WOUND

MANAGEMENT FORMULARY

Bedfordshire
Wound Care
Interest Group

2010
 Bedfordshire Wound Care Formulary

Contents Page No

Introduction 35

Index BNF listing of formulary products for general use

Section 1 6

Section 1: Dressings 7 35

Index BNF listing of formulary products for general use

section 2 36

Section 2: Dressing material/skin

protection/tapes/saline 37 40

Index BNF listing of formulary products for general use

but that may require special training 41
section 3

Section 3: Bandages 42 - 44

Index BNF listing of formulary products that are used

as treatments and require adherence to guidelines 45
section 4

Section 4 Treatments 46 - 58

Local Guideline on use of Silver Dressings 46

Algorithm for managing wound infection 48

Copy of new dressing evaluation form 61

Company directory list of companies whose products

are included on formulary 65 - 66

References and list of useful addresses for wound care

Advice/information 67

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 Bedfordshire Wound Care Formulary
Introduction

Welcome to the Bedfordshire wound management formulary for 2010/2011; we hope you find it a
helpful resource in your everyday practice. Wound care is a large part of our work and we need to
justify our clinical decisions and expenditure on wound management products. The local wound care
leads have taken on the responsibility for updating the formulary. We continue to work very closely
with colleagues through professional group meetings and informal contacts.

Wound Care Leads:

Sylvia Leonard sylvia.leonard@ldh.nhs.uk Luton & Dunstable Hospital NHS

Foundation Trust
Denise Freshwater denise.freshwater@bedfordshire.nhs.uk Bedfordshire Community Health
Services
Clare Lazelle clare.lazelle@bedfordshire.nhs.uk Bedfordshire Community Health
Services
Janice Little janice.little@luton-pct.nhs.uk Luton Community Services

Sarah Bunn Sarah.bunn@ luton-pct.nhs.uk Luton Community Services

Melanie Barlow melanie.barlow@bedfordhospital.nhs.uk Bedford Hospital NHS Trust

Who are members of local, national and international wound care groups including:

Wound Care Society

Tissue Viability Society
European Pressure Ulcer Advisory Panel
European Wound Management Association
Beds. &Herts. Tissue Viability Nurses Forum (which has strong links with the University of
Hertfordshire)
Leg Ulcer Forum

Aims of Formulary:

Promoting evidence based practice by providing a framework within which it is safe to practice.
Promoting continuity of care.
Promoting rational prescribing.
Supporting the practical application of nurse prescribing.
Encouraging safe, effective and appropriate use of dressings.
Cost effectiveness.
(Wound Care Society Dressing Selection 2003)

As with some other areas of clinical practice it is hard to find evidence from well controlled,
randomised trials evaluating the clinical and cost effectiveness of dressings.

A majority of evidence would be listed as grade 3 multiple patient studies and local evaluation of
new products as per page 59 (New Dressing Evaluation Form)

Rationale for this formulary:

We looked at formularies from other areas, a baseline list of what was being currently used across the
whole of Bedfordshire in both primary and secondary care settings. Evidence was examined and we
agreed by consensus what to include, preference being given to those products with the highest
ranked evidence, or validated by respected expert opinion or endorsed by the wound care
organisations.

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 Bedfordshire Wound Care Formulary

Whilst in 1994 there were 40 dressings available on the NHS, the number of dressings coming onto
the market annually is now around 50 plus. It is difficult to be proficient in the use of so many products
and that is the reason we have selected a range to meet most of our patients needs.

Clinicians, using any dressing need to be familiar with its properties and it is essential that they have
read the manufacturers instructions. Attention needs to be paid to the recommended wear time; if you
are required regularly to change dressings, before this time you may like to consider if the dressing is
the most appropriate in both clinical and financial terms. Dressings are not able to heal wounds only
to provide the correct environment; you need to make the correct assessment and ensure the wounds
are moving along the healing continuum.

The designed framework is intended to help you choose the most appropriate dressing for each
wound. Before applying any dressing the nurse needs to ask the following questions:
What is the action of the dressing?
When should it be used?
What are the limitations/contra-indications to its use?
Do I know the correct method of application and removal?
Do I have sufficient knowledge of the dressing and have I been trained to use it? (Benbow, 2004)

Meetings with representatives

Sponsorship from the pharmaceutical industry may come in a number of forms such as provision
of free services (e.g. speakers), equipment, NHS research etc. The Association of British
Pharmaceutical Industry guidelines should be adhered to.
You must declare gifts over the value of 25 to your line manager; also you must declare if several
small gifts received total over 100 from the same or closely related source over a 12 month period.
It is recommended that free samples of products should not be accepted, and should not be not be
used for patient care. (As directed by Medicine Management Policy)

It is good practice to keep a hospitality register of all representatives that visit, and inform your direct
manager. If a representative wishes to donate products for evaluation, we would ask that you refer
them to a member of the formulary group in order that all products are evaluated in a systematic
manner. Training to support the formulary will be delivered by local wound care lead nurses and
company reps invited to demonstrate dressing application.

Educational meetings on the use of formulary products can be a valuable source of information.
Company representatives whose products are on the formulary will be able to provide education and
support for those products. They are listed with contact telephone numbers on page 63-64. Some of
the bigger companies provide independent wound care help lines that can be a valuable source of
advice.

Introduction of new products onto formulary

The wound care leads will continue to communicate with staff informally and formally at professional
meetings; also via the non- medical prescribing newsletter, we welcome comments and suggestions
for improvement at any time. We want the formulary to be user friendly and dynamic and will provide
training to support the selection and use of different dressings. We plan to have The Formulary on all
Trust websites.

New evidence

The wound-care group will coordinate the evaluation of new dressings, The nurses will be expected to
return feedback sheets when using samples and this feedback may be positive or negative.

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 Bedfordshire Wound Care Formulary
Each feedback sheet will be coded and a product will not be considered for inclusion onto the
formulary unless a representative return is received.
The wound care group will use the following process:
Critical appraisal of published clinical papers
Collation of results from the practical use of the products
Cost effective comparison to products already on formulary
We believe that dressings should be chosen because of the weight of supporting evidence rather than
the weight of the manufacturers promotional effort.
Wound Care Leads will organise a steering group who will meet on a quarterly basis to discuss
progress and consider any new proposals from industry and formulary users. The wound care leads
will set up a series of appointments for representatives to present products along with evidence for
consideration to the steering group. Proposals will not be considered until Spring 2010 to allow
time for the new formulary to be assimilated into practice. Trials will then be able to run using
identified format to be considered for the updating of the formulary in September 2010.
Proposals must be presented before the meeting using the agreed format.
At these meetings agreements by consensus will be made to either:
1. Accept proposal then we would facilitate other areas of care to trial, using relevant paper
work.
2. Reject proposal due to lack of evidence or that the product is considered to be so similar to
other products already on formulary as to offer no significant benefit.

Steering Group

This will consist of the wound care leads plus nursing or other staff who have an interest in wound
care. Pharmaceutical advisors from all organisations have assisted in the formation of this formulary
and we will have a hospital and community pharmacist on the steering group.

The formulary is separated into 4 sections for ease of use and to provide guidance for
dressing selection.

Section 1: Dressings Formatted to help nurses choose the correct dressing for the specific
wound.
Section 2: Tapes and skin care products
Section 3: Bandages - Apart from bandages used to secure dressings, other bandaging i.e.
compression treatment is subject to local and national guidelines and staff need to be trained to
assess and apply compression. The companies who provide these bandages are working with us to
support that training.
Section 4 Treatments for complex or difficult to heal wounds, including silvers, other antimicrobials
and larvae therapy. Before prescribing from this section it is strongly recommended that the nurse
follows the European Wound Management Association (EWMA) Position Documents:

Identifying criteria for wound infection

Management of wound infection (an algorithm from this
document included as appendix *)
Wound care leads will be happy to advise / support in the treatment for these patients.

Luton lead nurses would like to acknowledge the work previously undertaken by Bedfordshire in
creating this wound care formulary and are grateful for the support of the Luton Formulary committee.

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 Bedfordshire Wound Care Formulary

BNF listing of formulary products for general prescribing

Section 1 BNF Product Type

Dressings BNF A8.2.6 Alginate dressings

Kaltostat

BNF A8.2.5 Foam dressings

Allevyn Adhesive (including sacral)
Allevyn non-adhesive, including heel
Allevyn Plus
Allevyn Cavity
Allevyn Cavity Plus
Allevyn gentle
Allevyn gentle border
Mepilex
Mepilex Border
Mepilex Border lite
Mepilex Border sacrum
Mepilex Heel
Mepilex Lite

BNF A8.2.1 Hydrogels

Intrasite gel
Intrasite conformable
Actiform Cool

BNF A8.2.4 Hydrocolloid dressings

Duoderm extra thin
Duoderm Signal

Hydrofibre dressings
Aquacel
Versiva XC

BNF A8.1.1 Low adherence dressings

Atrauman
Mepore
N-A Ultra
Mepitel

*Awaiting BHTVN forum *Absorbant cellulose dressings

consensus and Mesorb/Zetuvit E Mesorb
Zetuvit E

BNF A8.2.8 Odour absorbent dressings

Carboflex
BNF A8 2.7
Rapid capillary action
Advadraw

Vapour permeable films and

BNF A8.2.2
membranes
C-view
Opsite post-op Visable
Tegaderm
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 Bedfordshire Wound Care Formulary

Section 1

Product: Kaltostat, Convatec

Wound Type Tissue Type Exudate levels
Trauma Granulating Moderate
Donor Sites Sloughy High
Fungating Lesions
Secondary Dressing
USES

Properties Avoid Required?

Dry wounds
A Absorbs Minimal exudate
L Haemostasis YES
Necrotic
G wounds
I Eschar
N Each Dressing
A Flat Primary Care Dressings Per Box
T
E
SIZES & PRICES

5cm x 5cm 89p x10

7.5cm x 12cm 1.94 x10

10cm x 20cm 3.80 x10

15cm x 25cm 6.53 x10

2 gram wound
packing/rope 3.56 x5

Apply dry next to the wound, or above a low adherent dressing to make
APPLICATION

removal easier in very friable wounds

Change every 2-3 days; maximum 7 days
Change Donor sites as per surgeons instructions
Highly exuding wounds may need daily change

Do not wet before applying to the wound

Needs changing when there is strikethrough on secondary dressing
Needs to be in place for at least 24 hours to form gel in contact with
TIPS

wound exudate
Gel can be removed by irrigation with warmed saline solution
Lightly fill wound

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 Bedfordshire Wound Care Formulary

Product: Allevyn Adhesive Smith & Nephew

(including sacral)
Wound Type Tissue Type Exudate levels
Pressure Ulcers Necrotic Low
Leg ulcers Sloughy Moderate
Malodorous Granulating
Infected

Secondary
USES

Properties Avoid Dressing

Absorbs Dry Required?
Protects wounds
Minimal
exudate NO
Eschar
Tissue
paper skin
Each Dressing
Dressings Per
Primary Care
Box

F 7.5cm x 7.5cm 1.42 x10

O
SIZES & PRICES

10cm x 10cm 2.08 x10

A
12.5cm x 12.5cm 2.55 x10
M
17.5cm x 17.5cm 5.03 x10
12.5cm x 22.5cm 3.97 x10
22.5cm x 22.5cm 7.33 x10
Sacral 17cm x 17cm 3.77 x10
Sacral 22cm x 22cm 5.43 x10
APPLICATION

Apply directly to the wound surface

Can be left in place for up to 7 days if not infected.
Infected or sloughy wounds should be re-dressed more
frequently
TIPS

A 2cm overlap around the wound is advisable

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 Bedfordshire Wound Care Formulary

Product: Allevyn Non-adhesive Smith & Nephew

(including heel)
Wound Type Tissue Type Exudate levels
Pressure Ulcers Necrotic Low
Leg ulcers Sloughy Moderate
Malodorous Granulating Heavy
Infected
USES

Secondary Dressing
Properties Avoid Required?
Dry
Absorbs wounds
Protects Eschar NO

Each Dressing
Primary Care Dressings Per Box
SIZES & PRICES

5cm x 5cm 1.20 x10

F 10cm x 10cm 2.38 x10
O 10cm x 20cm 3.83 x10
A
M 20cm x 20cm 6.39 x10
Heel 10.5cm 4.78 x5
x13.5cm
Apply directly to the wound surface
Needs retention bandage, stockinette or tape
APPLICATION

Can be left in place for up to 7 days if not infected.

Infected or sloughy wounds should be re-dressed more
frequently

A 2cm overlap around the wound is advisable

TIPS

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 Bedfordshire Wound Care Formulary

Product: Allevyn Plus Smith & Nephew

Adhesive
Wound Type Tissue Type Exudate levels
Pressure Ulcers Necrotic Moderate
Leg ulcers Sloughy Heavy
Malodorous Granulating
Infected
USES

Secondary Dressing
Properties Avoid Required?
Absorbs Dry
Protects wounds
Eschar NO

Each Dressing
Primary Care Dressings Per Box
SIZES & PRICES

12.5cm x 12.5cm 3.14 x10

F
O
A 17.5cm x 17.5cm 6.05 x10
M sacrum
12.5cm x 22.5cm 5.56 x10

See Allevyn Adhesive, has higher absorbency capacity

APPLICATION

See Allevyn Adhesive

TIPS

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 Bedfordshire Wound Care Formulary

Product: Allevyn cavity Smith & Nephew

Wound Type Tissue Type Exudate levels
Pressure Ulcers Necrotic Moderate
Cavity Sloughy Heavy
Dehisced Granulatin
g
Infected
Secondary Dressing
USES

Properties Avoid Required?

Absorbs Dry
wounds
Minimal YES
exudate
Necrotic
wounds
Eschar
F Each Dressing
O Primary Care Dressings Per Box
SIZES & PRICES

A
Circular 5 cm 3.94 x10
M
diameter
Circular10 cm 9.39 x5
diameter
Tubular 9 x 2.5 cm 3.82 x10
Tubular 12 x 4 cm 6.73 x5
APPLICATION

Apply directly into the wound cavity

Can be left in place for up to 3-4 days for non-infected
wounds
Infected or sloughy wounds should be re-dressed
more frequently

These dressings have the appearance of teabags so

are easily removed from cavities.
TIPS

They are full of foam so have capacity to hold large

amounts of exudate, as they expand in use.

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 Bedfordshire Wound Care Formulary

Product: Allevyn cavity Plus Smith & Nephew

Wound Type Tissue Type Exudate levels
Pressure Necrotic Moderate
Ulcers Sloughy Heavy
Cavity Granulating
Dehisced Infected
Secondary Dressing
Properties Avoid
USES

Required?
Absorbs Dry
wounds YES
Minimal
exudate
Necrotic
wounds
Eschar
Each Dressing
Primary Care Dressings Per Box
SIZES & PRICES

F 5cm x 6cm 1.77 x10

O
A 10cm x 10cm 2.95 x5
M
15cm x 20cm 5.90 x3

Apply and only half fill the wound as will expand to fill
wound.
APPLICATION

Can be left in place in non-infected wounds up to 3-4

days

Can be cut to size to fit into cavities

TIPS

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 Bedfordshire Wound Care Formulary

Product: Allevyn gentle Smith & Nephew

Wound Type Tissue Type Exudate levels
Pressure Ulcers Granulating Low
Leg ulcers Infected Moderate
Malignant wounds
Surgical wounds
Burns
USES

Skin tears
Secondary
Properties Avoid Dressing
Absorbs Dry Required?
Protects wounds
Suitable for use on Under YES
fragile skin compressi
on
Each Dressing
Primary Care Dressings Per Box

F 5cm x 5cm 1.23 x10

SIZES & PRICES

O
10cm x 10cm 2.43 x10
A
M
10cm x 20cm 3.91 x10

15cm x 15cm 4.40 x10

20cm x 20cm 6.52 x10

Apply directly to the wound surface.

APPLICATION

Needs retention bandage, stockinette or tape.

Can be left in place for up to 7 days if not infected.
Infected or sloughy wounds should be re-dressed more
frequently.

Can be cut to size to fit into cavities

TIPS

A 2cm overlap around the wound is advisable

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 Bedfordshire Wound Care Formulary

Product: Allevyn gentle Border Smith & Nephew

Wound Type Tissue Type Exudate levels
Pressure Ulcers Granulating Low
Leg ulcers Infected Moderate
Malignant
wounds
Surgical wounds
Burns
USES

Skin tears
Secondary
Properties Avoid Dressing Required?
Absorbs Dry
Protects wounds No
Suitable for use on Under
fragile skin compress
ion
Each Dressing
Primary Care Dressings Per Box

F 7.5cm x 7.5cm 1.43 x10

SIZES & PRICES

O
A 10cm x 10cm 2.44 x10
M
12.5cm x 12.5cm 3.14 x10

17.5cm x 17.5cm 6.11 x10

Heel 23cm x 23cm 8.95 x5

Apply directly to the wound surface.

APPLICATION

Can be left in place for up to 7 days if not infected.

Infected or sloughy wounds should be re-dressed more
frequently.

A 2cm overlap around the wound is advisable

TIPS

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 Bedfordshire Wound Care Formulary

Product: Mepilex + Mepilex Heel Mlnlycke Healthcare Ltd.

Wound Type Tissue Type Exudate levels

Leg + foot ulcers Any non- infected Low to moderately exuding

Pressure ulcers tissues. Especially
Painful wounds fragile or damaged
Wounds with fragile skin skin
USES

Properties Avoid Secondary Dressing

Required?
Safetac soft Patients
silicone wound with known No
contact layer tacks allergy to
to skin without silicone.
leaving residue. Heavily
F Absorbent foam. exuding
O wounds
A Each Dressing
M Primary Care Dressings Per Box
SIZES & PRICES

10x11cm 2.55 x5
11x20cm 4.21 x5
15x16cm 4.62 x5
20x21cm 6.98 x5
20x50cm 27.44 x2
Mx Heel 13x20cm 5.19 x5
Mx Heel 15x22cm 5.94 x5
APPLICATION

Clean the wound area. Remove the release film.

Mepilex should overlap the wound bed by at least 2cm onto the
surrounding skin.
Apply the adherent side to the wound. Do not stretch.
When necessary, secure Mepilex with a bandage or other fixation.

Can be used under compression. Conforms well to body contours.

Ideal for cutting to fit difficult to dress areas.
TIPS

Mepilex heel conforms to the skin reducing the risk of pooling and can
be worn under most footwear.

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 Bedfordshire Wound Care Formulary

Product: Mepilex Border & Mlnlycke Healthcare Ltd.

Border Sacrum
Wound Type Tissue Type Exudate levels

Pressure ulcers Any non Moderate to high

Leg and foot ulcers infected wound.
Painful Wounds Especially
Wounds with wounds with
compromised/fragile fragile skin
surrounding
USES

Secondary
Properties Avoid Dressing
Self-adherent Patients with Required?
Minimises trauma and known silicone
pain during dressing allergy
No
changes Epidemolysis
Minimises the risk of Bullosa patients
F maceration (Mepilex lite is
O Promotes patient preferred)
A comfort during wear
M Can be used under
compression bandages
Each Dressing
Primary Care Dressings Per Box
SIZES & PRICES

7cm x 7.5cm 1.32 x5

10cm x 12.5cm 2.61 x5
10cm x 20cm 3.54 x5
10cm x 30cm 5.32 x5
15cm x 17.5cm 4.49 x5
17cm x 20cm 5.82 x5
MxB sacrum 18cm x18cm 4.65 x5
MxB sacrum 23cm x23cm 7.58 x5
APPLICATION

Clean the wound area. Remove the release film. 2. Apply the adherent
side to the wound. Do not stretch.

Up to 7 day wear time

TIPS

Viral proof backing film

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 Bedfordshire Wound Care Formulary

Product: Mepilex Border Lite Mlnlycke Healthcare Ltd.

Wound Type Tissue Type Exudate levels
Diabetic foot ulcers Any non-infected Non to low
Wounds with tissue exuding wounds
compromised/fragile Especially wounds
surrounding skin with fragile skin
Painful wounds
Acute wounds
Surgical wounds
USES

Secondary
Properties Avoid Dressing
Atraumatic to the Patients with known Required?
wound bed and allergy to silicone
surrounding skin on
removal
No
Moderate to heavily
Reduces risk of exuding wounds
Maceration
. Viral & bacterial proof
F film backing
O
A
SIZES AND PRICES

Each Dressing
M Primary Care Dressings Per Box

4cm x 5cm 0.90 x10

7.5cm x7.5cm 1.36 x5
5cm x 12.5cm 1.96 x5
10cm x 10cm 2.47 x5
15cm x 15cm 4.03 x5
APPLICATION

Clean the wound area. Remove the release film.

Apply the adherent side to the wound.
Do not stretch.

Shower proof
TIPS

Breathable

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 Bedfordshire Wound Care Formulary

Product: Intrasite Gel, Smith &Nephew

Wound Type Tissue Type Exudate levels
Pressure ulcers Necrotic Low
Leg Ulcers Eschar Moderate
Malodorous Sloughy
Cavity Granulating
Epithelialising
USES

Secondary Dressing
Properties Avoid Required?
Debrides Heavily exuding
Hydrates wounds YES
Sensitivity to
propylene glycol
H
Y
SIZES & PRICES

D Primary Care
Per Box
R Each Sachet
O
G 8g 1.69 x10
E 15g 2.26 x10
L 25g 3.36 x10
APPLICATION

Gel must be applied to a minimum depth of 5mm to prevent

drying out at the edges
Secondary dressing required

Use in conjunction with Hydrocolloid to protect surrounding skin

from maceration.
TIPS

Hydrogels are strictly single use items

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 Bedfordshire Wound Care Formulary

Product: Intrasite Smith &Nephew

Conformable
Wound Type Tissue Type Exudate levels
Pressure ulcers Necrotic Low
Surgical wounds Eschar Moderate
Malignant Wounds Sloughy
Cavity Granulating
Epithelialising
Secondary Dressing
Properties Avoid Required?
USES

Debrides Heavily exuding YES

Hydrates wounds
Sensitivity to
H propylene glycol
Y Use on cracked
D nipples
R
O
G
E
L Each Dressing
SIZES & PRICES

Primary Care Dressings Per Box

10cm x 10cm 1.69 x10

10cm x 20cm 2.28 x10
10cm x 40cm 4.07 x10
APPLICATION

Apply dressing to loosely fill or cover the wound

Can be used on macerated skin

TIPS

Useful for packing deep cavity wounds

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 Bedfordshire Wound Care Formulary

Product: Actiform Cool Activa Healthcare

Wound Type Tissue Type Exudate levels
Pressure ulcers Necrotic Low
Leg Ulcers Eschar Moderate
Blisters Sloughy High
Granulating
Epithelialising
USES

Secondary
Properties Avoid Dressing Required?
Debrides Heavily
Hydrates exuding
Protect wounds YES
Absorbs Drying out

H Each Dressing
Y Primary Care Dressings Per Box
SIZES & PRICES

D
R 5cm X 6.5cm 1.69 x5
O 10cm x 10cm 2.48 x5
G
E 10cm x 15cm 3.56 x3
L
20cm x 20cm 7.45 x3

Comes in sheet form that can be moulded to wound shape.

APPLICATION

Has the ability to absorb slough/exudates.

Will also donate fluid to wounds
Will aid granulation.
Remove clear backing sheet under compression and for
layering

Has been found to be beneficial in reducing pain.

Large sheets can become very heavy when full of exudate
TIPS

Reassess if bleeding occurs

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 Bedfordshire Wound Care Formulary

Product: Duoderm extra Convatec

thin
Wound Type Tissue Type Exudate levels
Pressure Ulcers Eschar Low
(category 1&2*) Sloughy Moderate
Leg ulcers Granulating
Surgical Epithelialising
USES

wounds
Secondary Dressing
Properties Avoid Required?
Debrides Heavily exudating
Hydrates wounds No
Promotes Diabetic foot ulcers
H
autolysis
Y Each Dressing
D Primary Care Dressings Per Box
R
SIZES & PRICES

O 7.5cm x 7.5cm 0.75 x5

C 10cm x 10cm 1.23 x10
O 15cm x 15cm 2.66 x10
L
5cm x 10cm 0.71 x10
L
O 9cm x 15cm 1.64 x10
I 9cm x 25cm 2.63 x10
D 9cm x 35cm 3.67 x10
APPLICATION

May be cut to fit

Has 7 day wear time
A 2cm overlap around the wound is advisable

Over-granulation may occur; if so, substitute with a foam dressing

Forms a gel bubble on contact with wound fluid
TIPS

Warm before applying to make dressing more pliable

Warn patients about unusual odour

*Please refer to the European Pressure Ulcer Advisory Panel (EPUAP) guidelines

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 Bedfordshire Wound Care Formulary

Product: Duoderm Signal Convatec

Wound Type Tissue Type Exudate levels
Pressure ulcers Eschar Low
(category 1&2*) Sloughy Moderate
Leg Ulcers Granulating
Epithelialising
USES

Secondary
Properties Avoid Dressing
Debrides Heavily exuding Required?
Hydrates wounds
H Promotes Diabetic foot ulcers NO
Y autolysis
D Each Dressing
R Primary Care Dressings Per Box
SIZES & PRICES

O
C 10cm x 10cm 1.98 x5
O 14cm x 14cm 3.48 x5
L 20cm x 20cm 6.91 x5
L 11cm x 19cm oval 2.99 x5
O 18.5cm x 18.5cm heel 4.86 x5
I 22.5cm x 20cm sacral 5.68 x5
D
APPLICATION

As Duoderm signal absorbs exudate it forms a gel bubble that

indicates time for change when it reaches the edges of the dotted
line, its translucency allows the wound to be observed.

Can stay in place for up to 7 days

Dry wounds will not bubble so should be changed every 7 days.

TIPS

Has tapered edges to reduce rucking which may increase wear-

time

*Please refer to the European Pressure Ulcer Advisory Panel (EPUAP) guidelines

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 Bedfordshire Wound Care Formulary

Product: Aquacel Convatec

Wound Type Tissue Type Exudate levels
Pressure ulcers Necrotic Moderate
Leg Ulcers Infected High
Malodorous Sloughy
Cavity Granulating
Diabetic Ulcer Epithelialising
USES

Secondary Dressing
Properties Avoid Required?

Absorbs Dry wounds YES

H
Y Protects
D Debrides
R
O Each Dressing
Primary Care Dressings Per Box
F
SIZES & PRICES

I 5cm x 5cm 1.09 x10

B
10cm x 10cm 2.59 x10
R
E 15cm x 15cm 4.88 x5
Ribbon 2cm x 45cm 2.61 x5
4cm x 10cm 1.39 x10
4cm x 20cm 2.05 x10
4cm x 30cm 3.08 x10
APPLICATION

Apply directly onto wound

A 2cm overlap around the wound is advisable
Lightly pack any cavities

Change when fully saturated

TIPS

Maximum 7 days

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 Bedfordshire Wound Care Formulary

Product: Versiva XC Convatec

Wound Type Tissue Type Exudate levels
Pressure ulcers Necrotic Moderate
Leg Ulcers Eschar High
Malodorous Sloughy
Granulating
Epithelialising
USES

Secondary
Properties Avoid Dressing
Required?
Absorbs Dry wounds
Protects No
Debrides

Each Dressing
Primary Care Dressings Per Box
H
Y
SIZES & PRICES

10cm x 10cm 2.35 x10

D
R 14cm x 14cm 3.16 x10
O 19cm x 19cm 5.05 x5
F 22cm x 22cm 5.61 x5
I
B Heel 5.61 x5
R Sacrum 6.02 x5
E
APPLICATION

Apply directly to wound bed

2cm overlap of the wound is advisable

Has 7 day wear time

TIPS

Replace if exudate about to breach adhesive border

Gels to form bubble on contact with wound exudate

24
 Bedfordshire Wound Care Formulary

Product: Atrauman Hartmann

Wound Type Tissue Type Exudate levels

Abrasions Granulating Dry
Burns Epithelialising Low
Skin tears
Leg Ulcers
Secondary
Dressing
USES

Required?
Properties Avoid

L YES
Non adherent Heavily exuding
O knitted polyester wounds
W impregnated
with neutral
A triglycerides
D
H
Each Dressing
SIZES & PRICES

E Primary Care Dressings Per Box

R
E 5cm x 5cm 24p x50
N
7.5cm x 10cm 26p x50
C
10cm x 20cm 58p x30
E
20cm x 30cm 1.58 x10
APPLICATION

Apply directly to the wound bed,

Atrauman can be left in place for up to 7 days & secondary

TIPS

dressing changed at strikethrough

Can be eased off with saline or water if required

25
 Bedfordshire Wound Care Formulary

Product: Mepore Mlnlycke Healthcare Ltd.

Wound Type Tissue Type Exudate levels
Surgical Granulating Low
Wounds Epithelialising
Abrasions
USES

Secondary Dressing
Properties Avoid Required?
Protects Heavily
exuding NO
wounds
L Each Dressing
O Primary Care Dressings Per Box
W
7cm x 8cm 0.10 x55
A
D 0.21 x40
SIZES & PRICES

10cm x11cm
H
0.34 x40
E 11cm x 15cm
R
0.42 x30
E 9cm x 20cm
N
0.58 x30
C 9cm x 25cm
E
0.72 x30
9cm x 35cm
0.66 x30
9cm x 30cm
APPLICATION

Apply directly to the wound

Change when strikethrough noticed
TIPS

Maybe left in place up to one week

26
 Bedfordshire Wound Care Formulary

Product: NA Ultra Systagenics

Wound Type Tissue Type Exudate levels

Leg Ulcers Granulating Low

Burns Epithelialising Moderate
Traumatic Skin cares
USES

Secondary
L Properties Avoid Dressing
O Non adherent Known Required?
W Wound contact sensitivity to
layer silicone YES
A
D Each Dressing
SIZES & PRICES

H Primary Care Dressings Per Box

E
R
9.5cm x 9.5cm 0.33 x40
E
N
9.5cm x 19 cm 0.63 x25
C
E
APPLICATION

Lasts up to 7 days
Will require secondary dressing and/or padding
Apply directly to wound bed

If adherent, may be loosened with warmed saline

Contains silicone
TIPS

27
 Bedfordshire Wound Care Formulary

Product: Mepitel Mlnycke Healthcare Ltd

Wound Type Tissue Type Exudate levels
Abrasions Granulating Dry
Burns Epitheliasing Low
Skin Tears
Leg Ulcers
L
Skin graft
USES

O
W fixation
Secondary
Properties Avoid Dressing
A Soft Silicone Known sensitivity Required?
D wound contact to silicone.
H dressing. Do not use when YES
E Atrauman can be
R used.
Each Dressing
E
Primary Care Dressings Per Box
SIZES & PRICES

N
T 5cm x 7cm 1.55 x5
8cm x 10cm 3.11 x5
12cm x 15cm 6.29 x5
20cm x 30cm 17.07 x5
APPLICATION

Apply directly to the wound bed.

Wet gloved fingers with saline when handling to prevent

dressing sticking to gloves.
TIPS

Mepitel can be left in place for up to 7 days and secondary

dressing changed at strikethrough.

28
 Bedfordshire Wound Care Formulary

Product: Mesorb Mlnlycke

Wound Type Tissue Type Exudate levels
Surgical Granulating Moderate
Pressure ulcer Sloughy High
Leg ulcer Wet necrotic Very high
Infected
Malodourous
USES

A Secondary
B dressing required?
S Properties Avoid
O NO
Non adherent contact
R
layer with absorbent pad
B
and fluid repellent
A
backing
N
Each Dressing
T Primary Care Dressings Per Box
SIZES & PRICES

C 10cm x 10cm 0.58 x10

E 10cm x 15cm 0.77 x10
L
10cm x 20cm 0.94 x10
L
U 15cm x 20cm 1.35 x10
L 20cm x 25cm 2.13 x10
O 20cm x 30cm 2.41 x10
S
E Can be used as a primary or secondary dressing will mop up
APPLICATION

large amounts of exudate whilst keeping wound surface and

surrounding skin relatively dry without strike through.
Sealed pad ensures wound is not contaminated with dressing
fibres so should be used where gamgee was considered
necessary
TIPS

Large range of sizes should negate the need for lots of

patchwork pads

29
 Bedfordshire Wound Care Formulary

Product: Zetuvit E Hartmann

Wound Type Tissue Type Exudate levels

Surgical Granulating Moderate

Pressure ulcer Sloughy High
Leg ulcer Wet necrotic Very high
Infected
Malodourous
USES

A Secondary
B dressing required?
S
O Properties Avoid
yes
R
B Non adherent
A contact layer with
N absorbent pad and
T fluid repellent
backing
C Each Dressing
SIZES & PRICES

Primary Care Dressings Per Box

E
L
10cm x 10cm 0.20 x 25
L
U 10cm x 20cm 0.23 x 25
L 20cm x 20cm 0.35 x 15
O 20cm x 40cm 1.01 x5
S
APPLICATION

E Can be used as a primary or secondary dressing will mop

up large amounts of exudate whilst keeping wound surface
and surrounding skin relatively dry without strike through.
Sealed pad ensures wound is not contaminated with dressing
fibres so should be used where gamgee was considered
necessary
TIPS

Large range of sizes should negate the need for lots of

patchwork pads

30
 Bedfordshire Wound Care Formulary

Product : Carboflex Convatec

Wound Type Tissue Type Exudate levels

Malodorous Necrotic Low

Infected Fungating Moderate
Fungating Sloughy High
O Granulating
D Epithelialising
USES

O Secondary
U Dressing
R Required?
Properties Avoid
A YES
B Debrides Heavily exuding
S Hydrates wounds
O Sensitivity to
R propylene glycol
B Each Dressing
SIZES & PRICES

E Primary Care Dressings Per Box

N
T 10cm x10cm 2.95 x10
D 15cm x20cm 6.72 x5
R 8cm x 15cm Oval 3.55 x5
E
APPLICATION

S 5 layer dressing: contact layer is alginate/hydrocolloid so gels on

S contact with moisture making removal easy 2nd layer water-
I resistant,3rd layer carbon activated(to absorb odour) 4th layer
N absorbent 5th backing layer is water resistant.
G
S
Exudate needs to be kept within the dressing to retain odour
absorbing properties
For very heavily exuding wounds can use another layer/layers of
Aquacel beneath carboflex

31
 Bedfordshire Wound Care Formulary

Product: Advadraw Advancis Medical

Exudate
Wound Type Tissue Type
levels
Pressure Necrotic Low
ulcers Eschar Moderate
Leg Ulcers Sloughy
Malodorous Granulating
USES

Cavity/Sinus Epithelialising
Infected
C Secondary
A Properties Avoid Dressing
P Absorbs Bleeding, Required?
I Debrides Vasculitic
L Fungating YES
L wounds
A Each Dressing
SIZES & PRICES

Dressings Per
R Primary Care
Box
Y
5cm x 7.5cm 0.56 x10
A 10cm x 10 cm 0.87 x10
C 10cm X 15 cm 1.17 x10
T 15cm x 20cm 1.54 x20
I Spiral 0.4cm x 0.81 x10
O 40cm
N Dressing needs to be in contact with wound base
APPLICATION

Useful dressing for wounds you have desloughed yet

remain reluctant to granulate
TIPS

Can dry wounds very quickly so may need saline or

water to remove, using a film as a secondary dressing
can help keep wound moist

32
 Bedfordshire Wound Care Formulary

Product: C-View Aspen Medical

Wound Type Tissue Type Exudate levels
Blisters Necrotic Low
Pressure ulcers Eschar
Sloughy
Granulating
Epithelialising
Secondary Dressing
Properties Avoid Required?
Protects Heavily
USES

Provides exuding NO
moist wounds
environment Full thickness
Allows wound wounds
visualisation involving
muscle, tendon
or bone
Third degree
F burns
I Fragile skin
L Each Dressing
SIZES & PRICES

M Primary Care Dressings Per Box

S
6cmx 7cm 0.38 x10
10cm x 12cm 1.02 x10
12cm x 12cm 1.07 x10
15cm x 20cm 2.32 x10
APPLICATION

May be applied as a whole piece or cut into strips

Apply sticky side to wound or dressing and do not forget to
remove outer layer
May be worn for 7 days

Must not be applied under tension; consider swelling

TIPS

A 2cm overlap around the wound is advisable

Primary or secondary dressing

33
 Bedfordshire Wound Care Formulary

Product:Opsite post-op Visable Smith & Nephew

Wound Type Tissue Type Exudate levels
Surgical wounds Wounds healing by Low
primary intention
Secondary
Properties Avoid Dressing
Required?
USES

Protects Heavily exuding

Provides moist wounds NO
environment Full thickness
wounds involving
muscle, tendon or
bone
Third degree burns
Fragile skin
F Each Dressing
SIZES & PRICES

I Primary Care Dressings Per Box

L
M
S 20cm x 10cm 1.85 x20
25cm x 10cm 2.33 x20
APPLICATION

May be applied as a whole piece or cut into strips

Apply sticky side to wound or dressing and do not forget to
remove outer layer
May be worn for 7 days.

Must not be applied under tension; consider swelling.

TIPS

A 2cm overlap around the wound is advisable

Primary or secondary dressing

34
 Bedfordshire Wound Care Formulary

Product: Tegaderm 3M
Wound Type Tissue Type Exudate levels
Blisters Necrotic Low
Skin tears Eschar
Sloughy
Granulating
Epithelialising
Secondary Dressing
Properties Avoid Required?
USES

Heavily exuding
Protects wounds NO
Provides moist Full thickness
environment wounds involving
muscle, tendon or
bone
Third degree
burns
Fragile skin
F
I
SIZES & PRICES

Each Dressing
L Primary Care Dressings Per Box
M
S
6 cm x 7cm 0.38 x100
12cm x 12cm 1.08 x10
15cm x 20cm 2.34 x10
APPLICATION

May be applied as a whole piece or cut into strips

Apply sticky side to wound or dressing and do not forget to
remove outer layer
May be worn for 7 days.

Must not be applied under tension; consider swelling.

TIPS

A 2cm overlap around the wound is advisable

Primary or secondary dressing

35
 Bedfordshire Wound Care Formulary
BNF listing of formulary products

Dressing material BNF A8.7.1 Sterile dressing pack drug tariff spec
Skin Protection 10
Tapes Polyfield nitrile patient pack(FP10)
Saline Frontier Muligate NHS logistics Cat.
No. EVJ033

BNF A8.7.2 Surgical Absorbents

Non woven fabric swabs
(non sterile) 10x10cms pack 100
systagenics Topper 8
Non woven fabric swabs 7.5 x 7.5cm
in packs of 5
Irripod
Sterile sodium chloride solution 0.9%
25 x 20 ml

BNF A8.7.3 Tapes

Scanpor
Omnifix

Barrier preparation
Cavilon barrier film and cream

36
 Bedfordshire Wound Care Formulary

Section 2

Product Cost Application Tips for Use

Dressing packs and gauzes

Non-drug spec CE 52p The role of dressing packs is Not necessary for most
marked sterile dressing very limited. They are used wounds.
packs on FP10 to provide a clean/sterile- Only use for patients who
contains: 1pair Powder working surface. are immune
Free Nitrile AF gloves compromised or where a
small, medium or large sterile field is needed.
1 sterile Laminate sheet
(50cm x 45cm)
7 Non-woven swabs
(10cm x10cm)
1 Towel (43cm x38cm)
1 White polythene
Disposable Bag
1 Apron

34p
Non Drug spec CE
marked sterile dressing
packs-
Order via NHS
Logistics
Contains 1pair nitrile lilac
accelerator free gloves
5 non-woven swabs 4ply
(7.5cmx7.5cm)
1 dressing towel
1 laminate sheet
1 two compartment tray
1 gallipot 60ml
1 yellow disposable bag

Non woven gauze swabs 25p For use for Non woven swabs will
Spec 28 sterile cleansing/swabbing around not shed fibres
7.5x7.5cms 5 pad packet wound or padding Should not be used as
primary dressing

Non woven gauze swabs 77p As above for selection

Spec 28 As above when clean but non
10x10cms, 100 pad sterile gauze needed
packet

37
 Bedfordshire Wound Care Formulary

Normal Saline
Irripod (CD Medical) 25 x Wounds should only be Should be applied to wound at
20ml washed/ irrigated to room temperature.
remove debris or slough. Pods are easier to use and
Sodium chloride 0.9% 5.50 Consider that some cheaper than the saline sachets
(sterile) dressings hold exudate, traditionally used
surrounding skin may
need cleansing but
generally wounds should
be left undisturbed-
wound fluid is essential
for healing

Surgical Tapes
Scanpor Paper based non woven Should not be used over joints or
( BioDiagnostics) adhesive tape for use to difficult to dress areas or where
5m x 1.25cm 40p secure dressings swelling may occur.
5m x 2.5cm 65p Care needs to taken not to apply
5m x 5 cm 1.12 under tension as that may
10m x 1.25cm 52p damage skin.
10m x 2.5cm 87p Patients may become sensitive
10m x 5cm 1.67 to adhesive tapes
Permeable, apertured May be used to cover dressings
Omnifix non-woven synthetic or as a window secure only
5m x 10cm 2.20 adhesive for use of edges. Will accommodate
10m x 10 cm 3.72 secure dressings movement but care needs to be
15m x 10 cm 5.49 taken not to apply under tension
as that may damage skin.
Patients may become sensitive
to the adhesive

Skin protective barriers

See attached
Dermatology emollient
prescribing guide
Cavilon
Cream 28g 3.92 Available in barrier Acts as a barrier against bodily
Cream 92g 7.99 cream, pump spray or fluids, moisturises skin, up to 72
Barrier film foam applicator. Stoma hours protection. Allow to dry
Pump spray 28ml 6.54 wipes. completely before applying
Foam applicator 1ml (5) 4.88 dressings.
Foam applicator 3ml (5) 7.83

38
 Bedfordshire Wound Care Formulary

Emollient Prescribing Guide (April 2009)

Preparation Comments Cost

Less . Recommended as a soap
Greasy Aqueous Cream (contains substitute only 100g = 1.36
cetostearyl 500g = 1.86
alcohol)
. Moisturising and soothing
1 Cetraben 500g = 5.39
. Dries quickly on the skin so 100g = 2.69
Doublebase gel convenient for frequent use
during the day 500g = 5.92
. Colloidal oatmeal 100ml = 3.78
Aveeno Cream . Soothing and cooling 300ml = 6.80
ACBS . Available OTC
(contains benzyl alcohol, cetyl
alcohol,
isopropyl palmitate)
.Useful as a soap substitute and 50g = 1.30
Diprobase Cream moisturiser 500g = 6.58
(contains cetostearyl alcohol,
chlorocresol
. Pleasant to use and suitable for 100g = 2.78
2 Unguentum M daytime use 500g = 8.48
(contains cetostearyl alcohol) . Also suitable for nappy rash
. Useful as a general moisturiser 500g = 2.16
Hydrous Ointment
(oily cream) (contains lanolin)
. Contains antimicrobial agent-useful 100g = 2.90
Dermol Cream for weeping, mildly 500g = 6.72
(contains cetostearyl alcohol) infected eczema
. Use alternative moisturiser when
infection has cleared
Most . Good for hands and feet 500g = 2.36
Greasy Emulsifying Ointment . Good soap substitute
(contains cetostearyl alcohol) . Can be stiff and difficult to apply if
cold; therefore warm in a
jug of warm water

. Good soap substitute 500g = 6.26

Epaderm Ointment
(contains cetostearyl alcohol)
50:50 Liquid and White soft
paraffin
. Easier to apply when warm and soft.
. Greasy but messy 500g = 4.13
. Good for dry skin eczema or acutely
inflamed eczema or
psoriasis

39
 Bedfordshire Wound Care Formulary

Emollient Prescribing Guide (April 2009)

Guidance notes for choosing the correct emollient for your patient

Emollient use for dry skin (general guide
only
Lotions
. Effective for approximately 1-2 hours
. Needs reapplying frequently on very dry skin
. Good for very mild dry skin and also for the face
Creams
. Effective for up to 3-4 hours
. Less greasy but more effective than mild
emollients
. More cosmetically acceptable than oil-based
moisturisers
Ointments
. Effective for approximately 4-6 hours
. Generally greasy. Tolerated less well with older
children / adults
. Ideal under wet wraps
Baths
. Avoid bubble baths and soaps
. Use soap substitutes e.g. aqueous cream,
emulsifying
ointment.
Encourage to bathe regularly in tepid water only.
Use bath additives if appropriate.
Functions of the bath routine are to:
. Clean the skin preventing infection by removing
scales, crusts,
dried blood and dirt from the skin
. Moisturise the skin and reduce discomfort
caused by dry skin
. Hydrate the skin making it more receptive to
active topical therapy, e.g. topical corticosteroids
. Provide an enjoyable therapy event
Hows and whys of emollient use
. Create a personalised emollient programme
. Instruct on correct emollient application in
direction of hair growth
. Stress importance of compliance and
consequences of not complying
. There are no standard rules regarding whether
to apply a topical steroid preparation after or
before using an emollient.
However, whichever order of care you choose it is
important that you leave as long a period as
practical, approximately 1/2 to 1 hour, between
the two treatments to avoid diluting the strength of
the topical steroid preparation, and to prevent the
spread of topical steroids
and calcineurin inhibitors to areas not affected by
eczema (NES).
. Awareness of health issues, NPSA awareness
on fire risk, folliculitis,
. There are no standard rules regarding whether
to apply a topical steroid allergies, contamination
of emollients and slippery surfaces
Consider when prescribing emollients:
. Patient lifestyle - may prefer light moisturiser
during day and greasy one at night
. Patient Preference - creams are more
cosmetically acceptable but may require more
applications during the day
. Previous emollients - may have tried other
moisturisers with little benefit.
. Appropriateness - lotions/creams for mild
dryness and ointments for very dry skin. Is 30g or
500g required? Small amounts can be used as
samples.
. Availability - is the moisturiser on drug formulary,
can it be obtained over the counter (OTC)
. Cost - moisturisers vary greatly in NHS and/or
OTC price.
. Prescribing amounts Refer to BNF section
13.1.2 (suitable quantities for prescribing).

NOTE: All paraffin based and other greasy moisturisers are flammable. Patients supplied with an
emollient, particularly those containing
paraffin should be counselled that these products on dressings, clothing or skin are easily ignited on
exposure to naked flame or cigarettes.
Please see NPSA Rapid Response 4 Fire hazard with paraffin based skin products on dressing
and clothing.

With the acknowledgement of Derby City PCT and Derbyshire County PCT, Torbay Care Trust and
Nottingham City PCT
40
 Bedfordshire Wound Care Formulary

Section 3 BNF Product Type

Tubular retention bandages
Bandages BNF A8.8.3 elasticated viscose stockinette

Acti-fast

BNF A8.8.2 Light weight conforming

bandage

K-Band

BNF A8.8.4 Light support bandage

K-Lite
Profore 2
Crepe

BNF A8.8.7 Sub-compression wadding

Bandage

Flexi-ban
Profore1

BNF A8.8.9 Medicated bandages

Zipzoc
Viscopaste PB7
Ichthopaste

Multi layer
BNF A8.8.8 compression
Bandaging

Profore Kit
latex free available

Short Stretch compression

BNF A8.8.8 bandage

Actico

41
 Bedfordshire Wound Care Formulary

Section 3 Bandages

Product Cost Application Tips for Use

Retention bandages

Acti-fast: tubular retention

bandaging-elasticated viscose Can be used to May be a cheaper way of
stockinette (Activa) secure dressings, for securing dressings than
1m x 3.5cm (red) 62p wet wrapping or under bandaging
1m x 5cm (green) 65p compression
1m x 7.5cm (blue) 90p bandages .
1m x 10.75cm(yellow) 1.45
1m x 17.5cm (beige) 2.15
(Also comes in 3& 5 m lengths)

*K- Band: Light weight

conforming bandage (Aspen Slightly stretchy to Lower limbs need always
Medical) conform to body to be bandaged from toe
All 4 m stretched contours and ensure to knee and a bandage of
5cm wide 19p dressings stays in 10cm used. For
7cm wide 24p contact with wound exceptionally big legs use
10cm wide 27p 15cm wide
15cm wide 47p

*K- Lite: Light support Light support Intended to provide light

Bandage Type 2 ( Urgo) bandages, are used in support without exerting
All 4.5 cm stretched the prevention of undue pressure.
5cm wide 52p oedema: they are Caution must always be
7cm wide 72p used to provide taken when applying any
10cm wide 94p support for mild pressure to fragile,
15cm wide 1.37 sprains and joints but compromised limbs
their effectiveness
Crepe has not been proven
4.5cm x 7.5cm 1.27 for this purpose.
Very useful to use on
Sub- compression Wadding leaky legs even when
Bandage they are not suitable to
Flexi-ban 47p Padding designed to compress
Profore 1 66p be used under
3.5 m unstretched compression to mop
10cm wide up exudate.

K Lite and K- Band are part of a compression system. It is not the system we have selected for
this formulary. They should only be used as separate items and are selected on a cost basis.

42
 Bedfordshire Wound Care Formulary

Product Cost Application Tips

Medicated Bandages

ZIP ZOC (S&N) Zinc remains a standard May be easier to apply than
Sterile rayon stocking treatment for leg ulcers. paste bandages and will
impregnated with Can be used under stretch to accommodate
ointment containing appropriate compression swollen limbs.
zinc oxide 20% systems to treat long- Should be left in place for 7
term venous ulcerated days
Box of 4 pouches
Box of 10 pouches 12.52 legs. Can re- hydrate and
31.30 sooth

Viscopaste PB7 Cotton bandage plain Zinc bandages need to be

(S&N) weave impregnated with
Cotton bandage plain zinc (10%)
weave impregnated Expedients include:
with zinc Hydroxybenzoates. It is
this that patients are
6m x7.5cm
3.42 likely to sensitise to.
applied in a spiral with a tuck
placed in the front to allow
expansion if limb swells.
Needs an additional
bandage.

Ichthopaste (S&N)
As above same As above
Cotton bandage plain
expedients zinc and
weave impregnated
itchammol said to be
with zinc and
useful for treatment of
itchammol
mild chronic eczema
6m x 7.5 3.45 associated with venous
disease

43
 Bedfordshire Wound Care Formulary

Compression Bandages

Multi layer Cost Smith & Nephew

PROFORE Chosen according to size of ankle circumference,
(Latex free kits are available) kits come with wound contact layer
Kits less than 18cm 9.50 Nurses need to be trained
in assessment and Training
Kits 18-25cm 8.86 application of compression Is available in both
therapy before prescribing theory and practice
Kits 25-30cm 7.35 treatment. supported by Smith &
Kits above 30cm 11.01 Local guidelines that Nephew and Activa.
reflect national and (Further details from
Kits Profore- lite 5.11 international wound care leads)
recommended evidence
based practice and should
be adhered to.
Separate components:

Profore #1 66p Sub compression wadding Apply in a spiral without

bandage stretching, may also be
used to shape leg.

Profore #2 1.24 Cotton, polyamide and Apply in spiral to

elastane bandage. provide base to begin
compression
Class 3a compression
Profore #3 3.67 bandage To be applied at 50%
stretch and 50%
overlap in figure of 8.
Bandage lined to aid
application

Profore #4 3.03 Class 3b compression This bandage sticks to

cohesive bandage itself so takes some
skill to apply at 50%
stretch with 50%
overlap in a spiral
Short Stretch Bandages
ACTIVA
Actico Bandage 10cm 3.13 Cohesive short stretch Apply at full stretch
X1 bandage for ankles 18- bandage over padding in a spiral
25cm. Must have training to use For ankles over 25cm
X2bandages for ankles greater these bandages reverse spiral from
than 25cm ankle
Flexiban 3.5m 0.47 Sub-compression wadding Apply in spiral under
unstretched10cm short stretch bandage
may be used to shape
leg

44
 Bedfordshire Wound Care Formulary

Section 4 BNF Product Type

Treatments Should only be BNF 13.10.12 Antibacterial

used within local and national preparations also used
guidelines. systematically
or with supervision / guidance Metronidazole
from wound care lead nurses or Anabact
manufactures wound care clinical
advisors

Please follow EWMA (2006) BNF A8.3.2 Iodine products

position documents: Iodoflex
Identifying criteria for wound Inadine
infection Iodozyme
Management of wound infection Oxyzyme
BEFORE prescribing
antimicrobials.
BNF A8.3.3 Silver products
See Algorithm for quick guide.
Local guidelines on Aquacel Ag
Local guidelines on use of silver Acticoat
products are on pages 46 - 47 use of silver
products are on Acticoat7
pages 46 - 47 Mepilex Ag
Remember these are treatments Allevyn Ag
and should not be used for Urgotul SSD
extended periods except in
exceptional circumstances. Honey Products
Activon Tulle
Activon Tube 25g
BNF A8.3.1
LarvE Therapy
(maggots)

Topical Negative
BNF 13.11.7
Pressure

45
 Bedfordshire Wound Care Formulary

Use of Silver Dressings - Generally considerations:

Antimicrobial dressings containing silver should be used only when infection is suspected as
a result of clinical signs or symptoms

Silver ions exert an antimicrobial effect in the presence of wound exudate: consider the
volume of wound exudate as well as the presence of infection when selecting a silver-
containing dressing.

Reassess the wound regularly where silver dressings are used. Stop use of Silver dressings
if the wound does not respond, or once infection is controlled.

Silver dressings are expensive and there have been few high-quality clinical trials to establish
whether they have advantages over other, cheaper, alternatives. Overall, the amount
currently spent in the NHS on silver dressings appears difficult to justify in the light of the
existing data.

Use of Silver Dressings in specific wound types:

Burns
Evidence for use of silver dressings for patients with infected burns is weak.

In primary care silver dressings are an option for partial and full-thickness burns that appear
to be infected. (Guidelines from New Zealand)

Advantages:
these dressings generally absorb exudate;
they deliver an antibacterial/antimicrobial component to the wound bed; and are effective
against gram-positive and gram-negative bacteria and fungal infections.

Disadvantages
not recommended for dry burns or burns with eschar.

Ulcers

Leg ulcers (UK Clinical Knowledge Summaries)

Routine use of silver dressings is not justified on clinical or cost- effectiveness grounds as
treatment for uncomplicated leg ulcers, when simple dressings and compression bandaging
are more appropriate.

There is insufficient evidence that dressings impregnated with silver are better than simple
low-adherent dressings for the healing of venous leg ulcers.

Leg ulcers (Local expert opinion)

Consider use of silver dressings to help control odour and bacterial burden (based on indirect
evidence and/or expert opinion) where more frequent dressings use would less cost-
effective.

Diabetic foot ulcers (International Working Group on the Diabetic Foot)

There are currently no data to indicate that the use of silver-containing dressings enhances
healing of diabetic foot ulcers
46
 Bedfordshire Wound Care Formulary
Pressure ulcers (European Pressure Ulcer Advisory Panel and American
National Pressure Ulcer Advisory Panel collaborative guideline)

Consider silver dressings for pressure ulcers that are:

Infected or heavily colonised or
Ulcers at high risk of infection or
To help control bacterial burden and odour (based on indirect evidence and/or
expert opinion).

Avoid prolonged use of silver dressings discontinue when the infection is controlled.

Acute Wounds

Silver dressings should not be used on acute wounds; there is weak evidence to suggest that
they delay wound healing.

References
eBNF British National Formulary 59
Drug & Therapeutics Bulletin: Silver dressings do they work? 48 No 4 April 2010

47
 Bedfordshire Wound Care Formulary

Signs of Infection

No sign other than STAGE 1 & 2 STAGE 3 STAGE 4

healing progress altered Signs limited to Spreading to local Systemic signs
wound only sepsis

Consider Start broad - spectrum If systemic

Are other risk factors Select topical combination systemic antibiotics signs only look
present e.g. antimicrobial therapy. while awaiting culture for other source
immunocompromise dressing Manage results
or malignancy? exudate

Treat/correct If no improvement or Overt signs Overt signs of

underlying any other subtle of infection infection
aetiology. Refer signs of infection eliminated NOT eliminated
to appropriate present? Or
specialist significant culture
result?
Consider
Select an adding an
alternative antibiotic
antimicrobial
agent
Factors to consider when selecting
antimicrobials:
Agent: Good clinical Poor clinical
Specificity response response
Efficacy
Cytotoxocity
Allergenicity
Dressing:
Absorbency Complete course Adjust antibiotic
Conformability of antibiotics. selection according to
Odour management Re-assess wound causative agent,
Pain management and patient. sensitivity and patient
(Select appropriate preference.
antimicrobial from formulary)
Stop antimicrobialtherapy. Monitor wound
progress. Continue managing wound according
to local protocol. Reconsider antimocrobial
treatment if wound or patient status changes
adversely

European Wound Management

Association
(EWMA). Position Document:
Management of wound infection.
London: MEP Ltd, 2006

48
 Bedfordshire Wound Care Formulary

Product: Metronidazole Gel, Anabact

Wound Type Tissue Type Exudate levels
Leg Ulcers Necrotic Low
Pressure Ulcers Eschar Moderate
Maladourous Sloughy High
Fungating lesions Granulating
Infected, in Epitelialising
conjunction with
oral antibiotics
USES

Secondary
Properties Avoid Dressing
L Topical antibiotic Use in Required?
O pregnancy or
W lactation YES
Known
A hypersensitivity
D to Metronidazole
H Each Dressing
SIZES & PRICES

Dressings Per
E Primary Care
Box
R
E Anabact 0.75% 15g 4.47 x1
N
C Anabact 0.75% 30g 7.89 x1
E
Apply liberally to wound surface once or twice daily.
APPLICATION

For infected leg ulcers one or two weeks treatment is usually

sufficient to control odour
Tubes for single patient use.
Requires a secondary dressing.
Occluding wound with suitable dressing will help to control
odour in palliative care where main object is to control odour
as rapidly as possible.
If signs of systemic infection apparent swab wound. Treatment
TIPS

of anaerobic infection requires the administration of oral

metronidazole, 200 400mg three times a day for 7-10 days.
May be given for longer on specialist advice (see BNF for
prescribing details, including drug interactions)

49
 Bedfordshire Wound Care Formulary

Product: IODOFLEX Smith & Nephew

Johnson & Johnson

Wound Type Tissue Type Exudate levels
Pressure Necrotic Low
ulcers Sloughy Moderate
Leg Ulcers Granulating High
Malodorous Epithelialising
Infected
Secondary Dressing
Properties Avoid Required?
Antimicrobial In pregnant or
lactating women. YES
Severely impaired
renal function,
USES

History of any
thyroid disorder are
more susceptible to
T alterations in
R thyroid metabolism
E May interfere with
A thyroid function
T tests
M Potential interaction
E with lithium
N Do not use with
T hydrogels
Data sheet available on
www.medicines.org.uk
SIZES & PRICES

Each Dressing
Primary Care Per Box

5g 3.76 x5
10g 7.51 x3

Apply directly onto wound

APPLICATION

Maximum 4 dressings on body at one time

Secondary dressing required
Change dressing when orange colour changes to white
Unless used n palliative care settings these products must be
reviewed on a regular basis, at least every month. This should ideally
include discussion with a specialist.
Absorption of iodine can occur
TIPS

50
 Bedfordshire Wound Care Formulary

Product: Inadine (Knitted viscose with Systagenics

povidone iodine)
Wound Type Tissue Type Exudate levels
Pressure ulcers Necrotic Low
Leg Ulcers Sloughy Moderate
Malodorous Granulating High
Infected Epithelialising

Secondary Dressing
Properties Avoid Required?
Antimicrobial In pregnant or
lactating women. YES
Severely impaired
renal function,
USES

History of any thyroid

disorder are more
susceptible to
T alterations in thyroid
R metabolism
E May interfere with
A thyroid function tests
T
Potential interaction
M
with lithium
E
Do not use with
N
hydrogels
T
Data sheet available on
www.medicines.org.uk
Each Dressing
SIZES &

Primary Care Dressings Per Box

PRICES

5cm x 5cm 0.32 x25

9.5cm x 9.5cm 0.48 x10
Apply directly onto wound
APPLICATION

Maximum 4 dressings on body at one time

Secondary dressing required
Change dressing when orange colour changes to white
Unless used in palliative care settings these products must be
reviewed on a regular basis, at least every month. This should ideally
include discussion with a specialist.
Absorption of iodine can occur
TIPS

51
 Bedfordshire Wound Care Formulary

Product: Iodozyme Archimed

Wound Type Tissue Type Exudate levels

Heavily Sloughy, Low to moderate
Colonised granulating,
/Infected epithelialising or
external moist necrotic.
USES

wounds
Secondary Dressing
Properties Avoid Required?
Contains Dry necrotic
iodine. tissue Yes
Encourages
debridement.

Each Dressing
SIZES & PRICES

Primary Care

10cm x 10cm 12.50 per dressing (available in packs of 5 or 10)

6.5cm x 5cm 7.50 per dressing (available in packs of 5)

The Iodozyme system comprises two sheet hydrogels, which must

APPLICATION

be applied together on the cleaned wound as indicated in the

Instructions for Use. The larger gel (Pack 1) goes on the wound, the
small gel (Pack 2) goes on top.
A breathable cover dressing should be applied to secure them in
place and to stop them from drying out.
Compression may be applied over the secured dressings
.

A barrier cream may be used around the edges of the wound if

TIPS

maceration is causing concern.

The dressing may be cut to size.

52
 Bedfordshire Wound Care Formulary

Product: Oxyzyme Archimed

Wound Type Tissue Type Exudate levels

Non-infected Sloughy, granulating, Low to moderate
external wounds epithelialising or
moist necrotic.
USES

Secondary Dressing
Properties Avoid Required?
Contains a low level Dry necrotic tissue
of iodine. or where signs of infection Yes
Encourages are present
debridement.
SIZES & PRICES

Each Dressing
Primary Care

10cm x 10cm 10.00 per dressing (available in packs of 5 or 10)

6.5cm x 5cm 6.00 per dressing (available in packs of 5 or 10)

The Oxyzyme system comprises two sheet hydrogels, which must be

APPLICATION

applied together on the cleaned wound as indicated in the Instructions for

Use. The larger gel (Pack 1) goes on the wound, the small gel (Pack 2)
goes on top.
A breathable cover dressing should be applied to secure them in place and
to stop them from drying out.
Compression may be applied over the secured dressings.

A barrier cream may be used around the edges of the wound if maceration
TIPS

is causing concern.
The dressing may be cut to size.

53
 Bedfordshire Wound Care Formulary

Product: Aquacel AG Convatec

Wound Type Tissue Type Exudate levels
Pressure ulcers Necrotic Moderate
Leg Ulcers Infected High
Malodorous Sloughy
Cavity Granulating
Diabetic Ulcer Epithelialising

That are infected in conjunction

with oral antibiotics
USES

Secondary
Properties Avoid Dressing
Required?
Absorbs Dry wounds
Protects Sensitivities
To silver or YES
Debrides
Ionic silver available to components of
wound, through - out wear dressing
time will kill broad spectrum
of wound pathogens.
T Each Dressing
Dressings Per
R Primary Care
Box
E
A 5cm x 5cm 1.85 x10
SIZES & PRICES

T 10cm x 10cm 4.40 x10

M
15cm x 15cm 8.29 x5
E
N 20cm x 30 cm 20.58 x5
T Ribbon 2cm x 45cm 4.43 x5
4cm x 10cm 2.67 x10
4cm x 20cm 3.48 x10
4cm x 30cm 5.21 x10
APPLICATION

Apply directly onto wound

A 2cm overlap around the wound is advisable
Lightly pack any cavities to about 80% capacity leaving small overhang
Easily removed but can be soaked with water or saline

Change when fully saturated

Maximum 7 days
For very highly exudating wounds use silver at contact wound bed with then
TIPS

use normal Aquacel for the extra absorbency

USE WITH CONSIDERATION TO COST AND ONLY PRESCRIBE EXACT
AMOUNT FOR TREATMENT.
See Management of wound infection - EWMA Position Document and follow
guidance

54
 Bedfordshire Wound Care Formulary

Product: Acticoat and Acticoat 7 Smith& Nephew

Wound Type Tissue Type Exudate levels
Pressure ulcers Necrotic Low
Leg Ulcers Eschar Moderate
Infected Sloughy High
Cavity Granulating
USES

Epithelialising
Secondary Dressing
Properties Avoid Required?
Debrides Sensitivity to
Hydrates silver YES

Each Dressing
Primary Care Dressings Per Box
SIZES & PRICES

T Acticoat - 5cm x 5cm 3.28 x5

R Acticoat - 10cm x 10cm 8.01 x5
E
Acticoat - 10cm x 20 cm 12.52 x12
A
T Acticoat - 20cm x 40 cm 42.85 x6
M Acticoat 7 - 5cm x 5cm 5.70 x5
E Acticoat 7 - 15cm x 15cm 30.53 x5
N Acticoat 7 - 10cm x 12.5 cm 16.98 x5
T
Cut to size
Moisten dressing with tap or sterile water
Avoid using saline
APPLICATION

Apply directly to wound surface
Acticoat should be left in place for 3 - 4 days
Acticoat 7 should be left in place for 7 days
Outer dressing can be changed between times
Unless used in palliative care settings these products must be
reviewed on a regular basis, at least every month. This should ideally
include discussion with a specialist

May cause slight staining to skin

TIPS

USE WITH CONSIDERATION TO COST AND ONLY PRESCRIBE

EXACT AMOUNT FOR TREATMENT.
See Management of wound infection - EWMA Position Document and
follow guidance

55
 Bedfordshire Wound Care Formulary

Product: Mepilex Ag Mlnlycke Healthcare Ltd.

Wound Type Tissue Type Exudate levels
Leg + foot ulcers Any infected Low to moderately
Pressure ulcers tissues. exuding
Painful wounds Especially fragile
Wounds with or damaged skin
F fragile skin
USES

O
Properties Avoid
A
M Safetac soft Patients with
silicone wound known allergy to
contact layer tacks silicone.
to skin without Heavily exuding
leaving residues. wounds
Absorbent foam
with excellent
exudate handling
Each Dressing
SIZES & PRICES

Primary Care Dressings Per Box

10x10cm 5.85 x5
10x20cm 9.64 x5
15x15cm 10.85 x5
20x20cm 16.08 x5

Mepilex should overlap the wound bed by at least 2

APPLICATION

cm onto the surrounding skin. Apply the adherent side to the wound.
Do not stretch.
When necessary, secure Mepilex with a bandage or other fixation.
USE WITH CONSIDERATION TO COST AND ONLY PRESCRIBE
EXACT AMOUNT FOR TREATMENT

Can be used under compression. Conforms well to body contours.

TIPS

USE WITH CONSIDERATION TO COST AND ONLY PRESCRIBE

EXACT AMOUNT FOR TREATMENT.
See Management of wound infection - EWMA Position Document
and follow guidance

56
 Bedfordshire Wound Care Formulary

Product: Allevyn Ag gentle Smith & Nephew

Wound Type Tissue Type Exudate levels

Pressure Necrotic Low
Ulcers Sloughy Moderate
Leg ulcers Granulating Heavy
Malodorous Infected
USES

Secondary Dressing
Properties Avoid Required?
Dry wounds
Absorbs Eschar
Protects NO
Reduces
colonisation

Each Dressing
Primary Care Dressings Per Box
SIZES & PRICES

5cm x 5cm 3.10 x10

Without border
F 10cm x 10cm 5.78 x10
O
A 10cm x 20cm 9.55 x10
M
15cm x 15cm 10.75 x10
20cm x 20cm 15.92 x10
APPLICATION

Apply directly to the wound surface

Needs retention bandage, stockinette or tape
Can be left in place for up to 7 days if not infected. Infected or
sloughy wounds should be re-dressed more frequently

A 2cm overlap around the wound is advisable

Review after 3 weeks
TIPS

May cause slight staining to skin

USE WITH CONSIDERATION TO COST AND ONLY
PRESCRIBE EXACT AMOUNT FOR TREATMENT.
See Management of wound infection - EWMA Position
Document and follow guidance

57
 Bedfordshire Wound Care Formulary

Product: Urgotul S.S.D Urgo

Wound Type Tissue Type Exudate levels
Pressure ulcers Sloughy Low
Leg Ulcers Granulating Moderate
Infected Epithelialising
Burns
USES

Secondary Dressing
Properties Avoid Required?
Antimicrobial SENSITIVITY TO
SILVER YES
Sensitivity to
Sulphadiazine
T Each Dressing
Primary Care Dressings Per Box
SIZES & PRICES

R
E
A x16
T 11cm x 11cm 2.97
M
E 16cm x 21cm 8.42 x16
N
T
APPLICATION

Apply directly onto wound bed.

Requires a secondary dressing
Unless used in palliative care settings these products must be
reviewed on a regular basis, at least every month. This should
ideally include discussion with a specialist

If adherent, may be loosened with warmed saline

USE WITH CONSIDERATION TO COST AND ONLY
TIPS

PRESCRIBE EXACT AMOUNT FOR TREATMENT.

See Management of wound infection - EWMA Position
Document and follow guidance

58
 Bedfordshire Wound Care Formulary

Product : LarvE (sterile Zoobiotics

maggots)

Wound Type Tissue Type Exudate levels

Chronic Sloughy Low
Pressure ulcers Wet necrosis Medium
Leg ulcers High (but in deep, wet
Diabetic foot ulcers wounds maggots may
USES

Infected drown)
/malodorous
Secondary Dressing
Properties Avoid Required?
Live maggots that Please read Requires special dressing
can be free range supporting support
T or bagged literature
R
E Description:
A Biofoam Dressing 2cm x2cm kit 126.75
T Biofoam Dressing 2.5cm x 4cm kit 156.75
M Biofoam Dressing 5cm x5cm Kit 189.25
SIZES & PRICES

E Bofoam Dressing 7cm x7cm kit 240.50

N Biofoam Dressing kit 7cm x12cm 273.00
T Biofoam dressing 2.5cm x 15cm kit 189.25
S Biofoam dressing 10cm x10cm kit 286.75

Loose Maggots plus dressings still available contact ZooBiotic Ltd on 0845
2301810.
Clinical Helpline: 0845 2306806 will advise on number of maggots
required.

Contact Wound care lead or company clinical support lead for

APPLICATION

support/advise
Zoobiotics have excellent customer help line
Apart from surgical debridement this is the quickest way to
deslough wounds and is surprisingly easy to use once you have
come to terms with yuk factor

Patient information leaflet available

TIPS

59
 Bedfordshire Wound Care Formulary

Topical Negative Therapy (TNP)

Criteria for use

Topical negative therapy is a high risk, high cost procedure. It should only be considered
when standard treatment is considered unsuitable or has proven ineffective.
Its use should be guided by informed clinical judgement and only commenced following a full
assessment by a practitioner who is fully trained and competent in its use.

Indications for use

1. Cavity wounds requiring one or more dressing change within 24 hrs

2. Dehisced wounds healing by secondary intention
3. Rapid granulation tissue is required in preparation for skin grafting
4. The management of exudate and heavily colonised open wounds present a problem to
the integrity of surrounding tissue and cannot be managed by conventional dressings
5. Chronic wounds that have failed to heal when all intrinsic and extrinsic factors
affecting wound healing have been addressed.
6. Pressure Ulcers grades 3 & 4
7. The presence of exposed tendon, bone or metal work, particularly is the patient is
considered unfit for surgery.

Contraindications for use

1. Presence of necrotic eschar

1. Wounds surrounded by cancerous tissue
2. Untreated osteomyelitis
3. In community setting anticoagulants/antiplatelets e.g Aspirin

Special precautions

1. Fistula leading to body cavities or organs

2. Blood dyscrasias
3. Use of anti-coagulants: Patients on Warfarin and
anti-coagulants cannot be discharged home with VAC
4. Patients on Aspirin 75mg Consultant to assess and document in the patients
medical notes that the patient can be discharged on Aspirin
5. Patients on higher dose Aspirin (150-300mg daily) or Clopidogrel are not to be
discharged to home with VAC

VAC should be discontinued if:

1. No indication of wound improvement after 2 dressing changes

2. After 5 days over skin graft
3. Air tight seal continuously breaks
4. Uncontrolled/excessive bleeding or haematoma under the dressing
5. Patient incompatibility
6. Pump in use less than 22 hrs per day

60
 Bedfordshire Wound Care Formulary

New Dressing Evaluation Form

Please complete Part 1 at commencement of treatment and use Part 2 as an ongoing
record of evaluation. When treatment is complete or after 4 weeks return both parts to
Formulary Group.
Part 1
Patient/ Staff details
PLEASE WRITE IN CAPITALS
Patient MPI or hospital number. --------------------------------------------------------------------

Nurse initiating change ---------------------------------------------------------------------------

Health Centre / Surgery / Hospital --------------------------------------------------------------

Date evaluation commenced --------------------------------------------------------------------

Wound Assessment Details please tick
Wound Type:
Pressure Sore Leg Ulcer Diabetic Foot Ulcer Surgical Traumatic
Other Please state ..
Duration of wound:
0 6 weeks 6 12 weeks 12 24 weeks 24 weeks +

Location of wound:
Leg Foot Tibial Crest Sacrum Hip Abdomen Other..
Cavity:
Is there a cavity? YES NO Undermining YES NO
Pain:
Is the wound painful? No Slight Moderate Severe
Pain at dressing change ? No Slight Moderate Severe
Exudate:
Level of exudate ? Low Moderate High
State of Surrounding Skin:
Normal Macerated Dry/ Eczematous Inflamed Oedematous
Wound Bed: ( please describe tissue type/s in a % of the wound bed )
Necrotic ..% Sloughy ..% Unhealthy granulation ..%
Granulation ..% Epithelialisation ..%
Clinical Infection:
Signs of clinical infection ? YES NO
Heat Pain Redness Pyrexia patient feeling unwell
Dressing Details:
Current dressings being used, please use generic names:

Proposed NEW dressing:

Part 1 Cont.over

61
 Bedfordshire Wound Care Formulary

Reasons for choice of NEW dressing i.e. what do you want to achieve using this
product?
(Please be specific e.g. for dressing removal to be pain free or to remove slough from
wound bed in 14 days.)

Prescribing Details
From where are you obtaining these dressings?
Prescription from nurse prescriber
Prescription from G.P. or hospital doctor
Samples from company representative.
Samples from your wound care lead
How long do you plan to use these dressings for?
1 7 days 7 14 days 14 + days

How many dressings have you prescribed / obtained?

How often will the dressings be changed?

Daily Alternate days Twice weekly Weekly

If dressing obtained from company representative, have you agreed number of

dressings/ time limit they will supply dressing for? YES NO

Are you able to obtain supply should you wish to continue using this product?
YES NO

Who is providing additional support while you are using this product?
Nobody outside nursing team
Company representative
Professional Lead, Wound Care
Other, Please give details

Please add any additional information you think may be relevant:

PLEASE REMEMBER TO USE PART 2 AS ONGOING EVALUATION.

62
 Bedfordshire Wound Care Formulary

PART 2 evaluation

Dressing Details
Please give details of Dressing Name and Size being used :

Please tick appropriately as to whether it is being used as a Primary or

Secondary dressing

Concurrent Treatment
Please give details of other treatments/dressing you are using with this dressing and explain
your reasons.

Evaluation - Please tick in relevant box each week

Week 1 Week 2 Week 3 Week 4
Frequency of dressing Change:
Daily
Alt. Days
3 5 days
5 7 day
Ease of Application: Easy
OK
Difficult
Ease of Removal: Easy
OK
Difficult
Improvement noted: (Wound Bed )
None
Some
Marked
Improvement noted: (Surrounding skin)
None
Some

Marked

Patient Satisfaction with treatment/dressing:

Very
satisfied
Not bothered
Dissatisfied

63
 Bedfordshire Wound Care Formulary

Did this dressing meet your objectives?

Yes
Partially
No

Would you choose to use this product again?

Definitely
Possibly
No

Overall how would you rate this product?

Extremely useful
Useful
OK
Not Useful

Would you recommend for it to be considered for the formulary?

YES
NO

Please add any other comments or suggestions you may have

Thank you for taking time and trouble to fill out this evaluation

Please return completed forms to your Wound Care Lead / Tissue Viability Nurse

64
 Bedfordshire Wound Care Formulary

COMPANY DIRECTORY

Company Address Contact details

3M Healthcare Ltd Tel: 01509 611611

3M House Fax: 01509 237 288
Morley Street
Loughborough
Leics, LE11 1EP
Activa Healthcare Tel: 0845 060 6707
1 Lancaster Park Fax: 01238 576808
Newborough Road, Needwood www.activahealthcare.co.uk
Burton-upon-Trent
Advancis Medical Tel: 01623 751500
Laarmoor Business Park
Kirby-in-Ashfield
Nottingham
NG17 7JZ
Archimed Tel: 01234783329
Insense Ltd Fax: 01234 783444
Bedford Helpdesk 0800 756 9951
MK44 1LQ

ARK Therapeutics Ltd Tel: 0800 1077 107

79 New Cavendish Street Fax: 0207 388785
London
W1W 6XB
(Formally Unomedical) Tel: 01527 587700
Aspen Medical Fax: 01527 592111
Thornhill Road
Redditch
B98 7NL

ConvaTec Wound Therapeutics Tel: 01895 628400

Harrington House Fax: 01895 628456
Milton Road Helpline: 0800 289738
Ickenham
Uxbridge
Middlesex, UB10 8PU
KCI Medical Ltd Tel: 0800 980 8880
KCI House
Langford Buisness park
Langford Locks Kidlington
OX5 1GF
MInlycke Health Care Ltd Tel: 0800 9174916
The Arenson Centre Fax: 0800 9174934
Arenson Way Dunstable
Beds, LU5 5UL

65
 Bedfordshire Wound Care Formulary
Paul Hartman Ltd Tel: 01706 363200
Unit P2, Parklands Fax: 01706 363201
Heywood Distribution Park
Pilsworth Road
Heywood
Lancs, OL10 2TT
Robinson Healthcare Ltd Tel: 01909 735001
Lawn Road Fax: 01909 735040
Carlton-in-Lindrick Industrial Estate enquires@robinsonhealthcare.com
Worksop
Notts, S81 9LB
Smith & Nephew Health Care Ltd Tel: 01482 222200
Healthcare House
Goulton Street Advice@smith-nephew.com
Hull
HU3 4DJ
Systagenics Tel: 0800 917 4920
Coronation Road
Ascot
Berkshire
SL5 9EY
Urgo Ltd Tel: 01509 502051
Sullington Road Fax: 01509 650 898
Shepshed
Loughborough
Leics
LE12 9JJ

Zoobiotic Tel: 0845 2301810

Dunraven Business Part Fax: 01656 668047
Coychurch Road
Bridgend
CF31 3BG

66
 Bedfordshire Wound Care Formulary

References
BNF 59 (British National Formulary 59). London: BMJ Publishing Group Ltd and RPS Publishing
(joint), March 2010

European Wound Management Association (EWMA). Position Document: Identifying criteria for
wound infection. London:MEP Ltd, 2005.

European Wound Management Association (EWMA). Position Document: Managing of wound

infection. London:MEP Ltd, 2006.

European Wound Management Association (EWMA). Position Document: Wound Bed Preparation in
Practice. London:MEP Ltd, 2004.

Morgan, David A., Formulary of Wound Management Products (8th Edition). Haslemere: Euromed
Communications Ltd, 2000

Stephen-Haynes, J. and Gibson, E. Educational Booklet Vol.1 No. 1: Dressing Selection. The Wound
Care Society, 2003

Useful Websites
Cochrane Wounds Group www.cochranewounds.org

European Wound Management Association www.ewma.org

The Wound Care Society www.woundcaresociety.org

Tissue Viability Nurses Association www.tvna.org

Wounds UK www.wounds-uk.org

Leg Ulcer Forum http://www.legulcerforum.org

Wound Care Leads:

Denise Freshwater Bedfordshire Community Health services 01234 315872

Sylvia Leonard Luton & Dunstable NHS Foundation 01582 718253
Clare Lazelle Bedfordshire Community Health services 01525 631209
Sarah Bunn Luton Community Services 01582 700320
Janice Little Luton Community Services 01582 700320
Melanie Barlow Bedford Hospital NHS Trust 01234 355122

67