Clean up and Organize wound care at your Home Health Agency

This page contains a free  wound care plan and formulary management program. 

What is a wound formulary? You need to know this!

You know how all hospitals have drug formularies, a list of medications that they use in their facilities? Well a wound care formulary is like that. It is a list of the wound products you use in your home health agency. You might think that would be limiting, but if you look at it in another way,  a wound formulary allows the nurses to get very familiar with the dressings they use all the time.

Along with the wound formulary is a wound management program. The wound management program lays out which dressings go on what types of wounds.

Believe it or not, this page contains a complete wound management program andwound formulary. The order form has the wound formulary.

I have worked out a simple, cost effective wound care formulary that will save you money and give you the tools you need to provide excellent wound care. Look at the rest of this page.  You will see a complete plan for managing wounds and the wound formulary. All I have included are the things that give home health and nursing home administrators so much grief — the advanced wound care products. Gauze and tape are cheap, wherever you get them.

I am a Certified, Wound, Ostomy, Continence Nurse, (obviously NOT a website designer!) and I will answer your questions if you leave them in the comments, or you can email me at sue@homeline360.com

For now, get your accelerated education below, then click on the “Prices and Ordering” link to start managing your patient wounds and the supplies you use effectively. Excellent wound care is the most cost effective wound care.

Sue Hull, RN, MSN, CWOCN

PS — Add to the low prices FREE SHIPPING !

Let the Education Begin!

1.The Basic Basics

  • If there is infection, treat it.
  • If it’s wet, absorb it.
  • If it’s dry, hydrate it.
  • If there is a hole, fill it.
  • If there is necrotic tissue, remove it.
  • If there is healthy tissue, protect it.

2. Use this grid to make wound dressing decisions based on wound characteristics. These are the basics.

Wound Type Shallow Deep
Wet Enluxtra Alginate in wound. Cover with Enluxtra
Dry Enluxtra Hydrogel and gauze in wound. Cover with Enluxtra.

3. Special Dressings for Special Situations:

Infection Prevention (eg. immunosupression, diabetes, poor home hygiene) –PHMB Kerlix and gauze

Rolled Edges — HydroferaBlue

Odor — Silver dressings (and/or metronidazole gel or crushed tabs)

Hypergranulation –HydroferaBlue

Clean wound bed with no granulation tissue — collagen (if dry, add hydrogel)

Need to use enzyme debriding agent with antimicrobial dressing — HydroferaBlue

Infection — Silver dressing appropriate for wound (see above), HydroferaBlue, PHMB gauze

Arterial Ulcer — collagen and hydrogel

Eschar, Dry – Hydrogel (can use with Mesalt)

Eschar, Wet — Mesalt

4. Getting Wound Care Under Control, the details:

When you look in your supply closet, do you have a little bit of many unused products? Does your purchaser go crazy trying to fill orders for all different kinds of dressings because the doctor’s orders call for them? Do you think dressings are not being used properly, because no one can keep up with all the different choices out there?

Here are the steps to follow to get control

1. For most wound care, get orders using CATEGORIES, not brand names (except for Enluxtra, which doesn’t have a category yet). Use the Basic Basics of wound care and the Grid to select the correct category. If you order by category, you can use any brand of that category, so you can use the less expensive ones that you keep in your formulary (hopefully purchased from this website :-) ). You won’t need to have 4 different kinds of foam around and 6 different brands of alginate. You will have your formulary of what you use.

2. Identify special situations — suggested ones are listed above — and know in advance what you use for those situations and have those products on hand (a little to get started) and have them as part of your formulary, so you know what to recommend when those situations arise. Don’t just take the shotgun approach — let’s try this. Oh, that didn’t work. Let’s try this. Etc. Get those wounds out of their ruts, then you can go back to the less expensive supplies listed in the grid.

3. Be proactive with doctors. Make a basic basics list and a grid and a special situations list, like the ones above, and take them to the offices of the doctors you deal with the most. I recommend you give the list to the NURSE or MA so it doesn’t get lost. Tell them that this is what you use. You could also make a list of the categories and specific products in your formulary, so the doctors know what to order. As you know, most of them want help with selecting wound care for their patients. Give it to them. You will also be giving them the confidence that your agency knows what they are doing, when it comes to wound care.

4. Work with doctors and wound clinics that don’t want to work from your formulary. Develop a reputation of being agreeable to work with. In the meantime, find out what those doctors and wound clinics use routinely, and add those products to your formulary BUT separate them from the rest of the wound care products. Designate areas as Dr. Soandso’s wound products, or XYZ Clinic’s wound care. If you can’t beat them join them, and you will get their referrals. If there is a wound clinic in your area, find out what THEIR formulary is. Find out what products are on THEIR carepaths, and add them to your formulary and make a special place for them. Then, when they order a treatment, then change it in two weeks, you are ready for them. You will lower your own stress level, and gain a great reputation.

5. Finally, learn to use your products correctly. There is a lot of information out there. I will be adding information to this site, I am available by email sue@homeline360.com, and there is a lot of free information on my other website, WoundConsultations.com. Don’t use two expensive products that counteract each other. For example, don’t use a hydrogel with an alginate or a foam. They do opposite things! That is a waste of money. Just learn to use things correctly, and you will save money.

There is a lot of good FREE information about wound care on my other website www.woundconsultations.com.  Take advantage of it.

And, I am available to my clients for advice on wound care. (MD orders still necessary).

Now, get out there and be confident!

There is a complete formulary, ready to use, on the Homeline order form. See the tab above for ordering. Anything ordered using that form, the products listed or using the blank spaces, will receive a 5% discount. The form is Homeline Order Form, 5% Off