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NHS Shropshire CCG
NHS Telford & Wrekin CCG
Shrewsbury and Telford Hospitals NHS Trust
Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
Shropshire Community Health NHS Trust
 
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 Formulary Chapter 19: Wound Care Formulary - Full Chapter
Notes:

Approved by:
Shropshire Community Health NHS Trust, Telford & Wrekin CCG and Shropshire

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19.06  Expand sub section  Compression Bandage
Actico 2c  (Leg Ulcer Kit)
(18-25mm
25-32mm)
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Formulary
Green

Use

Compression therapy for venous ulcers, with or without uncomplicated chronic oedema. Suitable for mobile and immobile patients. A two component latex free leg ulcer kit. Comfort layer 1 with foam padding and compression layer 2 inelastic cohesive compression layer.

Application

Always measure above the malleoli at each application. Doppler assessment required prior to the application of compression therapy.

Tips

Latex free.
Apply as manufacturer’s instructions.
May be left in place for 7 days.
Ensure 50% overlap exact and no 'windows' or the pressure will be uneven.
Always bandage foot and ankle with 'toes to nose'.

Avoid

Any form of compression bandaging should not be undertaken without prior education and competency assessment.
Not suitable for anybody with an ankle circumference of <18cm.
Arterial disease, arterial ulcers, diabetes and those with small vessel disease, leg swelling.

 

 
   
Actico Cohesive Bandage (compression bandage - short stretch)
(4cm x 6m
8cm x 6m
10cm x 6m
12cm x 6m)
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Formulary
Green

Use

Venous leg ulceration and lymphoedema.
For use with those that are mobile/limited mobility, i.e. able to walk to the toilet independently.

Application

Applied at full stretch using spiral bandage method as per manufacturer’s instructions.
Doppler assessment required prior to the application of compression therapy.

Tips

Apply as manufacturer’s instructions.
May be left in place for 7 days.
For oedema/lymphoedema management a 4 cm x 6 m and a 6 cm x 6 m are available.

Avoid

Any form of compression bandaging should not be undertaken without prior education and competency assessment.
Arterial disease, arterial ulcers, diabetes and those with small vessel disease.

 

 
   
Flex-Ban (Short stretch bandage)
(10cm x 3.5m)
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Formulary
Green

Use

Primary layer of compression bandaging.

Application

Apply in a spiral with 50% overlap from toe to knee.
Apply as manufactures instructions.

Tips

May be left in place for 7 days.

Avoid

May require stockinette prior to application if allergies to the wadding are identified or suspected.

 

 
   
Ko-Flex Bandage
(10cm x 6m)
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Formulary
Green

Retained as top layer for components

 
   
K-Plus bandage
(10cm x 8.7m)
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Formulary
Green
 
   
K-Soft
(10cm x 3.5m)
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Formulary
Green
 
   
UrgoKTwo (Multi-layer compression bandage kit)
(0 (short)
18-25cm (8cm)
25-32cm (8cm)
18-25cm (10cm)
25-32cm (10cm)
18-25cm (12cm)
25-32cm (12cm))
View adult BNF View SPC online View childrens BNF
Formulary
Green

Use

Compression therapy for venous ulcers and chronic oedema.

Application

Always measure above the malleoli at each application. Doppler assessment required prior to the application of compression therapy.

Tips

Apply as manufacturer’s instructions.
May be left in place for 7 days.
Ensure 50% overlap exact and no 'windows' or the pressure will be uneven.
For 18 – 25 cm, keep performance indicator at top edge of bandage. Always bandage foot and ankle with 'toes to nose'.
For reduced ABPI results K-two ‘Reduced’ compression system is available- please seek advice from Tissue Viability Team before application.

Avoid

Any form of compression bandaging should not be undertaken without prior education and competency assessment.
Arterial disease, arterial ulcers, diabetes and those with small vessel disease, with known latex allergy – seek specialist advice.
Avoid overstretching the performance indicator.

 

 
   
UrgoKTwo Latex-Free (Multi-layer compression bandage kit)
(18-25cm (10cm)
25-32cm (10cm))
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
UrgoKTwo Reduced (Multi-layer compression bandage kit)
(18-25cm (10cm)
25-32cm (10cm))
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
UrgoKTwo Reduced Latex-Free (Multi-layer compression bangage kit)
(18-25cm (10cm)
25-32cm (10cm))
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
 ....
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

Green

Suitable first-line drugs for implementation in Primary Care  

Amber

These medicines are considered suitable for prescribing in Primary Care following specialist (consultant or GPwSI) initiation or recommendation. Some of these medicines may require on-going communication between the Secondary Care specialist and the Primary Care prescriber using Prescribing Information (PI) or through the use of an Effective Shared Care Agreement (ESCA) and this will be indicated in the text.  

Red

Drugs which require special consideration. These are drugs for use in Secondary Care ONLY or for Consultant Prescribing ONLY where indicated. They should not be prescribed in Primary Care.  

Black

Medicines classified in the BNF as 'not NHS' or are considered by the Area Prescribing Committee to be of low clinical value should not be prescribed  

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