Chapter 20. Stoma Care

Opus Lift Plus 360 Medical Adhesive Remover Spray (Unscented) 

Order Number & Usual Monthly Quantity:

• 5506 | 1-2 cans per month (per box 30 bags)

Salts Adhesive Remover Spray (Scented) 

Order Number & Usual Monthly Quantity:

• WAP | 1-2 cans per month (per box 30 bags)

Directions: Apply sparingly with each bag change.

Notes:

• Routinely recommended by stoma nurse specialists.
• Helps to prevent skin stripping/damage.
• Sprays are more cost-effective than wipes.

Salts Adhesive Remover Wipes

Order Number & Usual Monthly Quantity:

• WAP2 | 1 box per month

Directions: Use one wipe with each bag change.

Notes:

• Routinely recommended by stoma nurse specialists.
• Helps to prevent skin stripping/damage.

Medi Derma-S Barrier Cream^®

Order Number & Usual Monthly Quantity:

• 60628 | One 28g tube every 2 months

Directions: Apply sparingly with each bag change.

Notes:

• Not routinely recommended by stoma nurse specialists, as reduces adhesiveness of bags/flanges.
• If used for >3 months refer to stoma nurse specialist.

Salts Flange Extender 

Order Number & Usual Monthly Quantity:

• SPH1 | 3-6 packs per month

Brava Elastic Tape 

Order Number & Usual Monthly Quantity:

• 12070 | 3-6 packs per month

Directions: Replace at each bag change. May require 2-3 for each bag change.

Notes:

• For one and two piece systems.
• Required for extra security if the patient has a hernia or skin creases, as it increases adhesive area.

Medi Derma-S Barrier Film

Product type & Order Number:

• 30ml pump spray | 60796
• 50ml aerosol spray | 60819
• 1ml applicator | 61076
• 3ml applicator | 61090 

Usual Monthly Quantity: As per stoma nurse advice

Directions: Apply with each bag change.

Notes:

• Short term use only (do not add to repeat prescription).
• To protect the skin around the stoma.
• To soothe and protect broken or sore skin and promote healing.
• If used for >3 months refer to stoma nurse specialist.
• Skin protector wipes:
  • the National Stoma Quality Improvement SLWG (NSQIG) Final Report (November 2019) does not recommend the use of skin protector wipes. However, for patients unable to use a spray (e.g. those with dexterity issues), wipes may be used. ConvaCare Protective Barrier wipes are currently the most cost-effective product (Order Number: S209).
    
    

Brava Strip Paste

Order Number & Usual Monthly Quantity:

• 2655 | 1 box per month

Stomahesive Paste

Order Number & Usual Monthly Quantity:

• S105 | 1 tube per month

Directions: Apply sparingly to skin crease or fold with each bag change.

Notes:

• Not routinely recommended by stoma nurse specialists.
• Only recommended occasionally, helps thicken output and reduce leakages from stoma bags.
• If used for >3 months refer to stoma nurse specialist.

Gellymate Absorption 

• Tablets - Order Number: GD140
• Capsules - Order Number: GM140

Gellymate Absorption tablets and capsules have been discontinued. Replacement expected in due course. 

Gel-X

• Tablets - Order Number: Gel-XT
• Capsules - Order Number: Gel-X

Usual Monthly Quantity: 1 pack per month

Directions: Put one tablet/capsule into stoma bag when emptying or changing bag.

Notes:

• Not routinely recommended by stoma nurse specialists.
• Only recommended occasionally, helps thicken output and reduce leakages from stoma bags.
• If used for >3 months refer to stoma nurse specialist.

Salts Aloe Rings

Size & Order Number: 

• 25mm | SAR25 
• 32mm | SAR32
• 38mm | SAR38
• 45mm | SAR45

Brava Protective Seal 

Size & Order Number: 

• 18-48mm x 2.5mm | 12035 
• 18-48mm x 4.2mm | 12045 
• 18-57mm x 2.5mm | 12036 
• 18-57mm x 4.2mm | 12046
• 18-64mm x 2.5mm | 12038 
• 18-64mm x 4.2mm | 12048 
• 18-76mm x 2.5mm | 12032 
• 27-57mm x 2.5mm | 12037
• 27-57mm x 4.2mm | 12047 
• 27-76mm x 2.5mm | 12033 
• 34-64mm x 2.5mm | 12039 
• 34-64mm x 4.2mm | 12049 

Usual Monthly Quantity: 1-3 boxes per month

Directions: Apply one prior to each bag.

Notes:

• Salts Aloe Rings are 1^st line option and Brava Protective Seals are 2^nd line.
• Occasionally recommended by stoma nurse specialist.
• Used to prevent effluent coming into contact with the skin or prevent leakages by creating a seal between the skin and bag.
• If a large washer is required, Cohesive seal, large, Size: 98mm by Pelican Healthcare Ltd are an available option (Order Number: 839001).