A question was posed to our med safety team about the proper dispensing connection for bladder irrigations. We currently dispense with a catheter tipped syringe to prevent IV administration. The nurses are emptying the solution into a cup and drawing it up into a luer lock syringe to administer into the bladder. Nursing is in agreement about the concern for wrong route errors and not using the luer lock.

Hello!

I am writing today to ask a question in regards to the preparation of bladder instillations (products to be administered intravesically into the bladder) in the outpatient space.

Typically these bladder instillations or bladder “cocktails” involve a combination of injectable heparin, lidocaine+sodium bicarbonate or bupivacaine, steroids and sometimes gentamicin. Typically these are administered in the office setting, however in some instances patients may be taught to administer such therapies at home as well.