Can a registered nurse or licensed practical nurse administer chemotherapeutic agents via bladder instillation?
The appropriately prepared registered nurse or licensed practical nurse may administer a chemotherapeutic agent (e.g., BCG) via bladder instillation provided: • The nurse is educated and competent in the procedure. This education and competence must be documented initially and on an ongoing basis (The nurse must be knowledgeable of all components related to administration of the medications; i.e., indications and use, actions, dosages, contraindications, precautions, side effects, antidote, recommended monitoring and emergency resources/equipment, etc.); • The procedure is the generally accepted standard of practice; • There is a medical order for the procedure; • The nurse is practicing according to accepted standards of practice; • Patients are evaluated on an individual basis for these procedure to be performed; • The patient must be assessed initially and on an ongoing basis as needed by the registered nurse to determine whether there are contraindications or changes which require
