First choice dressing list - Kent Community Health NHS ...
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First choice dressing list
Epithelialising
Exudate level
Granulation
Infection
Necrotic
Slough
Alginates/gelling fibres
Gelling fibre, designed to
KerraCel
absorb exudate.
Calcium alginate dressing.
UrgoSorb
Indicated for bleeding wounds.
Cleansing solutions
Antimicrobial cleansing solution
Octenilin Wound
suitable for removal of devitalised
Irrigation Solution tissue and biofilm.
Sterile sodium chloride 0.9%
Stericlens
for wound irrigation.
Exudate level: = low = medium = high
This guidance does not replace clinical judgement and full holistic assessment is essential. Use products as per manufacturers instructions.
Please note, not all sizes are approved for use. Please refer to the first choice dressing list (FCDL) or ONPOS list for details.
2
Epithelialising
Exudate level
Granulation
Infection
Necrotic
Slough
Contact layers
Primary wound contact
Atrauman
layer. Petrolatum free.
Soft silicone wound contact layer
with silicone on one side of a
Mepitel One
highlytransparent and flexible
polyurethane mesh.
Film
Transparent vapour – permeable
ClearFilm
film dressing, latex free.
Exudate level: = low = medium = high
This guidance does not replace clinical judgement and full holistic assessment is essential. Use products as per manufacturers instructions.
Please note, not all sizes are approved for use. Please refer to the first choice dressing list (FCDL) or ONPOS list for details.
3
Epithelialising
Exudate level
Granulation
Infection
Necrotic
Slough
Foams ( = Refer to foam decision tool)
Polyurethane foam dressing with
Tegaderm Foam
semi permeable film backing layer
Adhesive and adhesive border.
Polyurethane foam with
vapour-permeable film backing
Biatain Silicone
and gentle silicone adhesive
border. Conforms to wound bed.
Mepilex Border Bordered silicone foam with Flex
Comfort Technology for conformability.
Hydrocolloid - thin
DuoDERM Thin adhesive
Extra Thin hydrocolloid dressing.
Exudate level: = low = medium = high
This guidance does not replace clinical judgement and full holistic assessment is essential. Use products as per manufacturers instructions.
Please note, not all sizes are approved for use. Please refer to the first choice dressing list (FCDL) or ONPOS list for details.
4
Epithelialising
Exudate level
Granulation
Infection
Necrotic
Slough
Absorbent
Zetuvit E - Highly absorbent cellulose pad
Non Sterile with fluid repellent backing.
Superabsorbents
Highly absorbent cellulose pad
with fluid retaining particles.
Zetuvit Plus
Suitable for use under compression.
Leg must then be re-shaped.
Superabsorbent core to lock
in exudate, with horizontal
KerraMax Care
wicking layer. Suitable for use
under compression.
Exudate level: = low = medium = high
This guidance does not replace clinical judgement and full holistic assessment is essential. Use products as per manufacturers instructions.
Please note, not all sizes are approved for use. Please refer to the first choice dressing list (FCDL) or ONPOS list for details.
5
Epithelialising
Exudate level
Granulation
Infection
Necrotic
Slough
Antimicrobials (Reassess and review at 2 weekly intervals)
Cadexomer Iodine
Iodoflex
mouldable paste.
Non-adherent impregnated with
Inadine
10 per cent povidone-iodine.
Medihoney Antibacterial Antibacterial honey containing
Honey Apinate Dressing calcium alginate.
Medihoney Antibacterial Antimicrobial medical grade
Medical Honey 100 per cent honey.
Aquacel AG+ Extra Silver antimicrobial dressing.
Activated carbon cloth.
Zorflex Contact layer.
Does not contain silver.
Sorbact - technology coated
Cutimed Sorbact
hydrophobic antimicrobial
Ribbon / Swab woundcontact layer.
Exudate level: = low = medium = high
This guidance does not replace clinical judgement and full holistic assessment is essential. Use products as per manufacturers instructions.
Please note, not all sizes are approved for use. Please refer to the first choice dressing list (FCDL) or ONPOS list for details.
6
Epithelialising
Exudate level
Granulation
Infection
Necrotic
Slough
Low/non adherent
Mepore Self-adhesive absorbent dressing.
365 Film
Transparent, self-adhesive
Transparent
absorbent film and pad.
Island Dressing
Exudate level: = low = medium = high
This guidance does not replace clinical judgement and full holistic assessment is essential. Use products as per manufacturers instructions.
Please note, not all sizes are approved for use. Please refer to the first choice dressing list (FCDL) or ONPOS list for details.
7
Medicated bandages
Viscopaste PB7 Zinc paste bandage, can be used for chronic eczema/dermatitis.
Zinc paste and ichthammol bandage can be used for chronic
Icthopaste
eczema/dermatitis.
Retention bandage (Not to be used on lower limbs)
Knit-Band Lightweight knitted retention bandage.
Bandages
K-Soft An absorbent, non woven, sub bandage wadding, latex free.
K-Lite Lightweight knitted bandage, providing light support.
Exudate level: = low = medium = high
This guidance does not replace clinical judgement and full holistic assessment is essential. Use products as per manufacturers instructions.
Please note, not all sizes are approved for use. Please refer to the first choice dressing list (FCDL) or ONPOS list for details.
8
Compression bandages
Cohesive, inelastic (short-stretch) bandage. Treatment and management of
Actico venous leg ulcers, lymphoedema and chronic oedema. Suitable for mobile
and immobile patients with an ABPI of 0.8-1.3.
White knitted fabric type 3a compression bandage consisting of viscose, nylon
and elastomeric yarn an extensible bandage donating up to 20 mmHg of sub
K-Plus
bandage pressure at the ankle. Not recommended for patients with arterial
disease (ABPI
Tubular bandage
Clinifast Elasticated viscose stockinette.
Emollients and soap substitutes
(Please be mindful of fire risk of these products containing paraffin)
QV Gentle Wash Soap-free wash containing glycerol 15 per cent, pH balanced.
Contains glycerol 10 per cent, light paraffin 10 per cent and white
QV Cream
soft paraffin 5 per cent (E45 equivalent).
An emollient containing liquid paraffin and white soft paraffin,
Zeroderm Ointment
(Epaderm equivalent).
Zerobase Zerobase cream contains liquid paraffin. (Diprobase equivalent).
SLS-free gel containing 30 per cent emollient and 10 per cent glycerol
Zerodouble Gel
(humectant) (Doublebase equivalent).
Fragrance free emollient cream with natural oatmeal
Zeroveen
(Aveeno equivalent).
Emollient containing 50 per cent white soft paran and 50 per cent
Fifty:50
white liquid paraffin.
Exudate level: = low = medium = high
This guidance does not replace clinical judgement and full holistic assessment is essential. Use products as per manufacturers instructions.
Please note, not all sizes are approved for use. Please refer to the first choice dressing list (FCDL) or ONPOS list for details.
10Barrier creams/skin protectors
Must be used in line with the following recommendations:
• Moisture associated skin damage (MASD) pathway A
• Incontinence associated dermititis (IAD) pathway B
Cavilon No Sting Protective transparent barrier film for peri-wound skin, alcohol free,
Barrier Film (see pathways A and B).
Cavilon Durable Highly concentrated barrier cream to protect against bodily fluids,
Barrier Cream (see pathway B).
Proshield Plus Skin
To be used on severe skin breakdown (see pathway B).
Protectant
Proshield Foam and To be used on severe skin breakdown (see pathway B).
Spray Cleanser Only use if there is persistant diarrhoea.
Exudate level: = low = medium = high
This guidance does not replace clinical judgement and full holistic assessment is essential. Use products as per manufacturers instructions.
Please note, not all sizes are approved for use. Please refer to the first choice dressing list (FCDL) or ONPOS list for details.
11Contact us
If you need further advice, please contact the Tissue Viability Team.
Email: kcht.tissueviability@nhs.net
Phone: 01795 562190
Original document kindly produced by 3M Healthcare Solutions on behalf of Kent Community Health NHS Foundation Trust.
Version: 5 October 2019.You can also read
