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  • 1.  Methotrexate in non-oncology setting

    Posted 10-09-2024 14:23

    We are looking at administering Methotrexate in our OB ambulatory clinics for ectopic pregnancies.

    Looking to see there are other organizations that allows this?  If yes, would you be willing to share how you implemented?

    Thanks in advance 



    ------------------------------
    Amy Hawkins, MSN, RN, NE-BC
    Director Ambulatory Patient Care Services
    MU Health Care
    Columbia MO
    hawkinsas@health.missouri.edu
    5738820837
    ------------------------------


  • 2.  RE: Methotrexate in non-oncology setting

    Posted 10-10-2024 17:20

    We provide this service for our OB patients in the outpatient setting. Happy to email you our process so it doesn't jam up replies.



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    Kayla McClure
    VCU Helath
    Richmond VA
    (804) 317-8788
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    Original Message


  • 3.  RE: Methotrexate in non-oncology setting

    Posted 10-11-2024 13:10

    Hi Kayla!

    Thank you for your response.  Would love to talk more with you on your process.  My email is hawkinsas@health.missouri.edu.  

    Look forward to talking with you!



    ------------------------------
    Amy Hawkins
    Dir Ambulatory Patient Care Svcs
    Columbia MO
    5738820837
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    Original Message


  • 4.  RE: Methotrexate in non-oncology setting

    Posted 10-21-2024 16:51

    Kayla,

    I would also love to see your process. Could you please email me at Debbie.irwin@adventhealth.com?  Thank you!



    ------------------------------
    [Debbie] [Irwin] [BSN RN AMB-BC
    [Administrative Clinical Manager]
    [AdventHealth Medical Group]
    [Shawnee Mission [KS]
    [816-820-6210]
    [AdventHealth Shawnee Mission]
    ------------------------------

    Original Message


  • 5.  RE: Methotrexate in non-oncology setting

    Posted 12-16-2024 13:19

    Hi Kayla,

    I am in a similar situation as Amy (OP). If you wouldn't mind emailing me your process, that would be amazing! My email is awthomason@tamarackhealth.org.

    Thank you!!



    ------------------------------
    Adele Thomason RN
    Tamarack Hlth Ashland Med Ctr
    Ashland WI
    (715) 292-3928
    ------------------------------

    Original Message


  • 6.  RE: Methotrexate in non-oncology setting

    Posted 03-11-2025 12:11

    Hi! Can I see your process as well? In 2 years, do you have the nurses do a refresher?

    Kimberly.Nelson@UTSouthwestern.edu

    Thank you!

    Kim 



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    Kimberly nelson MSN Ed RN RNC-OB
    Clinical Educator
    UT Southwestern Medical Center
    Dallas TX
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    Original Message


  • 7.  RE: Methotrexate in non-oncology setting

    Posted 03-21-2025 23:51

    Hi Kayla,

    Joining the crowd and will admit I would love to see this workflow as well! Thank you

    Avion 



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    Avion Cummings
    Nurse Manager
    New MA
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    Original Message


  • 8.  RE: Methotrexate in non-oncology setting

    Posted 10-11-2024 08:16

    We administer a lot of chemotherapy and biotherapy in the non-oncology setting.  There is a course through ONS that is focused on the administration of chemotherapy to the non-oncology patient setting.  This course has a provider card associated with it, it is good for two years, then there is a refresher course.  The course is all on line.  We provide a bridge to practice by having staff practice the administration and understand the patient populations and disease processes that they serve.  



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    Ann Matlock RN DNP NE-BC
    NIH Clinical Center
    Poolesville MD
    (301) 435-5679
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    Original Message


  • 9.  RE: Methotrexate in non-oncology setting

    Posted 12-13-2024 11:25

    hi Ann!

    are you referencing the ONS Fundamentals class? Do you by chance have urology RNs administer BCG via bladder instillation? did you have them attend this course or not knowing this is an antineoplastic vs actual chemotherapy drug? we currently have BCG instillations in the ambulatory urology setting, and we're working towards determining if we want to continue internal education and training or if there is value moving towards this ONS course. if this is similar to what you've experienced, what are your thoughts on this?

    do you have ambulatory RNs administering BCG and actual chemotherapy meds such as docetaxel or gemcitabine? if so, did you have them attend the fundamentals or advanced course? or do you think when administering only one route (such as bladder instillation), the advanced course is unnecessary?

    thank you for your feedback! feel free to respond here or directly via email at carrie.lemke@aah.org 



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    Carrie Lemke, DNP, RN, NPD-BC
    Nursing Practice Leadership Team
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    Original Message


  • 10.  RE: Methotrexate in non-oncology setting

    Posted 03-12-2025 10:13

    If I could add on another question for those that have replied or allow this in your clinics.  

    Who prepares the Methotrexate for injections?  Is it pharmacy or do you allow your nurses to do this.  One of our locations is not on site for pharmacy to draw up the medication.  

    Thanks in advance -

    Amy



    ------------------------------
    Amy Hawkins MSN, RN, NE-BC
    Dir Ambulatory Patient Care Svcs
    University of Missouri Health Care
    Columbia MO
    5738820837
    ------------------------------

    Original Message


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