Based on assessment a practitioner must decide on the treatment aim. For the wound this will depend on the tissue at the wound bed, the amount of exudate and the risk of infection. An accurate diagnosis of wound type could dictate specific dressings such as venous leg ulcers and compression. For the patient this may include the presence and type of wound related pain or preference.
If in doubt advice should be sought from the Tissue Viability Service.
Tissue Viability Team
Tel: 0191 5692970
The following local guidance is available for wound management:
Wound Dressing Order Form
Wound Formulary Summary
If any patient requires a dressing not included on the formulary then an exception report (available from the Tissue Viability Service or as an appendix to Wound management Policy CL.021) should be completed and sent to the Tissue Viability Service.
CD&D APC “Do Not Prescribe List” and “Grey List – drugs prescribed under limited circumstances” available at: http://medicines.necsu.nhs.uk/guidelines/durham-darlington/
Antimicrobial (14 days only to notice results)
Topical steroid (daily for 7 days, no improvement seek advice)
Depends on healing potential – use wound type and description
Do not use compression
Proshield® Foam & Spray
Cutimed Protect Barrier Film®
Devon® foot and heel protector
Devon® utility pad
Kendall AMD Foam®
Appeel sterile medical adhesive remover