Continence Formulary. NHS Great Yarmouth and Waveney Clinical Commissioning Group (CCG) In conjunction with East Coast Community Healthcare

Transcription

1 Continence Formulary NHS Great Yarmouth and Waveney Clinical Commissioning Group (CCG) In conjunction with East Coast Community Healthcare Issue 1 Date Published: April 2015 Revision date: April 2017

2 Urinary Catheters Urinary Catheters 1. Catheter sizes are designated by the Charrière (Ch) Gauge system (even numbers only). Where size is not stated by the prescriber, size 1 or 16 will be supplied. 2. If a balloon size is not stated by the prescriber when ordering a Foley catheter, a ml balloon will be dispensed for adults. Long term use Adult: Maximum period of use 12 weeks Catheter and reference code Gauge (Ch) Rusch Sympacath Aquaflate Hydrogel coated Male ml DH3112-DH3118 Rusch Sympacath Aquaflate Hydrogel coated Female ml DH2112-DH2118 All silicone catheters 12 to Includes a sterile water filled syringe for balloon inflation and empty syringe for balloon deflation 12 to Includes a sterile water filled syringe for balloon inflation and empty syringe for balloon deflation Flexicath All Silicone Standard ml balloon C C Flexicath All silicone Female ml balloon c C 12 to ml prefilled syringe for balloon inflation and a supplementary syringe for balloon deflation. 12 to ml prefilled syringe for balloon inflation and a supplementary syringe for balloon deflation Mid Term Catheter: Suitable for use for up to 28 days Catheter and reference code Gauge (Ch) Rusch PTFE AquaFlate Male DP DP312 ml Rusch PTFE AquaFlate Female ml DP DP to 2 12 to PTFE coated latex with sterile water filled syringe for balloon inflation and empty syringe for balloon deflation PTFE coated latex with sterile water filled syringe for balloon inflation and empty syringe for balloon deflation. 1

3 Urinary Catheters All the Catheters below will need patient instruction from a specialist nurse Catheters Intermittent Single Use Only Catheters Gauge(Ch) size Coveen Easicath Male Conveen Easicath Female Speedicath Male Speedicath Female Actreen Mini Cath Female 2280E 22801E Qufora One Step Male Qufora One Step Female Peak medical Ltd. UltraSmooth Hydrophilic Meatal Dilator USMD to First line 6 to First line 8 to Second line 6 to Second line to Third Line (female) 8 to Male has a non-touch slider 8 to to The Meatal Dilator is cm long, and is a single use hydrophilic coated catheter without drainage eyes designed specifically for dilatation of meatal strictures Incontinence Sheaths It is recommended that patients should be measured for the correct size prior to prescribing a sheath drainage system. Sheaths should be changed on a daily basis unless stated. All recommended sheaths are latex free. Catheters Gauge(Ch) size P-SURE Sheaths Latex Free self-adhesive available in sizes 18mm to 0mm 18, 20, 22, 2, 26, 28, 30, 32, 35, 37,0 Code number 97. then mm size Eg Use for 1 to 3 days. (comes with residual free removal and antiblow back system, includes pubic hair protective cloth) Qufora Sheaths Self-adhering silicone sheath available in standard & short sizes 2mm to 0mm standard 2mm mm mm mm mm Short 2mm mm mm mm mm

4 Leg Bags Leg Bags Order Number 350ml direct inlet tube 350ml cm inlet tube 500ML direct line inlet tube 500ML cm inlet tube 500ML 30cm inlet tube 500ML direct inlet tube 500ML cm inlet tube 500ML 30cm inlet tube 500ML adjustable inlet tube, 500ML adjustable inlet tube, 750ML direct inlet tube 750MLcm inlet tube 750ML 30cm inlet tube 750ML adjustable inlet tube, 750ML adjustable inlet tube, Lever Tap Lever Tap Lever Tap T-tap Lever tap T-tap Lever tap LM350SD-T LM350MD-T LM500SD-L LM500MD-L Drainage bag with a tap outlet, overnight connector and elastic Velcro straps. Containing pairs of straps per box of leg bags LM500LD-L LM500SD-T LM500MD-T LM500LD-T LM500AD-L 21.7 LM500AD-T LM750SD-T LM750MD-T LM750LD-T LM750AD-L LM750AD-T Stands for the bags are available from the Continence team Night Bags Night Bags Order Number LINC-Flo Urinary Drainage Bag SLC Tap Outlet ( 5 to 7 day use) LINC-Flo Urinary Drainage Bag with lever tap SLC13 -L 9.0 Lever Tap ( 5 to 7 day use) Prosys Non-sterile 2 litre night bag with single use drainable tap PSU2 3.0 Drainable Tap (single use only) 3

5 Accessories Catheter Valves Catheter Valve Order Number LINC CARE-FLO CF It is recommended that the catheter valve catheter valve is changed every 5-7 days These should not be used without assessment of bladder function by an appropriate medical Professional Suspensory Systems Suspensory System s Available Prosys Leg Bag Sleeve small (2-0cm) medium (36cm-50cm) large (0-65cm) Leg Straps Leg Straps Order number Jade-euro-med Velcro strap VLS 2 2. Simpla G strap Adult Simpla G Strap Abdominal Hydro-Caine gel 11ml Local Anaesthesia Local Anaesthesia s Available Hydro-Caine gel 6ml 1.15 HYD006 (product code 6ml) each pip code Water for Injection 1. each HYD0011 (product code 11ml) pip code Water for Injection s Available Mini- Plasco water for injection ml 20 9p each or.90 per 20 Antimicrobial Wash: For MRSA positive patients only A plastic vial. Order as branded name Mini-Plasco Antimicrobial Wash s Available Octenisan lotion 150ml Follow catheter policy for MRSA positive patients. 500ml Must have contact against wet skin for one minute. DO NOT DILUTE Cleansing & Barrier products Cleansing s Available Irripod (Sodium chloride 0.9%) 20ml Per box 25 Rigid container aids irrigation Barrier s Available Conotrane Cream 0g 500g p 3.23 Shelf life from opening 3 months Shelf life from opening 1 month

6 Catheter Maintenance Solutions Advice from the POLICY FOR CATHETER MANAGEMENT (201) Catheter Solutions should never be routinely administered to catheterised patients without a clear clinical rationale for their use. Using these solutions does carry a risk of introducing infection. The clinician should be aware of the different substances, their indications and correct usage (RCN 2008). Solutions should not be used as a substitute for re-catheterisation if that is what is required (Addison 2000). Bladder washouts must not be used to prevent catheter-associated infection (NICE 2003). Smaller volumes of washout (50ml/30ml) are as effective as the standard 0ml and two sequential washouts with 50ml/30ml are more effective than a single wash out (Holtom 200). Sodium Chloride 0.9% Sodium Chloride 0.9% Uro-Tainer NaCl 0.9% s Available 50ml 0ml Normal saline should only be used when a purely mechanical effect is required for the removal of small blood clots, tissue and debris. Solution G Solution G Uro-Tainer Twin Suby-G 3.23% s Available 2 x 30ml.76 per 2x30ml Contains:- Citric acid 3.23%, magnesium oxide 0.38%, sodium bicarbonate 0.7%, disodium edetate 0.01% Solution G works by dissolving the crystals formed by urease producing bacteria. Solution G contains Magnesium Oxide; this has been incorporated to prevent bladder irritation due to the acidic nature of the solution. This solution has been extensively trialled. Solution R Solution R s Available Uro-Tainer Twin Solution R 2 x 30ml.76 per 2x30ml Contains:- Citric acid 6%, gluconolactone 0.6%, magnesium carbonate 2.8%, disodium edetate 0.01% Solution R is effective at dissolving persistent or severe encrustation due to its acidic nature. It can also be used just prior to catheter removal to dissolve any crystals on the tip of the catheter, which may cause trauma on catheter removal. This solution has been extensively trialled. 5

7 List of Appliances by Section Section Manufacturer Page Catheters Long Term Hydrogel 1 Rusch Sympacath, male & female Teleflex Catheters Long Term All-silicone 1 LINC All silicone, male & female Rusch Brilliant Aquaflate, male & female Flexicath All silicone, standard & female Teleflex Flexicare Medical Ltd Catheters Mid- term 1 Rusch PTFE Aquaflate, male & female Teleflex Intermittent Catheters single use 2 Conveen Easicath, male & female Speedicath, male & female Qufora Onestep male & female Peak Actreen Mini Cath Medical Meatal dilator Coloplast Ltd Coloplast Ltd MacGregor Healthcare Ltd B.Braun Medical Peak Medical Ltd Incontinence Sheaths 2 P-Sure (Manfred Sauer) Manfred Sauer Ltd Qufora (MacGregor) MacGregor Healthcare Ltd Leg Bags 3 LINC Lever tap LINC Night Bags 3 LINC Flo 2 L T Tap LINC Flo 2 L Lever tap Prosys Non sterile single use drainable tap CliniSupplies Ltd Catheter Valves LINC care -flo catheter valve Suspensory System Prosys Leg Bag Sleeve CliniSupplies Ltd Leg Straps Jade-Euro med Velcro strap Simpla G Strap Adult Simpla G Strap Abdominal Jade-Euro-Med Ltd Coloplast Coloplast Local Anaesthesia Hydro-Caine Gel CliniSupplies Ltd Water for Injection Mini-Plasco water for injection plastic vial B,Braun Medical Ltd Antimicrobial Wash Octenisan wash lotion Schülke & Mayr UK Ltd ( for MRSA positive patients) Cleansing product Irripod (sodium chloride 0.9%) C D Medical Ltd Barrier Products Conotrane Cream Astellas Pharma Ltd Catheter Maintenance Solutions 5 Uro-Tainer Sodium chloride 0.9% Uro-Tainer Suby G Uro-Tainer Twin Solution R B,Braun Medical Ltd B,Braun Medical Ltd B,Braun Medical Ltd Index 6 s based on January 2015 Drug Tariff 6