Managing Hemorrhagic Cystitis in BMT Patients Using Continuous Bladder Irrigation

Abstract

In response to this trend, a team was developed to plan and implement a Quality Improvement (QI) project addressing the process for administration and drug monitoring for patients receiving these drugs by implementing the Institute for Healthcare Improvement (IHI) model for QI. The IHI model utilizes the Plan-Do-Study-Act process in which a series of small tests of change are implanted to achieve desired results. The team established the standard nursing practice as administration of tacrolimus or cyclosporine through the white lumen of the tunneled CVC and lab draws for drug monitoring through the red lumen of the tunneled CVC. BMT nurses were informed of the new standard practice during twice daily safety huddles. Nurses were instructed to remember the standard as "red for blood" meaning to draw from the red lumen. Since implantation of this standard practice there have been zero reported line contaminations.

A novel automatic regulatory device for continuous bladder irrigation based on wireless sensor in patients after transurethral resection of the prostate

“…[4] Besides, CBI has been proposed to inhibit the hemorrhagic cystitis [5] and increase the survival rate following stem cell transplantation. [6] Although CBI is widely used for preventing the complications following TURP, it is not easy for nurses to take CBI for patients.…”