Writing and changing chemotherapy orders is restricted to authorized providers.
Restrictions apply to changes for chemotherapy medication orders.
This is a process for Ambulatory Chemotherapy Orders. The background color for the UCM, sessions, and orders lists in this application are based in the site (not white, as seen in inpatient Provider Order Entry). If necessary, click Switch to Outpatient to access the Ambulatory Chemo application.
If you haven't already:
Click Edit/View Inactive (ALT+I).
From the Ambulatory Chemo Order Session list:
To access the LMR Oncology Infusion Flowsheet, click Infusion Flowsheet (ALT+F). Click Orders in the CAS to return to the session list.
Click to select the session to edit.
Click Edit (ALT+E).
Access an order to edit:
For orders other than chemotherapy agents, click to select the order, then click Edit (ALT+E) to access the form.
For chemotherapy medications, click Chemo (ALT+H), then click to select the order.
The options for the selected chemotherapy order can be changed in the form displayed beneath the chemo orders list.
To edit a selected order:
Depending on the type of order, only certain fields can be changed after an order has been signed.
For chemo meds with defined dose modifications, clicking either the Standard Dose or Total Dose field opens the Dose Modifications list. See Changing the Dose of a Chemo Medication.
For AUC dosed chemo meds, clicking either the Standard Dose or Total Dose field opens the AUC Dosing form. See Changing the parameters for AUC Dosing.
For chemo meds, to change the administration days, click the Schedule tab, then click Sched days/doses. See Changing Scheduled Days.
For chemo meds, to prevent recalculation of weight-based dosing upon activation, click the Do Not Recalculate tab, then type your reason.
Click to select from drop-down lists .
Type over, delete, or add to text entries.
Click to select different options . These are mutually exclusive; selecting one in a group automatically deselects the others.
Click to check or uncheck items .
For checkbox or drop-down list selections with additional information, click the button to the right to display the entry form.
For certain orders, click the labeled button—clinical history, reasons, or restrictions, for example—to open the form for editing. Complete the edits, then click OK (ALT+O) to continue.
Click OK (ALT+O).
Click Close (ALT+C) to display the list of orders for this session.
Write additional orders as needed, then sign the session.
Click Close (ALT+C) to return to the UCM.
See also: