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  • 1.  Urology-Intravesical Gemcitabine

    Posted 01-17-2024 08:58

     Hello, 

    We recently onboarded a urologist in our specialty clinics. I am trying to sort my way through the intravesical office treatment with gemcitabine. 
    I'm wondering if anyone has any resources for proper delivery protocols for instillation in an ambulatory clinic setting? 
    Any guidance would be appreciated. 

    Alicia McCurry



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    Alicia McCurry RN
    Clinic Director
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  • 2.  RE: Urology-Intravesical Gemcitabine

    Posted 01-18-2024 05:22

    SUNA has protocols, videos, etc. 

    https://www.suna.org



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    Sherrie Bragg MSN RN NEA-BC AMB-BC
    Assistant Vice President, Ambulatory Clinical Care & Quality
    Atlanticare
    Egg Harbor Twp NJ
    (609)833-9987
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  • 3.  RE: Urology-Intravesical Gemcitabine

    Posted 01-18-2024 08:59

    American Urological Association has some guidelines: https://www.auanet.org/about-us/policy-and-position-statements/intravesical-administration-of-therapeutic-medication

    As does the European Association of Urology Nurses: https://nurses.uroweb.org/wp-content/uploads/EAUN15-Guideline-Intravesical-instillation.pdf



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    Addie Lowe MSN RN
    Covenant Medical Group
    Kingstree SC
    (843)372-2334
    atomlin2@covhlth.com
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  • 4.  RE: Urology-Intravesical Gemcitabine

    Posted 01-18-2024 09:01

     ALso make sure you have some hazard med handling protocols and disposal bins



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    Addie Lowe MSN RN
    Covenant Medical Group
    Kingstree SC
    (843)372-2334
    atomlin2@covhlth.com
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  • 5.  RE: Urology-Intravesical Gemcitabine

    Posted 01-18-2024 09:23

    In addition to the resources posted in the thread, consider asking the urologist what protocols were in place / used at their previous institution; and if those can be shared.



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    Leslie McDowell ANP-BC DNP RN
    QI Specialist / Curriculum Developer
    Northwest AHEC / Wake Forest University School of Medicine
    Winston Salem NC
    (336)972-7852
    ANP-BC DNP RN
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  • 6.  RE: Urology-Intravesical Gemcitabine

    Posted 12-05-2024 08:51

    Hi Alicia- I am currently working on something similar. I have found that the referenced resources are helpful, but not entirely comprehensive when it comes to the actual procedure of instilling the medication, managing immediate issues, etc. Were you able to create a procedural checklist for this that you could share with me?  Thank you!



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    Ashlee Creamer CNS
    Univ of Rochester Medical Ctr
    Macedon NY
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