Administerring 5-fu at home, urgent advice needed

  1. 0 Hello, I am a home health nurse that has been asked to give 5-fu to a patient at home. I have no chemotherapy background.

    I am from Florida and have no idea if you need to be chemo certified to give this med, and cannot seem to find the information online.

    Also, does anyone know anything about this chemotherapy or special considerations when administering 5-fu? I have no idea how to administer this chemotherapy.

    Thank you for any advice that you can give me.
  2. Visit  sailkeys profile page

    About sailkeys

    Joined Apr '12; Posts: 3.

    12 Comments so far...

  3. Visit  SonorityGenius profile page
    0
    oh jeez are you serious? First 5-FU can be continuous infusion for 5 days, so the patient needs to be Admitted as an inpatient. If not the patient needs to go to the Oncologist or Infusion Center. You should NOT administer it at home.
  4. Visit  ScottE profile page
    1
    Well the first step would be contacting the Florida BON.


    The second step would be to look up Fluorouracil in your favorite drug guide.
    Not_A_Hat_Person likes this.
  5. Visit  sailkeys profile page
    0
    I have read that it can be started and given at home, usually started in an outpatient clinic and then the patient goes home for 48 hours. What I can't find is if one needs to be chemo certified to give this medication or even how to give it.

    I am concerned about giving this chemotherapy, as I am NOT CHEMO CERTIFIED. Has anyone ever given this medication that can help guide me?
  6. Visit  sailkeys profile page
    0
    thank you for the input, it is very much appreciated!!
  7. Visit  AMN74 profile page
    0
    The 5FU patients that we get at home get it set up in the oncology clinic, usually after POC is accessed and labs are drawn. They put it on a pump and send the patients home with the drug to infuse over 5 days. Sometimes we get orders to d/c the 5fu after the infusion and d/c the huber needle, but most times they do that in the oncology clinic too.
  8. Visit  GoECU profile page
    0
    When I worked at a home health agency, it was rare, but every once in awhile we would have a orders to d/c 5fu but not to set up. Not sure if you need to be certified or not, but when my manager tried to get me to go out and take it down one day, without any prior experience doing it, I refused as I did not think it was safe for the patient or I to do this without prior knowledge of the procedure.
  9. Visit  brainkandy87 profile page
    0
    Quote from GoECU
    When I worked at a home health agency, it was rare, but every once in awhile we would have a orders to d/c 5fu but not to set up. Not sure if you need to be certified or not, but when my manager tried to get me to go out and take it down one day, without any prior experience doing it, I refused as I did not think it was safe for the patient or I to do this without prior knowledge of the procedure.
    This, 100%. If you've never done it, especially with something like chemotherapy, never try to do it without experienced help.
  10. Visit  WildcatFanRN profile page
    0
    I'm not and oncology nurse, but my mom was on 5-FU for home infusion. The HH nurse came and started the infusion after her chemo treatment at the infusion center. Then the nurse came back 48 hours later to stop the infusion and heplock her port site. However, her nurse was chemotherapy certified. There are precautions.
  11. Visit  tnbutterfly profile page
    0
    Moved to Home Health Nursing.
  12. Visit  caliotter3 profile page
    1
    When I am asked to do something in the home health environment that I am unqualified to do or uncomfortable with, I inform my employer and decline the assignment. Administering chemo at home would fall into that category. Now, if the employer wanted to do what is necessary to make me qualified, that is another story. However, it seems the employers always expect us to wing it, as if we didn't have careers or livelihoods to worry about, much less the poor patients.
    Esme12 likes this.
  13. Visit  Sue Damonas profile page
    0
    Yes, you do need to be chemo certified to start or disconnect chemo. Don't let them make you do something that you have not had the proper training for. Let us know how it turns out.
  14. Visit  msrosebud28 profile page
    0
    I work for a home health company and we do chemo in home but we only hook up to the pump and take it down. We do not mix or program the pump . The pharmacy mixes and programs the pump , we only check for correct settings. And for this reason I am told is why we do not have to be certified.


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