WOUND MANAGEMENT FORMULARY - NHS North Somerset

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Contents Introduction 3-4 Page Wound Healing Continuum & Appropriate products 5-11 NSPCT Wound Formulary Appendix 1 Criteria for using antimicrobial dressings Appendix 2 Using antimicrobial flow chart Appendix 3 A-Z Formulary dressings Appendix 4 Specialist Formulary Formulary Working Group 12-19 20 21 22 23 24 NSCP and NHS NS Wound Management Formulary Version 2. June 2012 2
Introduction This third edition of the NSPCT Wound Management Formulary is the result of a working group consisting of the Tissue Viability Nurse and members from Community Nursing, Community Hospital, Podiatry and G.P. Practices in North Somerset. The formulary has been designed to be used by all disciplines involved in managing patients with wounds, except for nurses working in Nursing Homes. A separate reduced formulary is available for this group and can be viewed on the NSCP website. The dressing choices offered are found to be effective for the majority of patients with wounds. This Formulary should be used in association with the: Aseptic Technique Policy (2011) Hand Hygiene Policy (2011) MRSA for Community Settings Policy (2011) NSCP Leg Ulcer Assessment Guidelines (2009) NSCP Pressure Ulcer Policy and Guidelines (2012) The Bristol, North Somerset, & South Gloucestershire (BNSSG) Joint Formulary Aims Best practice in wound management. To guide practitioners to select appropriate dressing choice Standardisation of appropriate products Cost effectiveness. Wound Management Dressings are applied to wounds for many reasons: To facilitate rapid and cosmetically acceptable healing To reduce pain To prevent or combat infection To contain exudate To remove or contain odour To provide maximum comfort for the patient Wound healing is a dynamic process and the characteristics of a dressing required by the wounds can change as the wound moves through the different phases of the healing process. The wound healing continuum, in the first section of this booklet, will aid clinical decisionmaking regarding appropriate dressings at each stage of wound healing. Using the formulary All wounds should be holistically assessed. The underlying pathology that may compromise wound healing should be identified and addressed where possible. A diagnosis of wound aetiology is essential as treatment pathways differ according to the aetiology of the wound. In NSCP additional guidelines are available, with clear treatment pathways, for leg ulcers and pressure ulcers, as dressings alone will not heal these wounds. NSCP and NHS NS Wound Management Formulary Version 2. June 2012 3
Page 1: Wound Management Formulary June 201
Page 5 and 6: Wound Healing Continuum and Appropr
Page 7 and 8: Description of Wound Yellow Wound S
Page 9 and 10: Description of Wound Exudate Manage
Page 11 and 12: Indolent Wounds with Delayed Healin
Page 13 and 14: Dressing Type Indications and Tips
Page 17 and 18: Dressing Type Indication and Tips P
Page 21 and 22: If the wound does not respond withi
Page 23 and 24: Appendix 3 Alphabetical list of dre
Page 25: Formulary working Group Linda Davie

WOUND MANAGEMENT FORMULARY - NHS North Somerset

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