caution



  • Known product or component sensitivity.


 

 
 
Compression bandage (K-ThreeC® bandage)
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Formulary
Green

Size



  • 10cm x 3m


Use



  • Type 3C high compression bandage for use with multilayer compression for the treatment of venous leg ulcers.

  • Used for high sized ankles as layer three.


Application



  • 1 to 7 days


Caution



  • Known prouct or component sensitivity.


 

 
 
Elasticated tubular bandage (Acti-Fast® 2 way stretch stockinette)
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Formulary
Green

Various sizes


Use



  • Two way stretch tubular bandage to be used under compression or retention bandaging if needed.

  • Can be used as a garment to retain dressing in hard to dress areas such as the head.


Application



  • As required.


Tip



  • Ensure correct size for limb is selected.


 

 
 
Lightweight conforming bandage (K-Band® bandage)
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Formulary
Green

Sizes



  • 5cm x 4m

  • 7cm x 4m

  • 10cm x 4m

  • 15cm x 4m


Use



  • Light weight conforming bandage used for retention of non-adhesive dressing products. 

  • Always use a primary dressing


Application



  • Change in line with dressing change.


Caution




 
 
Medicated Bandages (Viscopaste PB7® bandage)
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Formulary
Green

Size



  • 7.5cm x 6m


Use



  • Used in the management of chronic eczema and dermatitis.

  • The paste bandage should be used under graduated compression bandaging if used where there is venous insufficiency.


Application



  • Daily, up to weekly dependent on the skin and wound management.


Caution



  • Do not use in any cases of sensitivity or allergy to products or components.

 
 
Medicated bandaging (Zipzoc®)
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Formulary
Green

Uses



  • Used for the treatment of chronic leg ulcers, where venous insifficiency exists and in the treatment of chronic eczema/dermatitis where occlusion is indicated.


Caution



  • Avoid if known sensitivity or allergy to components

 
 
Multi-layer Compression Bandaging – Four layer (K-Four® multi-layer compression bandage kit)
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Formulary
Green

Size



  • Less than 18cm

  • 18cm - 25cm

  • 25cm - 30cm

  • Greater than 30cm

  • Kit size determined by measuring the ankle after padding, with the tape measure pulled taut.


Use



  • Kit for multi layer cpompression system with correct bandages to give correct compression according to the size of the limb.


Application



  • Daily up to weekly dependent on exudate and oedema management.


Caution



  • Not recommended for patients with ABPI of less than 0.8.

  • Contains latex.


Tips



  • Available as latex free.

  • Consult TVN

 
 
Multi-layer Compression Bandaging – Two layer (UrgoKTwo® multi-layer compression bandage kit)
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Formulary
Green

Sizes



  • 0 (short)

  • 18cm - 25cm (8cm, 10cm, 12cm)

  • 25cm - 32cm (8cm, 10cm, 12cm)


Use



  • Treatment of venous leg ulcers, venous oedema and lymphoedema.

  • Two layered system with the first layer being short stretch.


Application



  • Daily up to weekly dependent on exudate and oedema management.


Caution in



  • Arterial disease

  • Diabetic microangiopathy

  • Ischaemic phlebitis

  • Septic thrombosis

  • Allergy to any components in particular latex (latex free available)


Tips



  • Two layer provides a less bulky option than four layer to improve patient compliance.

 
 
Multi-layer Compression Bandaging – Two layer (UrgoKTwo® reduced multi-layer compression bandage kit)
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Formulary
Green

Sizes



  • 18cm - 25cm

  • 25cm - 32cm


Use



  • Treatment of venous leg ulcers, venous oedema and lymphoedema.

  • Two layered system with the first layer being short stretch.


Application



  • Daily up to weekly dependent upon exudate and oedema management.


Caution in



  • Arterial disease

  • Diabetic microangiopathy

  • Ischaemic phlebitis

  • Septic thrombosis

  • Allergy to any components in particular latex (latex free available)


Tips



  • Two layer provides a less bulky option than four layer to improve patient compliance

 
 
Short stretch compression bandage (Actico® bandage)
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Formulary
Green

Sizes



  • 4cm x 6m

  • 6cm x 6m

  • 8cm x 6m

  • 10cm x 6m

  • 12cm x 6m


Use



  • Venous leg ulceration

  • Lymphoedema

  • Management of chronic oedema.


Application



  • Daily to 7 days dependent on exudate levels if wound present or oedema management and bandage slipping as oedema is reduced.


Caution



  • Not recommended on those patients with ABPI lower than 0.8

  • Caution in diabetic patients

  • Caution when cardiac overload or renal failure present or suspected.


Tips



  • This is an adhesive inelastic high compression bandage (short stretch bandage)


 

 
 
Sub compression wadding bandage (Cellona Undercast® padding bandage)
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Formulary
Green

Size



  • 5cm x 2.75m

  • 7.5cm x 2.75m

  • 10cm x 2.75m

  • 15cm x 2.75m


Use



  • Lymphoedema and under casts use only.

  • Provides padding for larger limbs under compression


Application



  • Daily up to 7 days dependent on exudate levels if wound present and oedema management.


Caution



  • Do not apply directly to skin as it can cause irritation.


 

 
 
Sub compression wadding bandage (K-Soft® bandage, K-Soft Long bandage)
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Formulary
Green

Size



  • K-Soft - 10cm x 3.5m

  • K-Soft Long - 10cm x 4.5m


Use



  • Layer 1 of multilayer compression

  • Provides padding, shaping and protection of the limb prior to the application of compression bandage therapy.


Application



  • Daily up to 7 days dependent on exudate levels if wound present and oedema management.


Caution



  • Do not apply directly to skin as it can cause irritation.

 
 
Tubular bandaging (Clinifast®)
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Formulary
Green

Beige line (1 per pack)



  • 17.5cm x 1m


Blue line (1 per pack)



  • 7.5cm x 1m

  • 7.5cm x 3m

  • 7.5cm x 5m


Green line (1 per pack)



  • 5cm x 1m

  • 5cm x 3m

  • 5cm x 5m


Red line (1 per pack)



  • 3.5cm x 1m


Yellow line (6 per pack)



  • 10.75cm x 1m

  • 10.75cm x 3m

  • 10.75cm x 5m


Uses



  • For use in the retention of dressings and underneath compression bandages to help prevent skin irritation.

 
 
19.23  Compression hosiery and garments
Compression hosiery applicator (Acti-Glide® compression hosiery applicator)
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Formulary
Green

Application of open/closed toe compression garments

 
 
Compression hosiery applicator (Mediven® 2 in 1 compression hosiery applicator)
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Formulary
Green

Application of open/closed toe compression garments.

 
 
Footwear (Kerraped® all purpose boot)
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Formulary
Green

Size



  • Small (shoe size 2 - 5.5)

  • Medium (shoe size 6 - 7.5)

  • Large (shoe size 8 - 10)

  • XL (shoe size 10.5 - 13)


Use



  • Is suitable as footwear.

  • Comes as a single item (not separate right or left foot)

  • Can be handwashed (NOT in washing machine)

  • Suitable for wearing outdoors.

  • Consider in reducing risk of falls.

  • Consider when using compression bandage, lymphoedema or diabetic foot.


Application



  • Ensure ankle strap cut to fit.

  • Consider size when bandage is on foot.

  • Designed to last 12 weeks.


Caution



  • Always encourage to wear own footwear and consider reducing risk of falls

 
 
Graduated compression hosiery (Activa® (RAL Class I,Class II, Class III))
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Formulary
Green

Various sizes


Use



  • For the prevention of venous leg ulcers and the reduction of chronic oedema.


Caution



  • Do not use in any cases of known sensitivity or allergy to components

  • There must be a differential diagnosis before use.

  • Do not use where arterial disease is diagnosed.


 

 
 
Graduated compression hosiery (Mediven Plus® (RAL Class I,Class II, Class III))
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Formulary
Green

Various sizes


Use



  • For the prevention of venous leg ulcers and the reduction of chronic oedema


Caution



  • Do not use in any cases of known sensitivity or allergy to components.

  • There must be a differential diagnosis before use.

  • Do not use where arterial disease is diagnosed.


 


 

 
 
Leg ulcer hosiery kit (Actilymph® hosiery kit)
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Formulary
Green

Various sizes

 
 
Leg ulcer hosiery kit (Jobst® Ulcer care)
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Formulary
Green

Various sizes.

 
 
Leg ulcer hosiery kit (Mediven® leg ulcer kit )
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Formulary
Green

Various sizes

 
 
Pressure relieving garment (Aderma®)
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Formulary
Green

Wrap, sheet or strip


Use




  • A pressure ulcer device to reduce and redistribute pressure and transfer frictional force away from the skin.




  • This product is washable and designed for single patient use.



 
 
Wound protection (LimbO® limb protector)
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Formulary
Green

Various sizes


Use



  • Used to keep arm, PICC, leg and foot dressings dry.

  • Can be fully submerged in water.


 

 
 
Wrap systems for compression (Juxta-Fit®)
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Formulary
Green

Available for the foot, calf, knee, thigh and toes

 
 
Wrap systems for compression (Readywrap®)
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Formulary
Green

Available for the foot, calf, knee, thigh and toes.

 
 
Pressure relieving garment (Parafricta®)
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Restricted Drug Restricted
Green

TVN USE ONLY


Various sizes


Use



  • Garments to reduce shear and friction

  • Available in undergarments and bootees on FP10 or in sheets and pillowcase direct from manufacturers.

 
 
19.24  Emollients, creams and barriers to top
Barrier cream (Medi Derma-S® barrier cream)
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Formulary
Green

Sizes - 28g and 90g


Use



  • As a barrier against bodily fluids and prevention of skin damage associated with incontinence.


Application



  • As required and after each episode of incontinence.


Caution



  • Do not use on infected skin

  • Allow product to dry (approx 30 seconds) before applying the containment products, dressings or clothing.

  • Too many layers can make the area of skin feel stiff.

 
 
Barrier cream (MediHoney® barrier cream)
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Formulary
Green

50g


Use



  • Treatment of incontinence related lesions, blistered skin

  • Prevention and treatment of maceration and excoriation

  • Treats candidiasis and intertrigo.


Application



  • After each episode of incontinence


Caution



  • Patch test before use

 
 
Barrier Film foam applicator (Cavilon® film)
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Formulary

Sizes



  • 1ml (box)

  • 3ml (box)

  • 28ml


Use



  • Protects damaged skin or "at-risk" skin from urine/faeces, other bodily fluids, adhesive trauma and friction.

  • Used on both intact and damaged skin.


Application



  • Apply morning and night and every dressing change.

  • Peri-wound protection.

  • Peri-stomal protection.

  • Apply at every pouch/application change.


Caution



  • Contraindicated on infected areas of the skin eg areas with fungal infection.


Tips



  • Remeber F.A.B. - Friction/Adhesives/Bodily fluids as a helpful way to remember when to use Cavilon NSBF

  • Use to protect against medical adhesive related skin injury (MARSI)

  • Apply underneath adhesive dressing or tape.


 


 


 

 
 
Emollients (White soft paraffin 50%/Liquid paraffin 50% ointment)
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Formulary
Green

Use



  • For inflamed, dry, chapped skin.


Application



  • Apply daily


Caution



  • Known product or component sensitivity.

  • Flammable - Take care near any source of ignition or flame.

 
 
Emollients (ZeroAQS® emollient cream)
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Formulary
Green

Use



  • For use as an emollient and as a skin cleanser/soap substitute in the management of dry skin conditions


Application



  • Daily or more frequently if required.


Caution



  • Known product or component sensitivity.

  • Flammable - Take care near any source of ignition or flame.


Tips



  • Does not contain sodium lauryl sulphate (SLS)


 

 
 
Emollients containing urea (Dermatonics® Once Heel Balm)
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Formulary
Green

Contains 25% urea


Sizes -  75ml and 200ml


Use



  • To moisturise dry skin on the soles of the feet.

  • For use on adults and children over 12 years of age.


Application - Apply daily


Caution



  • Known product or component sensitivity.

  • Contains lanolin and beeswax

  • Not to be used on childern under 12

  • Flammable - Take care near any source of ignition or flame.

 
 
Non-sting barrier film (Medi Derma-S® non-sting barrier film foam applicator)
View adult BNF View SPC online View SMC online View childrens BNF
Formulary
Green

Sizes - 1ml and 3ml


Use



  • To prevent friction to vulnerable areas of skin.

  • To protect peri wound from exudate.

  • To protect against aggressive adhesive products.

  • To protect the skin surrounding stoma sites


Application



  • Every 72 hours or at each dressing change.


Caution



  • Do not use on infected skin

  • Allow product to dry before applying the containment products, dressings or clothing (30 seconds)

  • Can affect electrode readings in the treated area.


 

 
 
Skin protector (Cavilon® cream)
View adult BNF View SPC online View SMC online View childrens BNF
Formulary

Sizes



  • 2g (box of 20)

  • 28g

  • 92g


Use



  • Use on clean, dry skin.

  • Creates an invisibe and breathable barrier over the skin to moisturise and protect skin from the irritating effects of incontinence.


Application



  • Apply morning and night as part of a daily skin care routine (no need to remove between applications)

  • Apply a pea sized amount at a time to cover the affected area.


Caution



  • Contraindicated on infected areas of the skin eh areas with fingal infection.


Tips



  • Make sure the skin is dry before application

  • A little goes a long way.

  • When using correctly, pea sized amounts, adhesive dressing will still adhere to the skin.

 
 
 ....
 Non Formulary Items
Acticoat

View adult BNF View SPC online View childrens BNF
Non Formulary

Size



  • 10cm x 10cm

  • 10cm x 20cm

Acticoat 7

View adult BNF View SPC online View childrens BNF
Non Formulary

Size



  • 10cm x 12.5cm

  • 15cm x 15cm

Advadraw

View adult BNF View SPC online View childrens BNF
Non Formulary

Sizes



  • 0.5cm x 40cm

  • 10cm x 11cm

  • 10cm x 15cm

Allevyn (Tracheostomy) 9 x 9

View adult BNF View SPC online View childrens BNF
Non Formulary
Aquacel

View adult BNF View SPC online View childrens BNF
Non Formulary

Size



  • 4cm x 10cm

  • 4cm x 20cm

  • 4cm x 30cm

  • 10cm x 10cm

  • 15cm x 15cm

  • 5cm x 5cm


 

Aquacel Ag

View adult BNF View SPC online View childrens BNF
Non Formulary

Size



  • 10cm x 10cm

  • 15cm x 15cm

  • 2cm x 45cm

  • 5cm x 5cm

Aquacel Ribbon 2 x 45

View adult BNF View SPC online View childrens BNF
Non Formulary
Aquaform 8g

View adult BNF View SPC online View childrens BNF
Non Formulary
C View

View adult BNF View SPC online View childrens BNF
Non Formulary

Size



  • 10cm x 12cm

  • 15cm x 20cm

  • 20cm x 30cm

  • 6cm x 7cm

Comfeel Plus (thin) Transparent Dressing

View adult BNF View SPC online View childrens BNF
Non Formulary

Size



  • 5cm x 7cm

  • 9cm x 4cm

  • 10cm x 10cm

  • 15cm x 15cm


 

Duoderm Signal Dressing

View adult BNF View SPC online View childrens BNF
Non Formulary

Sizes



  • 10cm x 10cm

  • 14cm x 14cm

Iodoflex 17g

View adult BNF View SPC online View childrens BNF
Non Formulary
Lyofoam

View adult BNF View SPC online View childrens BNF
Non Formulary

Sizes



  • 10cm x 10cm

  • 7.5cm x 7.5cm

Mepilex

View adult BNF View SPC online View childrens BNF
Non Formulary

Sizes



  • 10cm x 11cm

  • 15cm x 16cm

Mepilex Border

View adult BNF View SPC online View childrens BNF
Non Formulary

Sizes



  • 10cm x 12.5cm

  • 7cm x 7.5cm

Mepilex Border lite

View adult BNF View SPC online View childrens BNF
Non Formulary

Sizes



  • 7.5cm x 7.5cm

  • 10cm x 10cm

Mepilex lite 10 x 10

View adult BNF View SPC online View childrens BNF
Non Formulary

Sizes



  • 10cm x 10cm

  • 15cm x 15cm

Mepitel

View adult BNF View SPC online View childrens BNF
Non Formulary

Size



  • 12cm x 15cm

  • 5cm x 7.5cm

  • 8cm x 10cm

Mesitran (Honey ointment) 15g

View adult BNF View SPC online View childrens BNF
Non Formulary
Mesitran S (Honey ointment) 15g

View adult BNF View SPC online View childrens BNF
Non Formulary
Mesorb

View adult BNF View SPC online View childrens BNF
Non Formulary

Size



  • 10cm x 10cm

  • 10cm x 15cm

  • 10cm x 20cm

  • 15cm x 20cm

  • 20cm x 25cm

  • 20cm x 30cm

N/A Ultra dressing

View adult BNF View SPC online View childrens BNF
Non Formulary

Sizes



  • 9.5cm x 9.5cm

  • 9.5cm x 19cm

Prontosan Solution

View adult BNF View SPC online View childrens BNF
Non Formulary

Products



  • Wound gel 30ml

  • Solution 350ml bottle

Release dressing

View adult BNF View SPC online View childrens BNF
Non Formulary

Size



  • 10cm x 10cm

  • 10cm x 20cm

  • 5cm x 5cm

Sorbsan Flat

View adult BNF View SPC online View childrens BNF
Non Formulary

Size



  • 10cm x 10cm

  • 10cm x 20cm

  • 5cm x 5cm

Sorbsan Packing 2g

View adult BNF View SPC online View childrens BNF
Non Formulary
Sorbsan Ribbon 40

View adult BNF View SPC online View childrens BNF
Non Formulary
Steripaste 7.5 x 6m

View adult BNF View SPC online View childrens BNF
Non Formulary
Tegaderm 10 x 12

View adult BNF View SPC online View childrens BNF
Non Formulary
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

Secondary care only, not to be prescribed in primary care.   

Amber 2

Specialist initiation with shared care guidance Medicines which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a specific Shared Care (SC) Guideline. Prescribing may be continued in primary care in line with a shared care guideline   

Amber with Shared Care

Specialist initiation with shared care guidance Medicines which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a specific Shared Care (SC) Guideline. Prescribing may be continued in primary care in line with a shared care guideline   

Amber

Considered suitable for primary care prescribing following specialist initiation/recommendation.  

Green

Considered appropriate for prescribing in both secondary and primary care. Suitable for initiation in primary care.   

netFormulary