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Shropshire and Telford Local Health Economy
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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19.18  Expand sub section  Protease Modulators
Aquacel Extra
(5cm x 5cm
10cm x 10cm
15cm x 15cm
4cm x 10cm
4cm x 10cm)
View adult BNF View SPC online View childrens BNF
Formulary
Green

 

Use

Moderate to heavy exuding wounds.
May be used on clinically infected wounds.
Is recognised to be a protease modulating dressing

Application

Apply directly onto wound, overlapping the surrounding skin by 2 cm.
Requires a secondary dressing.

Tips

Can be left for a maximum of 7 days, however needs to be changed when fully saturated.

Avoid

Do not use on dry wounds.
DO NOT USE IN CONJUNCTION WITH HYDROGELS

 

 
   
Aquacel Ribbon
(1cm x 45cm
2cm x 15cm)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Use

Moderate to heavy exuding cavity wounds.
Can be left for a maximum of 7 days, however needs to be changed when fully saturated.

Application

Apply directly onto wound or cavity, overlapping the excess if required. Requires a secondary dressing.

Tips

Not suitable for infected wounds

Avoid

Do not use on dry wounds.
DO NOT USE IN CONJUNCTION WITH HYDROGELS

 

 
   
Exufiber
(5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 30cm
2cm x 45cm
4.5cm x 30cm)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Use

Unique fibre dressing with patented Hydrolock technology for a wide range of exuding wounds. Leg and foot ulcers, pressure ulcers, partial thickness burns, surgical wounds, donor sites, malignant wounds.

Application

The dressing should cover the entire wound. It should overlap the surrounding skin by 1-2 cm for the smaller sizes and 5 cm for the larger sizes. Loosely pack ribbon or sheet to allow room for swelling of the dressing.

Tips

Can be used under compression therapy.

Avoid

Do not use on dry wounds or full thickness burns.

 

 
   
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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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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
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, 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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