Enteral Feed Ancillary Equipment used in. Birmingham Community Healthcare NHS Trust (BCHC)

Transcription

1 Enteral Feed Ancillary Equipment used in Birmingham Community Healthcare NHS Trust (BCHC) The following table of equipment is available to be ordered for patients on an enteral feed and who have a Birmingham GP. *Please ensure you use the correct form when ordering items: Vygon form requests for Mic-key extension sets and buttons, enteral male adaptors, etc., will only be accepted via a Vygon New Registration form, or Change of Reg form (currently paper form to be faxed to Nutrition Support Team for authorisation DO NOT FAX DIRECT TO VYGON AS THEY WILL NOT BE ACCEPTED. Homeward/Connections everything else When completing any changes/additions on Homeward e-connections, please make sure you add details in the additional information box at the bottom of the form. This may stop any unnecessary delays to your request. Some items may not be visible to you on e-connections. This does not necessarily mean that they are not available. Please request these items by completing the additional information box Please only use items as advised on this list. If you wish to use anything else or in quantities above those specified, please contact us prior to completing the online e-connections form. Our contact details are: Nutrition Support Team Priestley Wharf 1, Holt Street, Aston, Birmingham B7 4BN Tel: Fax:

2 ANCILLARY ITEM LIST provided by BCHC NHS Trust (Updated August 2016) Item Code Adult Requirements Paeds Requirements Comments Giving Sets Nutricia Homeward* Infinity - Flocare Infinity ENPlus Pack Set - Flocare Infinity ENPlus Universal Set - Flocare Infinity ENPlus Mobile Set - Flocare Infinity Top Fill Reservoir with Integral Set discontinued after Sept Please order new separate Top Fill Reservoir and a separate giving set. - Flocare Top Fill Reservoir per 24 hours 1 per 24 hours or 1 per feed * If a tethered medicine port giving set is required please refer to Nutricia ancillary list Flocare Flocare 800 ENPlus Pack Set - Flocare 800 ENPlus Universal Set, and Flocare Universal Pack Adaptor. Flocare Universal giving sets discontinued after Sept Please order new Flocare Universal Pack Adaptor and a separate giving set as above and Flocare 800 Top Fill Reservoir with Integral Set - discontinued after Sept Please order new separate Top Fill Reservoir and a separate giving set and Enteral UK ph Indicator Sticks (plastic) - ph 2-9 (100 sticks per pack) - ph 2-9 (25 sticks per pack) preferred choice for patients with BGT Merck ph 2-9 (100 sticks per pack) box per month if patient has NG/NJ tube. - 1 box (25 s only) on first delivery only if patient has BGT boxes per month if patient has NG/NJ tube. - 1 box (25 s only) on first delivery only if patient has BGT

3 Item Code Adult Requirements Paeds Requirements Comments NG Tubes Corflo Merck Long or Short Term NG Tubes (single patient use) - CH6 56cm - CH6 92cm - CH8 56cm - CH8 91cm - CH8 109cm - CH8 140cm - CH10 92cm - CH12 92cm As required - Maximum - 1 per month Minimum - 2 per year As required - Maximum 2 per month Minimum 2 per year Corflo can be used for up to 6 months and are re-passable (within manufacturer s guidelines). The patient should always have 1 spare NG or replacement balloon gastrostomy at home and/or school. We do not provide spares for Day Centres or for respite patient should take spare from home or school with them. Medicina Short Term NG Tubes (single use) - CH6 50cm - CH6 80cm - CH8 50cm - CH8 80cm Medicina Long Term NG Tubes (single use) - CH6 55cm - CH6 75cm - CH6 85cm - CH8 55cm - CH8 75cm - CH8 85cm per week 1 per month 1-2 per week (if more required please state clinical need in additional information box on Connect form) As required Medicina NG Tubes Short Term Tubes (up to 30 days) Long Term Tubes Are single use, and can be left in place up to 60 days. ENFit Enteral Syringes for Non Bolus Patients - Enteralok Female Luer Lock 60ml (ENFIT compliant from 01/06/2016) compliant from 01/06/2016) Please note: only one size of enteral syringe can be supplied 4 per month Please note: only one size of enteral syringe can be supplied (4 per month up to max. of 1 per day according to clinical need) ENFit 10ml (64308) 20ml (64309) (if smaller syringe size required) We will provide up to 20 syringes (of the same size) per month for use at school/college if problems identified by CCN, or Nutrition Nursing teams.

4 Item Code Adult Requirements Paeds Requirements Comment ENFit Enteral Syringes for Bolus Fed Patients Bolus fed: 3 per week to max. of 1 per day - Enteralok 60ml Female Luer Lock (ENFIT compliant from 01/06/2016) according to clinical need/home situation 1 per day compliant from Flocare Bolus Feeding Set (paediatrics only) - Bolus Adaptor (Freka) (40334) per bag of feed (if required) 1 per feed 1 per bag of feed (if required) Only to be used if bags of feed to be used as boluses ENFit Enteral Syringes for NJ and Jejunostomy Tubes - Enteralok 60ml Female Luer Lock (ENFIT compliant from 01/06/2016 compliant from 01/06/2016) 1 per day 1 per day Syringe for Balloon Check Terumo 5ml Luer Slip Syringe Terumo 10ml Luer Slip Syringe Use an appropriate size syringe dependent on size of balloon. Flocare Flexicontainers - 500ml ml per 24 hours 1 per 24 hours (water only) or 1 per feed Balloon Gastrostomies Dependent on patient/type of tube used The patient should always have 1 spare NG or replacement balloon gastrostomy at home and/or school. We do not provide spares for Day Centres or for respite patient should take spare from home or school with them. PEG Ends, Clamps and Fixation Devices Contact Department to send out to patient

5 Item Code Adult Requirements Paeds Requirements Comment Extension Sets - Corflo Y extension sets Maximum 2 per month - Freka extension sets 6381 GBUK and Corflo ancillaries should be requested on a HomewardConnections Extension Sets for Buttons - GBUK 12 Luer Lock with cap - GBUK 12 Luer Lock without cap - CORFLO CUBBY Right Angle 24 Feeding Set Right Angle 12 Feeding Set - MICKEY SECURLOK 12 Extension Sets (VYGON ONLY) As per manufacturers guidelines 2 per month As per manufacturers guidelines 2 per month, unless specified need for school use *************************** MicKey buttons, ext. sets, and other MicKey items can only be ordered on a Vygon form. *************************** Items to be ordered in exceptional circumstances (on a named patient basis) The items below will only be authorised once the ordering practitioner has discussed it with a dietitian or nutrition nurse in the Birmingham Community Healthcare NHS Trust. 2 way Pack Adaptor Statlocks/Skin fix-it discs Farrell Valves If a patient is transferred into Birmingham on a different enteral feeding system please contact us Sterile Water only if patient is immunocompromised as per documented evidence from GP/consultant, or patient s on a named basis after discussion with BCHC Nutrition Support Team. Items not funded by the department Syringes for medication : ADULTS - dispensing pharmacy should provide either a medicine spoon or syringe for liquid preparations under a 5ml dose. Medication should be mixed with water and given whenever possible in a 60ml syringe via tube. District Nursing team should be contacted to order appropriate syringes for medication measuring if required contact number CHILDREN - CCN s supply (option 1) Dressings for wounds: on prescription from patient s GP/patient s District Nurse/Nurse Prescriber