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Allison, Monika, 7/4/2019

Skin structure

26©2019 Medline Industries, Inc.

MASD

Moisture association skin damage

• “is caused by prolonged exposure to various sources of moisture, including urine or stool, 
perspiration, wound exudate, mucus, saliva, and their contents. MASD is characterized by 
inflammation of the skin, occurring with or without erosion or secondary cutaneous 
infection.”

• https://www.ncbi.nlm.nih.gov/pubmed/21490547

27 27©2019 Medline Industries, Inc.

MASD

Moisture Associated Dermatitis 

• IAD ‐ Incontinence associated dermatitis
• Intertriginous Dermatitis
• Periwound dermatitis
• Peristomal dermatitis

28 28©2019 Medline Industries, Inc.

IAD – What is it?

• Incontinence associated dermatitis

– “An inflammation of the skin that occurs when urine or stool comes into contact with perineal or peri gential skin”
– It is a top down injury – skin layers

• Journal of Wound Ostomy Continence Nurses: 2007 Jan‐Feb:34(1):45‐54

29©2019 Medline Industries, Inc.

WHAT DO I SEE

• BEFORE BREAKDOWN:

– LIGHT SKIN: PINK         RED
– DARK SKIN: Paler, dark red, purple red, yellow
– Underlying intact skin may feel firmer
– Warmer to touch
– Patchy areas

30 30©2019 Medline Industries, Inc.

What do I see?

• Breakdown leads to lesions :
• Vesicle “blister” fluid filled
• Papule “pimple” solid 
• Pustule – pus filled

31 31©2019 Medline Industries, Inc.

IAD risk factors

• Incontinence: fecal (diarrhea, formed); urine; both – irritant 
• Use of occlusive products – traps irritant
• Decreased mobility
• Dementia 
• Pain
• Inability to do self hygiene
• Medication

32 32©2019 Medline Industries, Inc.

IAD risk factors cont:

• Increased body temperature
• Poor nutrition
• Critical illness & Comorbidities

33 33©2019 Medline Industries, Inc.

CARE

Cleanse:  surfactants – loosens irritants (urine, stool)
NO scrubbing– spray on, wipe off – no rinse

• Low sudsing (no sulfates), contains 
emollients

• pH‐balanced  
Moisturize: thin layer, gently massage product 

• No sensitizers – Parabens, sulfates, 
phthalates

• **Breathable** no mineral or petrochemicals
Protect: barrier ‐THIN layer 

• Contains silicone mixture, forms breathable 
film

34 34©2019 Medline Industries, Inc.

Prevention

• ROUTINE – CONSISTENT– SKIN CARE!
• PAT dry NEVER rub 
• DECREASE exposure to irritants
• Follow INCO products wear time guidelines
• Careful routine turning as per facility guidelines

35©2019 Medline Industries, Inc.

Intertriginous Dermatitis

• Sweat trapped in skin folds where there is little air flow – skin 
on skin friction
– Breast
– Groin
– Abdo apron

• Stratum corneum is too wet = macerated
• Encourages friction        inflammation        denuded (rubbed 

off) skin

36 36©2019 Medline Industries, Inc.

Features of:

• Burning & itching
• Maceration 
• Denuded skin (open areas)
• Erythema (redness)
• Odor
• Satellite lesions

37 37©2019 Medline Industries, Inc.

Risk Factors

• stooped posture (contractures),
• obesity, 
• diabetes, 
• poor hygiene, 
• malnutrition, 
• hyperhidrosis, 
• incontinence
• braces, splints, closed & tight fitting shoes webbing of toes

38 38©2019 Medline Industries, Inc.

Care

• MINIMIZE skin on skin contact
• Manage source of moisture 
• Barrier cream – use when needed 

only STOP when resolved
• Do not over bath 
• Pat dry
• 60‐70% of skin erosion will have 

fungal component ‐ treat 
appropriately

39 39©2019 Medline Industries, Inc.

References

Prevention and Management of Intertrigo, or Moisture‐associated Skin
Damage, due to Perspiration: Expert Consensus on Best Practice:Consensus panel

– R. Gary Sibbald; Judith Kelley ;  Karen Lou Kennedy‐Evans ; Chantal Labrecque ;  Nicola Waters; 

40 40©2019 Medline Industries, Inc.

Section 13: 

Wound Care Algorithms 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

Medline Canada 
5150 Spectrum Way, Suite 300  

Mississauga, ON L4W 5G2 

Stage 1 Pressure Injury - None

Non-blanchable erythema (redness) of intact skin1
• May precede with changes in sensation, temperature, or firmness2
• Area may be painful, firm, soft, warmer or cooler compared to

adjacent tissues2
• May appear differently in darkly pigmented skin compared to

adjacent skin2

Treatment Goal
• Resolution of the non-blanchable erythema through pressure

redistribution2

Local Wound Care
• Assess twice daily, if pressure injury deteriorates, restage to

appropriate pressure injury stage2
• Do not cover with a dressing3 – protect skin with skin

protectant/barrier
*If signs or symptoms of infection, consult with

WOUND CHAMPION/WCC/MD/NP*

*NOTE* - This guide does not replace your clinical judgement for assessment,

intervention, & management 1

Stage 2 Pressure Injury - Scant to Small

Partial thickness skin loss with exposed dermis3

• Shallow crater with pink or red, moist wound bed without

slough/eschar2

• Intact or ruptured serous fluid blister2

• Do not use to describe skin tears, MASD, IAD, intertrigo, or tape burns2
Treatment Goal

• Moist wound healing through epithelialization & supported by pressure
redistribution3

Local Wound Care
• Intact blister: Use a protective islanddressing3
• Ruptured blister:

1. Cleanse/Irrigate with wound cleanser│normal saline as per protocol

2. Gently pat peri-wound dry with gauze

3. Apply skin protectant to peri-wound and allow to dry

4. Apply contact layer | silicone foam border lite│composite dressing

with border│hydrocolloid dressing; areas difficult to cover – apply

hydrophilic paste dressing

5. Change q 3-5 days

*NOTE* Consult Physician/NP/WCC for debridement of devitalized blister

tissue3 2

Stage 3 Pressure Injury - Moderate to Large

Full thickness tissue loss but fascia, muscle, ligament, cartilage,

tendon &/or bone not exposed1

• Adipose (fat) tissue is visible & granulation tissue (healing wounds)

and epibole (rolled edges) are often present in chronic wounds2

• Slough and/or eschar may be visible2

• Presents as crater & can have undermining2

• Shallower depth for the bridge of the nose, the ear, the occiput, & the

malleolus as there is less subcutaneous tissue2

Treatment Goal

• Moist wound healing through granulation & supported by pressure

redistribution3

Local Wound Care

Soft, boggy slough or eschar: debride using appropriate method3

1. Irrigate with wound cleanser│normal saline as per protocol

2. Gently pat peri-wound dry with gauze

3. Apply skin protectant to peri-wound and allow to dry

4. Gently pack/fill dead spaces, tunneling & undermining3 with

alginate│gelling fibre│packing ribbon

5. Cover with silicone foam border│absorbent│composite dressing

6. Change q 3-5 days 3

Stage 4 Pressure Injury – Moderate to Large

Full thickness tissue loss with exposed or directly palpable fascia,
muscle, ligament, cartilage, tendon &/or bone1
• Slough and/or eschar may be visible2
• Epibole (rolled edges), undermining and/or tunneling often occur2
• Depth dependent on anatomic location2
Treatment Goal
• Moist wound healing through granulation & supported by pressure

redistribution3
Local Wound Care
Soft, boggy slough or eschar: debride using appropriate method3
Consider use of a contact layer to protect any exposed fascia, muscle,
tendon, ligament, cartilage or bone3
1. Irrigate with wound cleanser│normal saline as per protocol
2. Gently pat peri-wound dry with gauze
3. Apply skin protectant to peri-wound and allow to dry
4. Gently pack/fill dead spaces, tunneling & undermining with

alginate│gelling fibre│packing ribbon
5. Cover with silicone foam border│absorbent│composite dressing
6. Change q 3-5 days

4

Unstageable Pressure Injury - Obscured full-thickness skin &
tissue loss1

Moist boggy eschar cap Dry stable eschar firm cap

Local Wound Care Local Wound Care
• Debride soft &/or boggy eschar • Keep the eschar area dry. Do

cap with appropriate method.3 not cleanse.3
1. Irrigate with normal saline as • Showering: protect injured

per protocol area from water. 3 No
2. Gently pat peri-wound dry with bathing/soaking eschar area.3
• Paint daily or every other day
gauze
3. Apply skin protectant to peri- with Povidone Iodine 10% |

wound skin and allow to dry chlorhexidine 2% up to 2.5 cm
4. OPTION 1 - MOIST WOUND: beyond the wound edge3
• Leave open to air or apply a
Gently pack/fill with
alginate│gelling fiber (with no dry dressing (e.g., bordered
S&S of infection); OPTION 2 - gauze)3
DRY WOUND: Lightly fill with • DO NOT APPLY – gels,
alginate│gelling fiber moistened
with hydrogel transparent dressings, foams
5. Cover with silicone foam or hydrocolloids3
border│absorbent│composite • Monitor closely and treat for
dressing S&S of infection. 3

5

Deep Tissue Pressure Injury (DTPI)

Persistent non-blanchable deep red, maroon or purple
discoloration or epidermal separation revealing a dark wound
bed or blood-filled blister1

• May preceded by painful, firm, mushy, boggy, warmer, or cooler tissue.2
• Discoloration may appear differently in darkly pigmented skin.2
• Results from intense &/or prolonged pressure & shear forces at the

bone-muscle interface.2
Treatment Goal
• Maintain the purple/maroon localized area of intact skin, & monitor

for deterioration. Ensure offloading is in place3
Local Wound Care
Keep the injured area dry. Do not cleanse3
• Showering: protect injured area from water; no bathing/soaking area3
• Protect surrounding skin with a moisturizer if needed.3
• Leave open to air, or apply a dry breathable protective dressing (e.g.,

borderd gauze)3
• DO NOT APPLY – gels, transparent dressings, foams or hydrocolloids3
• Monitor closely and treat for S&S of infection.3

6

Medical Device-Related PI

Pressure from an external medical device.1

AREAS OF RISK UNDER THE FOLLOWING DEVICES FOR SKIN

BREAKDOWN:
• Tubing of any kind (e.g., nasal prongs, catheter, tube feed, etc)1
• Knee immobilizing splints1
• Velcro straps1
• Cervical collars1
• Face masks1
• Hand or foot splints1

Treatment Goal
• Moist wound healing & device management.3

Interventions
• Initiate & maintain moisture prevention strategies.3
• Ensure medical device(s) fit correctly.3
• Examine skin under & around medical device(s) twice per shift.3
• Consider anchoring devices to secure tubing.3
• Reposition anchoring devices as necessary.3

7

Interventions for adults with Braden score 18 or less
(at risk to very high risk) 2

1. Address client concerns2

2. Determine and document risk factors associated with clinical
conditions2

3. Repeat pressure risk assessment2

4. Repeat head-to-toe skin assessment2

5. Manage and provide pain relief2

6. Provide skin care2

7. Prevent/manage moisture associated skin damage e.g., toileting
routine to manage urine/feces. Avoid incontinence briefs/pads2

8. Promote activity/mobility2

9. Support nutritional therapies e.g., encourage calorie and fluid intake as
per client condition. 2

10. Reduce/eliminate shear & friction e.g., keep head of bed (HOB) less
than 30o unless for meal time or as per client condition. 2

11. Promote pressure redistribution through positioning/repositioning
e.g., turn/reposition as per clients’ individualized care plan (e.g., q2h,
q3h, q4h) and include small shifts of position. 2

12. Refer to PT for mobility/exercise if indicated2

13. Refer to OT for therapeutic support devices/surface: i.e., mattresses,

overlays, seating cushions, & offloading devices such as heel boots.2

14. Alleviate pressure e.g., protect occiput, ears, under medical devices

(tubes, splints).2 8

REFERENCES

1. National Pressure Ulcer Advisory Panel (2016). National Pressure
Ulcer Advisory Panel Pressure Injury Stages/Categories:
International NPUAP-EPUAP Pressure Injury Definition. Retrieved
from www.npuap.org

2. British Columbia Provincial Nursing Skin and Wound Committee in
collaboration with the Wound Care Clinicians from across all
Health Authorities (2017). Guideline: Prevention of Pressure
Injury in Adults and Children. Retrieved from
https://www.clwk.ca/buddydrive/file/guideline-prevention-of-
pressure-injuries-2017-november-final/

3. British Columbia Provincial Nursing Skin and Wound Committee in
collaboration with the Wound Care Clinicians from across all
Health Authorities (2018). Assessment & Treatment of Pressure
Injuries (PIs) Guideline Summary. Retrieved from
https://www.clwk.ca/buddydrive/file/guideline-summary-
pressure-ulcer-injury-2018-february/

9

 

Section 14: 
Product Categories and 
Crosses 

 
 
 
 
 
 
 

 

Medline Canada 
5150 Spectrum Way, Suite 300  

Mississauga, ON L4W 5G2 

Product 
Categories

Agenda

• Antimicrobial
• Alginate
• Collagen
• Composite
• Contact Layer
• Gelling Fiber
• Foam
• Hydrocolloid
• Hydrogel
• Transparent Film
• Advanced Technologies

Antimicrobial

• Include antiseptics, honey, iodine, methylene blue and gentian violet, PMHB and silver
• Indicated for partial and full thickness wounds that have critical colonization or infection present
• The products can come in various forms such as alginates, gels, gelling fibers, foam and powder
• Assess the drainage level of the wound and then choose the appropriate dressing that includes the 

antimicrobial 
• Wear time depends on the manufacturer guidelines

Alginate

• Made from seaweed
• Indicated for partial or full thickness wounds
• Manages moderate to heavy drainage
• Changes into a conformable gel, maintaining a moist wound environment
• Has hemostatic properties
• Wear time can vary between 3 to 21 days (check manufacturer guidelines)

Collagen

•Made from bovine or porcine collagen (protein)
•Attracts wound proliferation cells such as fibroblasts and granulocytes to the wound bed
•Indicated for full thickness, non‐infected wounds
•Wound bed should not have necrotic tissue present
•Comes in sheets, powders, or gels
•Absorbed by the body
•Cover with an appropriate secondary dressing such as a foam
•Wear time depends on manufacturer guidelines

Composite Dressing

•A combination of several types of dressing materials into one dressing
•There is distinct layers to the dressing
•Most are adherent dressings
•Indicated for partial or full thickness wounds
•Low to heavy drainage, depending on the design of the dressing
•Composite dressings are typically used as a cover or secondary dressing
•Wear time can vary between 3 to 7 days (check manufacturer guidelines)

Contact Layer

•Designed to protect wound bed from other wound care dressings or wound bed disturbance
•Allows fluid to transfer through to a secondary dressing
•Allows topical medications or antimicrobials to pass through to the wound bed
•Indicated for partial or full thickness wound, infected wound, donor sites, and split‐thickness grafts
•Leave in place for the maximum wear time
• The secondary dressing can be changed overtop as the drainage level dictates

Gelling fiber

•Highly absorptive dressing that becomes a conforming gel when wet
•Ideal for moderate to heavy drainage
•Indicated for partial to full thickness wounds
•Typical wear time is between 3 to 7 days (check manufacturer guidelines)
•Comes in silver versions as well, which are indicated for infected wounds

Foam

•Absorbent cover dressing
•Comes in adhesive, non‐adhesive or silicone versions
•Indicated for moderate to heavy drainage (light drainage versions available)
•Made of hydrophilic polyurethane foam
•Indicated for partial or full thickness wounds without depth
•If there is depth present in the wound bed, select an appropriate wound filler such as an alginate or gelling 
fiber, then cover with the foam
•Typical wear time between 3 to 7 days (check manufacturer guidelines)

Hydrocolloid

•Made from gelatin or pectin
•Utilized as a cover or secondary dressing
•Indicated for low draining wounds
•Very adhesive, which may be ideal for wounds at risk for fecal contamination
•Conformable to the body
•Promotes a moist wound environment
•Typical wear time is between 3 to 5 days (check manufacturer guidelines)

Hydrogel

•Moisture donating gel
•Non‐adherent
•Assists in autolytic debridement
•Various versions, some containing silver which are indicated for infected wounds
•For deep wounds, gel may be applied to a secondary dressing such as gauze and then placed into the wound
•Cover with an appropriate secondary dressing such as a composite or foam
•Wear time is typically 3 days (check manufacturer wear time)

Transparent Film

•A thin oxygen and water permeable membrane
•Acts as a second skin
•Reduces friction
•Non‐absorbent
•Typically used to tape edges of a cover dressing 
•Indicated for partial thickness wounds
•Wear time between 3 to 7 days (check manufacturer guidelines)

12

Advanced Technologies

•Includes treatments, procedures and modalities not considered dressings

•Tissue engineered skin substitutes

• Typically applied in acute care settings or physician lead clinics
• Has to be stitched or stapled in place
• Contact layer applied over top of graft to protect the tissue 
• Biophysical technologies

– Negative Pressure Wound Therapy
– Hyperbaric Oxygen Therapy
– Kinetic (whirlpool, pulsatile lavage)
– Electronic Stimulation
– Phototherapy
– Ultrasound (low and high frequency)

13

References

Rolstad, B.S., Bryant, R.A., Nix, D.P. (2012). Topical management. In R.A. Bryant and D.P. Nix (Eds.), 
Acute and Chronic Wounds: Current Management Concepts (289‐306). St. Louis, MO: Elsevier.

Wounds Canada. (2017). Product picker: Wound dressing formulary. Retrieved from 
https://www.woundscanada.ca/docman/public/health‐care‐ professional/1113‐product‐picker‐
2017‐formulary/file

14

MEDLINE WOUND CARE CROSS‐REFERENCES

CATEGORY CURRENT PRODUCT SIZES (cm) MEDLINE PRODUCT SIZES*  CODES
ZINC‐BASED PASTE (cm)

ANTI‐ Triad Wound Dressing 71g, 170g Zinc Protectant Paste 113g 320‐MSCCA092ZP04
MICROBIAL
Mepilex Ag 10x10
GELLING FIBRE
ALGINATE Acticoat Moisture Control 5x5

SKIN PROTECTANT Hydrofera Blue  5x5, 10x10 10x10 320‐MSC9644EP
SILICONE CONTACT  Antimicrobial Foam 15x15 320‐MSC9666EP
12x12, 17x17, heel, 
LAYER Aquacel Ag Foam sacral Optifoam Gentle Ag

FOAM DRESSING Biatain Ag Non‐Adhesive 10x10 Optifoam Ag+  10x10 320‐MSC9614EP
Non‐Adhesive
Tegaderm Ag Alginate 5x5, 10x10 5X5 320‐MSC9922EP
Silvercel Alginate with silver Maxorb II Ag+ 10X10 320‐MSC9945EP
5x5 15X15 320‐MSC9966EP
Biatain Ag Alginate Opticell Ag+ 2X45 320‐MSC9918EP
Aquacel Ag (Plus) 5x5, 10x10 Ag+ Powder
5x5, 10x10, 15x15,  10x10 320‐MSC9845EP
Opticell 2x30 320‐MSC9818R
1x45, 2x45
5g 320‐MSC9405
Exufiber 10x10 10g 320‐MSC9410
Aquacel Hydrofiber 5x5, 10x10, 2x45
5x5 320‐MSC7822EP
Biatain Alginate 5x5, 10x10 10x10 320‐MSC7844EP
Kaltostat 2x45 15x15 320‐MSC7866EP
10x10 2x45 320‐MSC7818R
Tegaderm Alginate wipes
Skinprep Maxorb II 5x5 320‐MSC7322EP
10x10 320‐MSC7344EP
2x45 320‐MSC7318EP

Sureprep wipes 320‐MSC1605
1mL wand 320‐MSC1610

Marathon 0.5g 320‐MSC093005

Mepitel (One) 5x7, 7x10, 10x18 Versatel One 5x7 320‐MSC1823EP
Adaptic 7x10 320‐MSC1834EP
7x7, 13x23, 20x7,  10x12 320‐MSC1845EP
Restore Contact Layer 11x7, 13x15 10x18 320‐MSC1847EP
20x30 320‐MSC18812EP
4x5, 6x8, 10x12

Biatain Foam Adhesive 10x10

Mepilex Border (Flex) 7x7, 10x10, 12x12,  7.6x7.6 320‐MSC2333EP
15x15 10x10 320‐MSC2344EP
15x15 320‐MSC2366EP
Allevyn (Life) 7.5x7.5, 10x10 18X18  320‐MSC2377EP
sacrum
Tegaderm Foam Adhesive 3x3, 5x5, 9x9, 10x11,  Optifoam Gentle LQ 320‐MSC2399EP
14x15, heel 23x23 
Tielle Plus  sacrum
Hydropolymer Foam 15x15

Aquacel Foam Adhesive 10x10, 12x12, 17x17, 
heel, sacral

Tegaderm Foam  5x5, 10x60 Optifoam 10x10 320‐MSC1244EP
Non‐Adhesive Non‐Adhesive 15x15 320‐MSC1266EP
Optifoam Gentle heel 320‐MSC1200EP
Mepilex 10x10 Non‐Bordered
10x10 320‐MSC2244EP
Mepilex Lite/Border Lite 4x5, 7x7, 10x10, 15x15 Optifoam Gentle Lite 15x15 320‐MSC2266EP
20x20 320‐MSC2288EP

4x5 320‐MSC818B
7x7 320‐MSC2833B
10x10 320‐MSC2844B
15x15 320‐MSC2866

CATEGORY CURRENT PRODUCT SIZES (cm) MEDLINE PRODUCT SIZES* (cm) PRODUCT CODES
SUPER‐ Mesorb
Mextra 10x10, 10x20,  Optilock 7x7 320‐MSC6433EP
ABSORBENT 15x20, 13x15,  10x10 320‐MSC6444EP
WOUND 13x14 320‐MSC6455EP
CLEANSER 23x30 16x25 320‐MSC64610EP
20x30 320‐MSC64812EP
BASIC  12x12, 12x17
WOUND
Sea‐Clens 178mL, 355 mL Skintegrity 236mL 320‐MSC6008
CARE Wound Cleanser Cleanser 472mL 320‐MSC6016
Prophase
COM‐ Mepore 6x7, 9x12, 9x15,  236mL 320‐MSC8008
PRESSION Medipore+Pad 9x30 Bordered
Gauze 5x5 320‐MSC3222
OTHER Alldress 2x3, 2x4, 3x3, 3x8,  10x10 320‐MSC3244
3x10 Stratasorb 10x12 320‐MSC3245
10x20 320‐MSC3248
10x10, 15x15,  15x15 320‐MSC3266
15x20 10x25 320‐MSC32410
10x36 320‐MSC32414
Tegaderm+Pad 5x7, 9x10, 9x15,  8x15 320‐MSC3236
9x20, 6x10, 8x10
10x10 320‐MSC3044
Mepore Pro 6x7, 9x10, 9x30 15x15 320‐MSC3066
15x20 320‐MSC3068
10x25 320‐MSC30410
10x36 320‐MSC30414

Tegaderm 9x7, 10x10 Exuderm 5x5 320‐MSC5422
Hydrocolloid 10x10, 15x15 Satin 10x10 320‐MSC5444
15x15 320‐MSC5466
Comfeel Plus Hydrocolloid 5x5 20x20 320‐MSC5488

Nuderm Hydrocolloid

Tegaderm Thin Hydrocolloid 9x7 10x10 320‐MSC5100
15x15 320‐MSC5125
Exuderm LP

Duoderm Extra Thin Hydrocolloid 7.5x7.5

Surgilast Size 9, 10 Size B, 6.3cm 320‐MSC9501
Size C, 6.8cm 320‐MSC9502
Tubigrip Sizes B‐G Size D, 7.5cm 320‐MSC9503
Size E, 8.75cm 320‐MSC9504
Tubifast 3.5x10, 7.5x10 Size F, 10cm 320‐MSC9505
Size G, 12cm 320‐MSC9506
Elastic Net Bandage 125 yd Medigrip

Coban 2 10x2.7m, 15x3.5m Coflex TLC 10cmx4.7m 320‐AND7800
Coflex TLC Lite
Coban 2 Lite 10x2.7m 10cmx4.7m 320‐AND7802
Suresite 123
Tegaderm Transparent 4x4, 6x7, 10x12,  Therahoney 6x7 320‐MSC2703Z
Medihoney 15x20 10x12 320‐MSC2705Z
Intrasite Gel 50g 43g 320‐MNK0015
Purilon Gel 8g
15g Skintegrity 30mL 320‐MSC6102
Tegaderm Hydrogel 15g Hydrogel bellow 320‐MSC6104

118mL tube

Interdry 10”x144”, 10”x18” Ultrasorbs Dry Sheet + 10/bag + 320‐MSC10614Z +

Wound Measure Kit each Ag+ Powder 5g 320‐MSC9405
Educare Wound Ruler 25/pad
NE1 Wound  100/BX 320‐MSCNE1TOOL
Assessment 
10/PK 320‐MSCNE1TOOLPK
Tool

MEDLINE SKIN CARE CROSS‐REFERENCES

CATEGORY CURRENT PRODUCT SIZES MEDLINE PRODUCT SIZES  CODES
BARRIER 
Aloe Vesta Protective Ointment 236mL 50mL 320‐MSC092532UNSC
MOISTURIZER Sween 24 Moisturizing  90g 118mL 320‐MSC092534UNSC
PROTECTANT (ZINC) Skin Protective Cream 71g
Critic Aid Clear 90g 320‐MSC0924002UNSC
SKIN CLEANSER 320‐MSC0924004UNSC
Arjo A&D Ointment
SHAMPOO & BODY  320‐MSC092408
WASH Arjo Silicone Cream  100g Phytoplex Hydraguard  320‐MSC092416
28g Silicone Cream 320‐MSC092432UNSC
NO‐STING SKIN  Cavilon Moisture 28g 320‐MSC092434UNSC
PROTECTANT Barrier Ointment

Cavilon Durable 
Barrier Cream

Sween Cream  90, 190mL 50mL
Moisturizing Body Cream A&D 118mL
236mL
Xtra Care 120, 620, 1000mL 472mL
Moisturizing Lotion 946mL pump
1L bag
Soothe and Cool  236mL Phytoplex Nourishing 
Moisturizing Lotion Skin Cream

Baza Protect II  Zinc  113g 320‐MSCCA092ZP04
Zinc Oxide  Protectant

Protectant Cream Paste

Peri‐Wash II No‐Rinse  237mL Aloe Care 3:1 No Rinse  500ml flip cap 320‐204‐0075
Perineal Cleanser 350mL Perineal Wash Cream 1L pump         320‐204‐0071
236mL, 4L
Sproam No‐Rinse Pour gallon
Body Cleanser

Aloe‐Vesta 2‐in‐1 
Perineal Skin Cleanser

Provon
Perineal Wash

Remedy Phytoplex No‐ 118ml pump 320‐MSC092104
Rinse Foam 236ml pump 320‐MSC092108

Arjo Encore  250mL 118ml spray 320‐MSC092204
No‐Rinse Perineal Wash 236ml spray  320‐MSC092208

Cavilon Skin Cleanser 236mL Remedy Essentials No‐
Rinse Spray‐ Perineal 

Cleanser

Gentle Rain  621mL 1Lpump 3200—204‐0041
Body Wash & Shampoo 1L, 3.8L
236mL, 4L Aloe Care Scent free 
Secura Moisturizing Shampoo & Body Wash
Cleanser 500mL, 4L

Proadvantage Gentle  4L
Shampoo & Body Wash

Arjo (Gentle/Encore)
Shampoo Body Wash

SkinPrep Spray 28mL Sureprep 28mL 320‐MSC1528
28mL RapidDry
Cavilon No‐Sting  wipes 320‐MSC1605
Barrier Film Spray wipes Spray 320‐MSC1610
320‐MSC1613
SkinPrep Protective  SurePrep wipes
Dressing Wipe RapidDry 1mL wand
3mL wand
Cavilon No‐Sting  Wipes
Barrier Film Wipe