Order Chemotherapy—Add Exception Orders

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• Select the patient

• Start the chemo order session

• Set up the treatment—Regimen/protocol, diagnosis, numbering, day 1/day 0, patient height and weight

• Confirm treatment setup

• Reusing previous order parametersࠀ

• Open the chemo player

• Check information on the actual treatment administered previously—access the LMR Oncology Infusion Flowsheetࠀ

• Non-chemo orders—select, edit, addࠀ

• Non-chemo orders—select and editࠀ

• Chemo orders—select and edit

• Add a chemo exception order (MD only)

Only chemotherapeutic or chemo-related medications can be added via this form. Dosing methods and scheduling on the Chemo form are set up for chemo and medications that are administered like chemo. To add a different kind of drug, cancel out of this form, click Previous to move to a non-chemo folder, and edit the folder list. See above, Add Orders to a Non-Chemo Set.ࠀ

1. Click Add Chemo (ALT+A). The Add Chemo button is available only  if you checked the Exception Order checkbox when setting up the treatment. See Setting up the treatment.

2. Look up the medication

3. Select from the search results

4. Define the dosing and other information

5. Set the schedule

6. For pediatrics only, as needed define fluids and additives for IV drugsࠀ

7. If the order needs to be activated by a chemo attending, fellow, NP, or PA, click to check This chemotherapy medication will be administered by the Provider.

8. For a PO med and an adult patient, to allow the modifications to the administration (to accommodate available tablet strength, or to allow splitting the administration) , click to check Adult PO dose options.ࠀ

9. Click OK (ALT+OࠀKࠀ). The order is added to the open Chemo folder.

• Complete and review the session

• Sign the session

• Check the orders awaiting activation ࠀ

See also Overview of Chemo Order Entry.ࠀSee also Overview of BWH Chemo Order Entry.ࠀ