Products

Nurse Information

We utilize evidence based practices in our Wound Treatments

I keep a rather small but specific dressing formulary. I encourage each agency to keep some of these products on hand for new orders until the patient specific order arrives. A delay in initiating proper care can really hold up the progress of the wound. I typically only rx for 2-3 times a week dressing changes with me doing one of those changes. This limits utilization and strain on HH resources and allows for use of more effective and advanced wound modalities.

Every patient-

  • Wound cleanser of choice (NS, wound wash, anacept, vashe). This is agency preference, I will very seldom specify
  • Non-sterile 4x4s WOVEN gauze (not the smooth non-woven) for cleaning the wound/peri-wound
  • Gloves- must be in the patient’s home in case the patient or caregiver needs to replace or re-enforce dressing on an urgent basis.

Peri wound treatments-

  • Gentian violet
  • Skin prep

Primary Dressings-

  • Hydrofera Blue CLASSIC (Not the READY)
  • Iodosorb (cadexomer iodine)
  • Medihoney gel
  • Medihoney HCS sheets
  • Alginate (not silver)
  • Hydrofiber (Aquacel or Opticell)
  • Endoform
  • Betadine (for wounds with intact, non-draining eschar completely covering wound bed only)

Secondary Dressings-

  • Bordered foam (Medline optifoam silicone border, mepilex border, etc)
  • Optilock (or equivalent)
  • Bordered gauze aka, island dressings
  • Conform roll gauze (not Kerlix)

Compression- (never ACE wrap)

Two layer compression-

  • Medline- PREFERRED HIGHLY- Accuwrap (Purple Box, for patient without suspicion for arterial insufficiency) or Accuwrap Lite (Green box, for patients suspect for or diagnosed with arterial insufficiency). There are CLEAR instructions on the boxes for application. Please review
  • 3M- Coban 2 or Coban 2 Lite (the boxed sets. Plain Coban or cohesive wrap is NOT safest or suitable for venous compression)
  • Medline- Two flex or Two Flex Lite
  • Velcro compression (Circaid, Farrow) for patient self management of edema

Single Layer Compression-

  • Tubular compression- Tubigrip/Comperm (or double layer Tubigrip/Comperm)
  • Compression stockings

Other-

  • Pneumatic compression, aka PCDs, aka lymphedema pumps
  • Sun Science velcro wraps with adjustable inflation
  • I seldom order Unna boots and when I do, it is to gain control of a rampant dermatitis to the lower extremities. The compression order will be changed as soon as that is accomplished. Apply a Kerlix layer over the Unna boot, then add a third layer of cohesive wrap, applied at a 50% stretch.

Creams, Ointments, Gels

  • Urea 40% callous cream (available on Amazon)
  • Ammonium Lactate- by Rx
  • Zinc Cream, aka diaper rash cream
  • A&D ointment
  • Aquaphor
  • Remedy antifungal ointment (for dry, scaly rashes)
  • Remedy antifungal powder (for moist, oozing rashes)
  • Various Rx creams- Clotimazole, Betamethasone, Triamcinolone, Ketoconazole

Negative Pressure Wound Therapy (NPWT)- Wound VAC only 125mmHg

  • Preferred- Dermatac Drape or
  • Standard Drape
  • Black and/or white foam
  • Order big enough size Granu-foam dressing kits to allow for bridging wounds off of any pressure bearing areas.