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Shropshire, Telford and 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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19.10  Expand sub section  Foams
Aquacel Foam Adhesive
(8cm x 8cm
8cm x 13cm
10cm x 10cm
10cm x 20cm
10cm x 30cm
12.5cm x 12.5cm
17.5cm x 17.5cm
21cm x 21cm
25cm x 30cm
19.8cm x 14cm HEEL
20cm x 16.9cm SACRAL
24cm x 21.5cm SACRAL)
View adult BNF View SPC online View childrens BNF
Formulary
Green

 

Use

Management of acute and chronic exuding wounds – leg ulcers, pressure ulcers (II to IV), diabetic ulcers, post-op surgical wounds, partial thickness burns, traumatic wounds, exudate absorption in oncology wounds (fungating cutaneous tumours, cutaneous metastases and Kaposi’s sarcomas). May be used as a primary or secondary dressing and can be cut to shape and size. If the adhesive dressing is cut, additional tape may be required to secure it in place.

Application

Before applying the dressing cleanse the wound area with an appropriate wound cleanser and dry the surrounding skin. Choose a dressing size and shape to ensure that the central absorbent pad (area within the adhesive window) is 1 cm larger than the wound area. Change when clinically indicated, maximum recommended wear time is up to 7 days.

Tips

Use Aquacel foam dressing with Aquacel Extra dressing to provide extra absorbency on wounds with heavy exudate. Non adhesive range is available if required.

Avoid

Use with hydrogel.

 

 
   
Aquacel Foam Non-Adhesive
(5cm x 5cm
10cm x 10cm
15cm x 15cm
15cm x 20cm
20cm x 20cm)
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Formulary
Green

For patients with silicone sensitivity or for use under compression

 
   
FoamLite adhesive
(5cm x 5cm
8cm x 8cm
10cm x 10cm
15cm x 15cm
5.5cm x 12cm
10cm x 20cm)
Formulary
Green
 
   
Mepilex
(5cm x 5cm
13cm x 20cm HEEL)
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Formulary
Green

Use

Mepilex is a soft silicone contact layer with a film backing and safetac technology, designed to treat a wide range of low to moderate exuding acute and chronic wounds in all healing stages.

Application

Apply as a primary or secondary dressing suitable for leg and foot ulcers, pressure ulcers and traumatic wounds.

Tips

Non-traumatic to the wound and surrounding skin on removal.
Can be used in conjunction with compression therapy.

Avoid

Avoid heavily exuding wounds.

 

 
   
Mepilex Border
(7cm x 7.5cm
10cm x 12.5cm
10cm x 20cm
15cm x 17.5cm
18cm x 18cm SACRUM
18.5cm 24 cm HEEL)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Use

 

Low to moderate exudate. For use on fragile skin. Reduces pain and trauma during dressing changes.
Leg ulcers, pressure ulcers, diabetic ulcers.

Application

 

Apply directly to wound bed.
Will require bandage or fixing tape.

Tips

 

Easier to apply with moistened gloved hands.
Leave at least 2 cm around wound.
May be useful if patient is highly sensitised.
Contains silicone.
Can be cut to fit unusual locations.
To be cost effective may be left in place for 7 days without removing.

Avoid

Dry or heavily exuding wounds.
Avoid very dry skin.
Avoid using on patients with known silicone allergy.
Do not use when NA Ultra could be used.

 

 
   
Mepilex XT
(10cm x 11cm
15cm x 16cm)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Use

Mepilex XT is a soft, conformable foam dressing with safetac technology, designed to treat a wide range of low to moderate exuding acute and chronic wounds in all healing stages.

Application

Apply as a primary or secondary dressing suitable for leg and foot ulcers, pressure ulcers and traumatic wounds.

Tips

Non-traumatic to the wound and surrounding skin on removal.
Can be used in conjunction with compression therapy.

Avoid

Avoid heavily exuding wounds.

 

 
   
 ....
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
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Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
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NHSE
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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, Consultant Prescribing ONLY or by Tertiary Centres ONLY where indicated in the text. 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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