SWFT Continence Formulary

Transcription

1 RD036 Published: October 2017 Version: 1.1 Not to be used for commerical purposes SWFT Continence Formulary A Guide to Prescribing Continence Products

2 Did you know that from Jan - Dec 2016 Warwickshire spent: Catheters 1,040, Catheter Valves 23, Sheaths 141, Sheaths Strapping Female inserts Leg bags 245, Night Bags 148, Suspensory systems 4, Tubing accessory 20, Urinal systems 3, Faecal collectors Anal Plugs 2,826.55

3 Welcome, to the new South Warwickshire NHS Foundation Trusts Continence Formulary. We have tried to make this guide very user friendly. We expect a 100% compliance with the new formulary. If for any reason you need to go off formulary, can you please discuss with the Continence CNS for your area to ensure the appliance is appropriate. Please ensure the patient uses any current stock before switching to the new products to help reduce waste. Special thanks to: CliniSupplies Teleflex Coloplast Bard LINC Medical Clinimed Convatec Richardson Healthcare B-braun Hollister Wellspec Any contributions from the Companies sponsoring this brochure has in no way influenced SWFT decision to use their products. Guide to use GREEN AMBER PURPLE First Choice if appropriate Second choice, if patient does not get on with the first To use when discussed with Case Manager or Continence Specialist Nurse Catheters...4 Sheaths...7 Intermittent Catheters...9 Miscellaneous...11 Contact Details...12

4 CATHETERS Catheters should be a last resort PLEASE review need for catheter at every change. Always use the smallest size catheter possible. NEVER deflate & re-inflate the balloon. DESCRIPTION PRODUCT CODE PACK SIZE COST COST PER UNIT PIP CODE Prosys All-Silicone Foley Catheter Female (Ch 12) PCF12F Female (Ch 14) PCF14F Female (Ch 16) PCF16F Female (Ch 18) PCF18F Male (Ch 12) PCF12M Male (Ch 14) PCF14M Male (Ch 16) PCF16M Male (Ch 18) PCF18M RUSCH ALL SILICONE Rusch Brilliant AquaFlate All Silicone Female (Ch 12) DA Female (Ch 14) DA Female (Ch 16) DA Male (Ch 12) DA Male (Ch 14) DA Male (Ch 16) DA Male (Ch 18) DA O * Please refer to the Catheterisation guidance re the catheter size selection to be used. FOLYSIL X-TRA ALL SILICONE - OPEN ENDED Consider this catheter for patients that block off for debris, bladder stones, encrustation Male (Ch 12) AA8C Male (Ch 14) AA8C Male (Ch 16) AA8C BARDEX I.C This catheter is only licensed for 28 days. To be used for patients that have had recurrent CAUTI trial for 3 months only if no change revert back to a normal catheter. Bardex I.C Aquafil Foley catheter Female (Ch 12) D236912S Female (Ch 14) D236914S Female (Ch 16) D236916S

5 DESCRIPTION PRODUCT CODE PACK SIZE COST COST PER UNIT PIP CODE Male (Ch 12) D236512S Male (Ch 14) D236514S Male (Ch 16) D236516S Male (Ch 18) D236518S UNI-FLO ALL SILICONE - 5ML BALLOON Trial for patients that regularly expel their catheter Female (12ch) W Female (14ch) W Male (12ch) W Male (14ch) W STERILE ANAESTHETIC LUBRICATING GEL This is the only licensed product for catheterisation Instillagel must always be used for catheterisation unless contra-indicated (if contra-indicated seek advise from the pharmacy) Do not use any other brand unless contra-indicated Instillagel 6ml - Female / Supra-pubic Instillagel 11ml - Male LEG BAGS STERILE 500ml LINC-FLO 500ml Leg bag short - T tap LINC-FLO 500ml Leg bag long - T tap LINC-FLO 500ml leg bag short - Lever LINC-FLO 500ml leg bag Long - Lever These contain gloves and leg bag straps in each packet LM500MD-T LM500LD-T LM500MD-L LM500LD-L Prosys Leg Bag Short - Slide Tap Prosys Leg Bag Long - Slide Tap Prosys Leg Bag Short - Lever Tap Prosys Leg Bag Long- Lever Tap P500S P500L P500S-LT P500L-LT DRAINAGE 2 LITRE NIGHT BAG STERILE LINC - SINGLE USE - No gloves LM2LS

6 DESCRIPTION PRODUCT CODE PACK SIZE COST COST PER UNIT PIP CODE LINC Single use 3 litre (large Capacity) NIGHT DRAINAGE BAG 2 LITRE STERILE Careline Night Drainage bag Lever tap LM3-LS Bedbound patients only 4620IDCG Careline Night Drainage bag T-tap 4520IDCG Prosys Drainable Bag - Slide Control P Prosys Drainable Bag - Lever tap P2000-LT CATHETER VALVES Prosys Catheter Valve PCV LINC Care-Flo Catheter Valve CFI RETAINING STRAP Please ensure a retaining strap is used for ALL patients Great Bear - Adult 10644A Great Bear - Abdominal - can cut LEG BAG SLEEVE 10645B Prosys - small cm PLS Med cm PLS large cm PLS Cath-it Insertion/removal pack Small Gloves Medium Gloves large Gloves MAINTENANCE SOLUTIONS NEVER Force the maintenance solution. You ONLY need approx 10mls. You are NOT washing the bladder out. Remember to trouble shoot problematic patients B-braun Urotainer NaCl 0.9% - For use for debris B-braun twin Suby G 3.23% Citric Acid - For use for Encrustation B-braun twin Sol R 6% Citric Acid - For use on patients with severe encrustation & catheter change FB ml x 30 ml x 30 ml *Infusion Kits *Needle free access for use with maintenance solutions LINC infusion kits MCI/ SPC - dressing *Should only be used if Supra pubic site oozing Acticoat Flex 3 - To go under foam dressing 5x5 cm

7 SHEATHS Please consider some of the alternative products suggested below before considering pads Please ensure that the patient is measured correctly & is ideally taken with the patient standing or sitting on the edge of the chair Good application is essential for the continued success. Always ensure that the sheath is applied with the foreskin forward. DESCRIPTION PRODUCT CODE PACK SIZE COST COST PER UNIT PIP CODE Conveen Optima MUST be changed every 24 hours Short - 21mm Short - 25mm Short - 30mm Short - 35mm Standard - 25mm Standard - 28mm Standard - 30mm Standard - 35mm Standard - 40mm LIBRA Standard - 24mm GBLSS Standard - 28mm GBLSS Standard - 31mm GBLSS Standard - 35mm GBLSS Standard - 40mm GBLSS CLEAR ADVANTAGE - ALOE VERA Can be used for patients that experience penile soreness Style 2-24mm Style 2-28mm Style 2-32mm Style 2-36mm Style 2-40mm If a patient has a lot of penile retraction and the sheaths roll off you could consider using Acti Brief - Please contact your Continence Service for more details and advice Please refer to the Continence Guidelines SWH for further information BioDerm Can be used with penile retraction, penile soreness BioDerm XLS 20026/ Must change every 3 days

8 DESCRIPTION PRODUCT CODE PACK SIZE COST COST PER UNIT PIP CODE SKIN PREP Can be used if the sheath is not staying in place or used to protect the skin if the patient is experiencing penile soreness Conveen prep wipes ADHESIVE REMOVER Should be used to remove the sheath if a prep wipe has been used Lift Plus ml LEG BAG 500ml - NON STERILE - Adjustable tube length Simpla Profile - lever tap Simpla plus - safety lock tap NIGHT DRAINAGE BAG - non sterile LINC-Flo 2L LM2LNS Prosys Non Drainable Bag 2L PSU RETAINING STRAP Should ALWAYS be used to prevent tugging on the sheath Great Bear 10644A LEG BAG SLEEVE Prosys - small cm PLS Med cm PLS large cm PLS

9 ISC - Intermittent Self Catheterisation is considered the Gold Standard, by NICE & The Good Practice Guidelines for Continence Care DESCRIPTION PRODUCT CODE PACK SIZE COST COST PER UNIT PIP CODE STANDARD CATHETERS Teleflex - Flocath Quick * these Catheters should be used routinely at home Male (Ch 12) Male (Ch 14) Male (Ch 16) Female (Ch 10) Female (Ch 12) Female (Ch 14) Coloplast -SpeediCath Standard Male (Ch 12) Male (Ch 14) Male (Ch 16) Female (Ch 10) Female (Ch 12) Female (Ch 14) Bard - Hydrosil Go Female (Ch 10) Female (Ch 12) Female (Ch 14) Female (Ch 16) Male (Ch 10) Male (Ch 12) Male (Ch 14) Male (Ch 16) COMPACT CATHETERS Lofric - Sense * These should be used for discreteness when the patient is going out Female (10ch) Female (12ch) Female (14ch)

10 DESCRIPTION PRODUCT CODE PACK SIZE COST COST PER UNIT PIP CODE Holister - Male VaPro Pocket Male (Ch 12) Male (Ch 14) Hollister Advance * These can be used if the patient is experiencing recurrent UTI s Female (10ch) Female (12ch) Female (14ch) Male (12ch) Male (14ch) Male (16ch) Male (18ch) SET CATHETERS Lofric Hydro Kit * A set should be used by a nurse / carer who is under ISC or if the patient is going out and facilities are poor Female (10ch) Female (12ch) Female (14ch) Female (16ch) Male (12ch) Male (14ch) Male (16ch) Male (18ch) Please check that your patients have good personal & hand hygiene routine

11 DESCRIPTION PRODUCT CODE PACK SIZE COST COST PER UNIT PIP CODE Miscellaneous Items Male Urinal Beambridge * Great for patients with FUNCTIONAL incontinence. Male Urinal with Tap 6-50T Urinal no tap Female Urinal Urinal with Tap 6-18T *Night Drainage bags can be attached if required Night Drainage Bag non-sterile LINC 2 litre LM2LNS Male Funnel Beambridge Male Funnel Female Funnel *Please consider for bed bound patients Beambridge Female Funnel Holister Retracted Penis Pouch With Flextend Skin Barrier Retracted Penis Pouch Faceal Appliances * Bed bound patients only *Holister faecal collector 500ml *Holister faecal collector 1000ml * Anal plugs MUST NOT be used for patients with inflammatory bowel disease. They can stay in situ for 12 hours Peristeen anal plug Small 37mm Peristeen anal plug Large 45mm Barrier Cream This is the only product that can be used with continence pads Medi Derma S non-sting 1ml Medi Derma S non-sting 30ml Medi Derma S Cream Sachets Medi Derma S Cream 28g Medi Derma S Cream 90g

12 Continence Advisory Service North Warwickshire Camphill Community & Family Centre Ramsden Ave Nuneaton CV10 9EB Tel: Rugby The Orchard Centre Lower Hillmorton Rd Rugby CV21 3SR Tel: South Warwickshire Heathcote House Central England Rehabilitation Unit Heathcote Lane Royal Leamington Spa CV34 6SR Tel: