Professional Documents
Culture Documents
Autumn 12
Zetuvit Plus - A patients view Included inside: Pressure ulcer classification tool from HARTMANN
Save the date: HARTMANN National Congress 23rd - 24th April 2013
Zetuvit Plus has the fastest growing sales of any super absorbent in the community market1
Zetuvit Plus Super absorbent wound dressing pad
For the treatment of heavily exuding wounds Rapid absorption of wound exudate Soft and conformable Cost effective
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Welcome
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to Issue 14 of WoundFORUM
are I say, the nights are drawing in and it will soon be Christmas welcome to the Autumn edition of WoundForum, the free subscription publication from the Wound Management division of HARTMANN. he ambitious target for the NHS to save 20 billion by 2015, means that many trusts are looking to make efficiency savings across all areas of clinical practice. The HARTMANN Wound Management product portfolio is perfectly positioned to provide the right product, at the right time, at the right price. To see how one community service saved 42,000 by switching to HARTMANN products, turn to page 5.
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ow often do we take a step back and take time to reflect on a patients experience with wound dressings? Take five minutes to turn to page 4 where you can read a patient testimonial, from Scott McKay about living with leg ulcers and treatment with Zetuvit Plus, the super absorbent wound dressing pad from HARTMANN.
inally, on page 8 we take a look at pressure ulcer classification and degrees of severity according to the EPUAP guidelines and highlight which HARTMANN products you might choose to create the optimum wound healing environment for pressure ulcers. See the insideback cover for your free pullout and keep guide. oundForum is distributed free of charge twice a year, if you would like to subscribe or if you have any suggestion for topics for future issues please do not hesitate to contact me.
Sally Nesta
sally.nesta@uk.hartmann.info Congratulations to Alison Goodson, Case Manager from Sussex Community NHS Trust. She wins a bright and colourful tourniquet by successfully completing the word wheel competition in the Spring edition.
Here at HARTMANN we are continually striving to reduce our impact on the environment, if you would prefer to receive Wound Forum via email, please do not hesitate to contact me with your email address details.
If someone else with my condition, or similar, could have told me about how effective Zetuvit Plus is at controlling exudate; controlling smell and how comfortable it was, I would have changed to the dressing straight away
Whats important?
Provide an environment where Im not embarrassed, where I can be professional with no soaking trousers; no smell!
Whats important?
Keeping me out of hospital, improved my quality of life it ticks all the boxes for everyone. Its not just the cost of the dressing; I must have saved the hospital money by not being there as often!
Scott now lives with chronic leg ulcers, which have caused Scott to gain weight due to inactivity leading to type II diabetes and many other problems. Scotts average hospital stay varied between 4 and 5 weeks due to wound infections and he was admitted to hospital at least 3 times
Whats important?
Staying out of hospital to spend time with my family! My partner doesnt drive and so when Im in hospital I dont tend to see her or my children, so it is a very lonely experience.
Patient interview, August 2012
CaseSTUDY
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We were really impressed with the clinical performance of the product and the cost effectiveness. I made contact with HARTMANN and asked what else do you do?
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since been working hard along with her colleagues to ensure the service delivers: specialist evidence based assessment, support and advice to all healthcare professionals support and advice to patients, families and carers education programmes clinical audit to support practice developments clinical guidelines standard setting ink nurse system procurement advice to the PCT link between primary and secondary care.
Study rationale
Todays economic climate dictates the requirement to provide quality of care whilst being cost effective, and this is a challenge faced by many trusts in the UK. Jane adds There has always been pressure from the NHS to spend the public pound as effectively as possible and so cost savings have always been a priority. However high quality patient care is paramount and therefore we must be cost effective not cost driven. After seeing an advertisement in 2007 in a wound care journal for Atrauman, Jane applied for a free sample pack in order to evaluate the product, We had such positive feedback from the District Nurses about the performance of Atrauman we added the product to our formulary within a few weeks of receiving the samples. The feedback from the leg ulcer clinics was the most encouraging; patients reported that they found Atrauman far more comfortable over the course of a week under compression, in comparison to the previous low adherent standard treatment. This spurred Jane on to investigate the rest of the HARTMANN product portfolio, We were really impressed with the clinical performance of the product and the cost effectiveness. I made contact with HARTMANN and asked what else do you do?
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Figure 2: Cost analysis per product category April 2010 Mar 20114
HARTMANN Competitor 25,000 20,000 15,000 10,000 5,000 0
Other benefits
By streamlining routes to supply other benefits include: closer working partnership with the manufacturer reduced number of sales people calling on district nurses reduced logistic and distribution costs quality assurance
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By converting to Atrauman as the non-adherent primary contact layer, Jane and her team were able to save a total of 20,000. Savings of just under 8,000 were made on type I and type II bandages and 12,500 worth of savings were made by switching to Zetuvit E. Following successful clinical evaluation5 the latest addition to the formulary is Zetuvit Plus; super absorbent wound dressing pad for the treatment of superficial, heavily exuding wounds. Zetuvit Plus saves on average 80% per dressing.
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optimal product performance, clinically proven value for money, with a proactive approach to cost management a customer focused approach to developing innovative solutions comprehensive education and training support dedicated customer service support a streamlined logistics operation ensuring you receive the right product, at the right time, in the right place
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This report details the work undertaken by the Outer North East London Community Services (Havering Area), Tissue Viability team. The formulary this study covers relates to work completed prior to amalgamation and will impact the catchment area of Havering Borough in the future. All price calculations refer to the NHS Supply Chain on-line catalogue and the NHS Drug Tariff (May 2011). Full details available upon request. References 1 JSNA 2010 Topline Findings report Havering NHS 2 ONEL CS Module B performance requirements specification, quality and productivity; Section 1 specification Tissue Viability Service Specification 3 Palfreyman, S, Stevens, J (2010) Use of Hydrofilm and Hydrofilm Plus in the community: an assessment BJCN Vol 15 No 3 4 Wholesaler and EPACT consolidated data April 2010 March 2011 5 Benbow M, Stevens J, (2010) Exudate, infection and patient quality of life BJN (Tissue Viability Supplement) Vol 19, No 20
In conclusion
The HARTMANN range of high performance advanced and traditional wound management products compy with British and European standards. Products are supported by extensive patient studies to demonstrate clinical effectiveness and HARTMANN advanced wound care products are independently tested. Working in partnership with HARTMANN, you can expect:
From Janes perspective We have demonstrated that by looking at new products coming to the market, we have been able to make considerable cost savings, without compromise on product quality, efficacy and ultimately patient outcomes. In general, change is difficult to introduce and manage. HARTMANN support this process with product training and the development of bespoke marketing materials in order to support the implementation of the wound management formulary.
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Source: http://www.hartmann-medicaledition.com
Source: www.hartmanntraining.co.uk
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To protect:
Hydrocoll gelatin-free hydrocolloid wound dressing
The smooth slippery backing minimises the friction coefficient of the patient-support surface. This means that the patient is able to move more easily over the support surface and the area covered by the dressing is likely to be exposed to lower levels of pressure, shear and friction2.
To debride:
Hydrocoll gelatin-free hydrocolloid wound dressing
Provides the ideal environment for the formation of granulation tissue, particularly the activity of fibroblasts, accelerating the wound healing process3. Hydrocoll facilitates debridement of necrotic tissue and slough by promoting autolysis.
To absorb:
Zetuvit Plus super absorbent wound dressing pad
The blend of cellulose fluff and fluid retaining super absorbent particles (SAP) means that Zetuvit Plus is particularly suitable for the treatment of heavily exuding pressure ulcers. The unique structure of the dressing provides cushioning3.
1 Bazin, S. et al (2005) The management of pressure ulcers in primary and secondary care. A Clinical Practice Guideline. Royal College of Nursing 2 Fletcher J. et al (2011) Pressure ulcers and hydrocolloids made easy. Wounds International, Volume 2, issue 4 3 Data on file 4 Nakagami G. et al. Comparison of two pressure ulcer preventative dressings for reducing shear force on the heel. Journal of Wound Ostomy. Continence Nurse. 2006 May-Jun;33(3):267-72
HARTMANN news
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Wounds UK awards
HARTMANN are proud to be sponsoring The cost-effective management in wound healing award at the Wounds UK awards 2012.
The awards have always sought to publicise and celebrate the breadth of excellent work and innovation that is demonstrated by the nation wounds community. To further increase the visibility of the awards and to combine with this years theme of sharing best practice at the annual conference, the awards will form part of the Wounds UK Harrogate programme, held on the 12-14 November. The entrants have all been received and will be announced by Wounds UK very soon. The cost-effective management in wound healing award fits perfectly with the HARTMANN ethos and attitude towards wound healing, keep it simple and cost effective.
Woundcare 4 Heroes
A new charity, Woundcare 4 Heroes (Wc4H), has been formed to develop a national network of complex wound management services to support the NHS in providing lifelong support and care for those discharged from the Armed Forces. The excellence of cutting-edge battlefield trauma care today has resulted in far higher survival rates of service personnel, and far greater numbers of men and women who require long-term wound care due to the severity and complexity of their injuries. With the increase in life expectancy, those injured in their 20s and 30s today, may still be needing specialist wound care for many years to come. By being feet on the beat and actively treating and supporting injured personnel, their families and carers, Wc4H can provide early detection of complications, consistency of care, and fast track service users through rapid referral systems to medical consultant level. Educating healthcare professionals in complex wound management and furthering research in this area is also high on Wc4Hs agenda.
www.woundcare4heroes.org.uk
10
WoundFORUM NEWS
E T A D E H T AVE
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The HARTMANN National Congress will be a day of education training and discussion for healthcare professionals involved with Continence and Wound management. Previous HARTMANN congresses have been a huge success and have been thoroughly enjoyed by our customers and we have some exciting guest speakers lined up already.
To register your interest please go to our website www.hartmann.co.uk and go to contact us and fill in the required details stating that you would like to be part of the 2013 National Congress.
To debride:
Hydrocoll gelatin-free hydrocolloid wound dressing Hydrosorb sheet hydrogel dressing
To absorb:
Zetuvit Plus super absorbent wound dressing pad PermaFoam hydroactive foam dressing and Sorbalgon calcium alginate dressing
Professional consensus (in the treatment of pressure ulcers) recommends to create the optimum wound healing environment by using modern dressings e.g. hydrocolloids, hydrogels, hydrofibres, foams, films, alginates, soft silicones, in preference to basic dressing types e.g. gauze, paraffin gauze and simple dressing pads.
HeLP is at hand
! W NE
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