Catheter, Stoma & Skincare Formulary

Transcription

1 Contents: Catheter, Stoma & Skincare Formulary Catheter products Stoma accessories Skin care products Version 11 October 2017 Community nurses/district nurses: Items not listed in this formulary are non-formulary. If needed for a particular patient, an exception reporting form should be completed (available on SCH website). Catheters: Initial catheterisation: the catheters listed in this formulary can be ordered by community nurses through NHS Supply Chain for initial use only Long term catheter use: a prescription should be requested from GP practice. Stoma and skin care products: Stoma products: request a prescription from GP practice Skin Care Products: ( excluding stoma skin care products) patients to be advised to purchase skin care products GP practice staff Wherever possible formulary items should be prescribed. If a non-formulary item is required, an exception reporting form should be completed (available on WSCCG & IESCCG website)

2 Catheter products Appliance Product details Gauge/ CH size 1. Long-term catheters (use for up to 12 weeks) Cost per pack (pack size) Comments Usual quantity to order Bard Biocath Aquamatic Hydrogel Male10ml prefilled (1) 1 st choice 1 catheter every 4 12 weeks Coated Female10ml (1) prefilled Bard All Silicone Male10ml (1) 2 nd choice or Female10ml (1) patients with latex allergy Bard Biocath Hydrogel Coated Paediatric 5ml (1) Paediatric only 2. Single-use pre-lubricated intermittent catheters (single use) Coloplast Speedicath Male Female Paediatric (30) (30) (30) For short term use by healthcare professionals Wellspect Healthcare Male (30) For patient selfcatheterisation LoFric Primo Female 20cm (30) Paediatric (30) Rochester Hydrosil Male (30) For patients Gripper Paediatric (30) requiring a Rochester Hydrosil Female (30) more flexible Rose catheter 3. Catheter maintenance solutions Sodium chloride 0.9% OptiFlo S Bard 3.30 (50ml) Used to Uro-Tainer NaCl 0.9% Solution G Braun 3.45 (50ml sachet) OptiFlo G (Suby G) Bard 3.50 (50ml sachet) Uro-Tainer Twin (Suby G) Braun 4. Catheter valves (change every 7 days) Flip-Flo catheter valve 4.72 (2 x 30ml sachets) unblock a catheter For patients prone to encrustation. Used as regular maintenance to prevent blockage Approx. 4 packs per if using regularly 3 4 times/day When required. Should not be on repeat prescription Bard BFF (5) 4 valves per Month

3 5 Leg Drainage Bags Qufora Leg Bags Use for 7-10 days 500ml 500 Direct inlet,5cm 22.40(10) To maintain a closed system overnight 500ml Short tube 22.40(10) 10 cm leave the leg bag connected and 500ml 750ml Long Tube 30cm Direct inlet,5cm 22.40(10) 22.40(10) connect a night bag to the leg bag All Qufora leg bags can be drained at degrees which is an 750ml Short tube 22.40(10) advantage for people 10cm with poor manual 750ml Long tube 22.40(10) hand dexterity. 30cm All long tube leg bags have spare connectors, but cutting tubing for adjustment is not recommended d Bard Uriplan leg 350ml Direct (10) To maintain a closed bag Use for 5-7 days inlet system overnight F For use only in 350ml 30cm tube (10) leave the leg bag exceptional connected and circumstances e.g. connect a night bag paediatric use to the leg bag 6. Belly bag (use for up to 28 days) B litre (1) For patients where a leg bag cannot be connected 7. Night drainage bags Qufora single use 2 litre 90cm tube 2.05 (10) First choice Single use Qufora drainage bag with tap outlet 2 litre with 120cm inlet tube 9.57(10) Change every 7-10 days. Approx. 1 box every 2-3 Approx. 1 box every other 1 2 bags per 3 boxes per 1 box every 2-3 s 8. Incontinence sheaths (use for 1 3 days) Rochester Medical Ltd Clear Advantage Silicone sheath Small 23mm (30) 1 box (may not be required every ) Medium 28mm (30) Standard 31mm (30) Large 35mm (30) Extra large 40mm (30) 9. Accessories Leg bag holders Bard Ltd Urisleeve Small 24-39cm 8.00 (4) Medium 36-55cm 8.00 (4) Large 40-70cm 8.00 (4) G-strap Simpla G-Strap Adult (5) Washable Abdominal (5) Stoma accessories Product Quantity Price Comments Usual quantity to order 1. Barrier films (used with each bag/flange change) 3m Health Care Cavilon No 28ml 6.65 Used on skin that is Follow

4 Sting Barrier Film Pump Spray Medicareplus Medi Derma-S Non Sting Medical Barrier Film Wipes C D Medical Ltd Clinifilm Wipes m Health Care Cavilon No Sting Barrier Film Stoma Wipe 2. Skin fillers broken, sore or weepy to promote healing. For selected patients only (diabetics, palliative patients and difficult stomas) Hollister Adapt Paste 60g 3.86 Used as a sealant for Dansac Soft Paste 50g 3.60 creases and crevices Pelican Paste 100g 8.03 directions of stoma nurse 1-2 per Convatec Orabase paste s103 30g 2.08 Used to heal around stoma Not for regular use Convatec Orahesive Powder 25g 2.42 For wet skin, short term As advised by OstoMart OstoSEAL Protective Powder 25g 2.41 use stoma nurse 3. Discharge solidifying agents Opus AbsorbaGel 150g Absorbs effluent Opus Deogel 50 sachets Mainly for ileostomies 4. Flange extenders Salts SecuPlast Hydro Extends adhesion of bag Salts SecuPlast Hydro Aloe Especially if patient has a hernia Coloplast Brava Elastic Tape Moudable washers Salts SecuPlast Mouldable Seals Standard Hollister Adapt Barrier Rings 48mm Pelican Cohesive Slims Small 48mm Pelican Cohesive Seals Small 48mm Hollister Adapt Barrier Rings 98mm 6. Stoma collars Used on problem stomas An adhesive sealant to fill creases/crevices around stoma Salts Dermacol Stoma Collar 35mm Salts Dermacol Stoma Collar For difficult stomas. Forms collar around stoma for better seal 38mm Salts Dermacol Stoma Collar mm Salts Dermacol Stoma Collar mm Salts Dermacol Stoma Collar mm 7. Adhesive Removers (Sprays/Wipes) (used with each bag/flange change) Peel-Easy Spray 50ml 7.10 Used each time stoma bag CliniMed Essentials Appeel No 50ml 9.20 is changed Sting Medical Adhesive Sprays are more cost Remover Aerosol Spray Pelican Release Non-Sting 50ml 9.34 effective than wipes Adhesive Remover Aerosol Spray OstoMart OstoCLEAR Adhesive Remover Sachets 30 sachets per 1-2 boxes per 1 box per 1 collar per bag i.e. 30 bags (1 box) 30 collars (1 box) 1-3 cans per (depending on frequency of bag changes)

5 Peel-Easy No Sting Wipes 30 wipes Stoma support garments and clothing - Please check with stoma nurse specialist that it is recommended for that patient Deodourants, cleansers and soaps are not clinically necessary and prescribing of these products will not be supported in Suffolk. Contacts: Debbie Cooper and Sarah Skingley, community stoma nurses: Skincare (OTC) = Item is available for patients to purchase over the counter Product 1. Soap substitutes Emulsifying ointment (OTC) Zero AQS Cream (OTC) Dermol 500 lotion (OTC) Only if infection present or is a frequent complication 2. Emollients (leave on preparations) Epimax (OTC) Isomol gel (OTC) Zeroderm ointment White soft paraffin 50% / liquid paraffin 50% ointment (OTC) Emollin spray Where required in Primary Care for patients with chronic skin conditions e.g. psoriasis or eczema, prescribe larger tubs i.e. 450/500G only. Where use is intermittent, smaller packs are required or simply dry skin - these are available to purchase. Lanolin based products e.g. E45 or Exocream are not routinely recommended for chronic skin conditions due to allergy risk This is equivalent to Diprobase Cream. Can be used as a soap substitute. Low fire risk This is equivalent to Doublebase. Low fire risk. This is equivalent to Hydromol ointment (lanolin free) and Epaderm ointment. High fire risk High fire risk Usually only on advice from specialist where Sore and inflamed skin so unable to spread cream/lotion Where access to the affected site is difficult High fire risk

6 Ultrabase cream (OTC) Dermol cream (OTC) Aveeno cream and lotion (OTC 3. Emollients with urea imuderm (OTC) Balneum Plus cream (OTC) Eucerin Intensive lotion Calmurid cream (OTC) Low fire risk. Only if infection present or is a frequent complication Usually only on advice from specialist Restricted to paediatric use where they are unable to tolerate other emollients; ACBS borderline substancefor patients with endogenous and exogenous eczema, xeroderma, ichthyosis and senile pruritus associated with dry skin only Equivalent to Balnuem cream Usually only on advice from specialist Usually only on advice from specialist Usually only on advice from specialist Dermatonics Once Heel Balm Inpatient use only on advice from specialist cream 4. Emollient bath and shower preparations Soap substitutes available OTC include ZeroAQS, Dermol 600 bath emollient may be used if recommended by a specialist for infected atopic eczema for 14 days There is a lack of good evidence to support the prescribing of these items. These should only be prescribed at the request of secondary care in exceptional circumstances. Patients should be encouraged to wash with soap substitutes Aveeno bath oil may be recommended by a specialist where there is an issue with paraffin based products 5. Barrier preparations Conotrane cream (OTC) Sudocrem (OTC) Proshield Plus skin protective cream & spray Primary care only use Secura applicators and spray 6. Pressure sore prevention Primary Care only- use 1st line Aderma Pads 10x10x0.3 cm 4.30 Usually only on advice from specialist Restricted to paediatric use where they are unable to tolerate other emollients; ACBS borderline substance- for patients with endogenous and exogenous eczema, xeroderma, ichthyosis and senile pruritus associated with dry skin Second line use only (Contrane tried and failed) For severe moisture excoriation GP use Barrier film applicators: Clinimed LBF 1ml and 2ml film applicators Barrier film spray Clinimed LBF 30ml spray 10x10x1.2 cm x20x0.3 cm x5x0.3 cm x2.5x0.3 cm 5.38 Heel Standard Heel Extra Large Sacrum/Ankle Wrap Kerrapro 50x2.5x0.3 cm x5x0.3 cm x10x1.2M cm x10x0.3 cm 4.20 Heel Sacrum/Ankle Devon Positioning Products Foot & Heel 4.80

7 protector (pair) Devon Utility Pad 8.45 Not for use as seating pressure relief Silk Garments Product Size Price DermaSilk: Facial Mask Infant Child Teen Size Adult Size Body Suit 0-3 s s s s s s s years Briefs 3-6 years years Shirt Roll Neck 3-4 years years years years Adult Small XXL Shirt Round Neck Adult (Male) Small XXL Adult (Female) Small XXL Tubular Sleeves (pair) 33cm long cm long Leggings (pair) 0-3 s s s s s s 30.31

8 24-36 s years Adult (Male) Small XXL Adult (Female) Small XXL Gloves (pair) Small Child Medium Child Small Adult Medium Adult Large Adult Pyjamas (set) 3-4 years years years years Heel-Less Undersocks Standard Length (per 2 pairs) Longer Length Undersocks (per 2 pairs) Child Child Child Adult 5½ - 6½ Adult 7-8½ Adult 9-10½ Adult Process for Reviewing Formulary Products

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