South Staffordshire Joint Formulary Formulary


	South Staffordshire Joint Formulary Cannock Chase Clinical Commissioning Group East Staffordshire Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford and Surrounds Clinical Commissioning Group

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Formulary Chapter 19: Wound Care Formulary - Full Chapter

19.07

Hydrogel Dressings

ActiFormCool
(Non-adhesive ionic hydrogel sheet)

Formulary

Sizes
5cm x 6.5cm (5)
10cm x 10cm (5)

Mode of Action - It has the ability to donate or absorb while allowing the passage of water vapour and oxygen to the wound surface.

Indicatons - Autolytic debribement can be used in sloughy, necrotic wounds. Suitable for painful wounds, burns, scalds, radiation burns, nociceptive pain. Can be used through the entire wound healing process. Moderate to highly exuding wounds.

Method of Use - Use a film top liner if there is little or no exudate.

Contra-Indicatons - Should not be used for deep, narrow cavities or sinuses. Wounds should be checked frequently as rapid absorption can lead to a drying out of the wound. Haemostasis should be achieved prior to dressing application.

Frequency of Dressing change - ActiFormCool should be changed if it becomes discoloured or apaque and as often as the wound condition dictates. As with all absorptive dressings, frequent monitoring is required to ensure the dressing does not dry out and adhere to the wound. The dressing should be changed at the first sign of strikethrough. If infection is suspected, frequent changes and monitoring are advised. The wound should be checked frequently as the absorption process may be rapid and the wound may become drier than expected.

Aquaform Hydrogel
(Clear viscose sterile gel containing starch, glycol and water)

Formulary

Size
8g (1)

Mode of Action - Keeps the wound bed moist, allowing hydration of necrotic tissue and assists in loosening and facilitating the removal of slough.

Indicatons - Low exudate wounds, necrotic, sloughy, granulating, epithelialising wounds.

Method of Use - Apply directly to the wound bed and apply a minimum depth of 5mm, can be used in cavity wounds. Requires secondary dressing. The gel is removed by irrigation with warmed sterile normal saline, warm water or during bathing.

Frequency of Dressing change - Maximum wear time - 3 days. If applied to a necrotic wound, daily changes are required to optimise rehydration of the wound. The frequency of dressing change depends on the amount of exudate.

Contra-Indicatons - Heavily exuding wounds.

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Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to children's BNF
	Link to SPCs
	Scottish Medicines Consortium

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG

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Status	Description
	Drugs which require special consideration. These are drugs for Consultant Prescribing ONLY. They should not be prescribed in Primary Care.
	Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care. For some drugs there may be a Ricad in place to aid the transition to primary care.
	Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care but also require and ESCA (Shared Care Agreement)
	Suitable first-line drugs for implementation in Primary Care
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