UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
MEDICAL CENTER

PROCEDURE

PURPOSE: Treatment of superficial Transitional Cell Carcinoma of the bladder

1. I & O catheter tray
2. Chemotherapy drawn up in Toomey syringe
3. Chemo waste receptacle - yellow bag

PROCEDURE STEPS:

1. Explain procedure to patient. If possible, provide patient with written instructions before day of chemotherapy is to start. (See teaching handout.)
2. Provide patient with a gown and have patient to undress.
3. Assess patient for possible UTI. Patient will not be treated with chemo until clear. Microscopic UA is performed by physician in the clinic.
4. Prep and catheterize patient. After all urine has drained, instill chemotherapy and remove catheter.
5. Patient must remain in clinic for 1 hour for observation for possible side effects on 1^st dose.
6. Patient is to retain chemo for 2 hours.
7. Provide patient with instructions on proper handling of urine to avoid environmental damage. (See teaching handout.)
8. Instruct patient to report any complications or problems.
9. All chemo contaminated items will be placed in yellow bag for proper disposal by housekeeping.

REFERENCES:

Cancer Chemotherapy Guidelines - Oncology Nursing Society, Oncology Nursing Press, Inc., 1996, p. 50

RESOURCE PERSON(S):  Sandra Haslett, RN