Calculate, Edit, and Submit Orders for Desensitization

• Associated orders (medications, nursing, etc.) must be ordered before you generate the worksheet. If this is the first desensitization for this patient with the selected chemo treatment , see Writing Associated Orders For Desensitization; if previous orders are available, see Copying Previous Associated Orders.

• You can copy and edit desensitization worksheets from previous treatments if available. See Copying a Previous Desensitization Worksheet .

1. If you haven't already:

1.  Select the patient.

2. Click Desensitize Medication (ALT+Z).

3. Click to select an order.

4. Click Desensitization Worksheet (ALT+W).

The medication for desensitization and the dose targeted by the oncologist are automatically included on the spreadsheet.

2. To copy a worksheet from a previous treatment (activated only):

1. Click Previous (active only if worksheet is available).

2. Click the Zoom link for the order you want to display.

3. Click Copy to use the previous worksheet for the current treatment. If you do not want the previous worksheet, click Close.

You can edit or even clear and recalculate the copied worksheet before submitting it—see next. Go to step 9 to submit the copy without changes.

3. Type values for standard volume per bag and the final rate of infusion, and additional volume if needed.

4. Select a level of severity. If needed, you can edit the number of bags and steps per bag.

Changing the level of severity clears all calculated results.

5. Click Calculate.

6. Insert or remove additional steps as needed

• To insert a new step before an existing step, enter the number of the existing step in the Add a step before field. Click to calculate the parameters for the new step and add them to the spreadsheet. When prompted to confirm, click OK to accept the new step, or Cancel to return to the worksheet without making the change. Repeat for as many steps as you need to add.

• To remove an added step (numbered with red text), type its number in the Delete added step field, then click . When prompted to confirm, click OK to accept the deletion, or Cancel to return to the worksheet without making the change.

• To add more steps for every bag, type over the number of steps per bag, then click Calculate.

• To add more bags, type over the number of bags, then click Calculate.

7. Edit the steps as needed

• To edit the volume for a bag, click the Edit link to its left. Type a volume (milliliters), then click Update to recalculate its parameters.

• To edit either the flow rate and/or infusion time for a step, click its Edit link. Type to change one or both numbers. Click Update to recalculate the cumulative time, volume, dose, cumulative dose, and fold increase, as applicable, for the step.

8. To include or remove instructions for a step:

• To write new instructions, click for the step. Type your instructions, then click OK to return to the worksheet.

• To edit or erase existing instructions, click for the step. Type over to edit the text, click Remove to clear, click Restore to bring back instructions you just removed. Click OK to return to the worksheet.

9. Click Submit to finalize the calculated dosing and attach the desensitization orders to the chemotherapy orders for approval and activation.

• To start again, click Clear.

• To generate a paper copy of the spreadsheet, click Print. Click Close to return to the worksheet.

• To generate a copy of the spreadsheet in a Word document, click Export to Word. When prompted, click to Open the document in Word, or Save the document as a file. You can save the document from Word as well.

• To return to the UCM patient list without writing orders, click Close.

• See also:

• Overview of Desensitization Orders

• Procedures for Writing Desensitization Orders

• Editing the Desensitization Worksheet Before Chemo Activation

• View and Print Active Desensitization Orders