Order Chemotherapy—Respond to Interventions

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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 parameters

• Open the chemo player

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

• Non-chemo orders—select, edit, add

• Chemo orders—select

• Edit chemo orders

• Add a chemo exception order (MD only)

• Complete the session

• If you haven't already, after you have opened the Chemo folder (last in the group), having selected and adjusted all orders as needed, click OK (ALT+ O) .

• Provide the reason for writing exception orders

• Respond to the Chemo High Dose Warning

• Respond to Interventions

Each order selected is checked to determine if it exceeds the maximum dosing recommendations (see chemo high dose warning, above), if it is listed in the patient's allergy record, and/or if it is likely to interact with any of the patient's current active medication orders or with any of the other orders selected in the regimen/protocol. A separate alert is presented for every order as it is reviewed, for each intervention—drug-drug interactions, allergies, and high dose. In each case, you have the option to remove the order that triggered the alert. You can opt to keep an order that triggers an alert (except for level 1 drug-drug interactions); you must indicate your reasons and course of action for doing so. See also:

• Responding to allergy alerts

• Responding to DDI level 1 alerts (caused by an exception order)

• Responding to DDI level 2 alerts

• Respond to the Chemo High Dose Warning

• Add a memo as needed (which is saved as a General Care order)

• As needed, view order details, view or print a list of chemo and medication orders only, or make changes before signing

• Sign the session

• Check the orders awaiting activation

• See also Overview of Chemo Order Entry .