Order Chemotherapy—Chemo High Dose

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• Show all details

Click link for steps, for additional details

• 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

Chemo High Dose—This warning is triggered when the patient's order or orders for a given medication exceed the recommended maximum dose for either the day or the week. If both the daily and the weekly maximum are exceeded, a warning is presented for each. The calculation for total dose includes only those orders entered into the Order Entry system.

• To lower the dose:

1. Click No, Change Dose (ALT+N) . The player opens to the Chemo folder.

2. Click the line for the indicated order, then decrease the dose. See Editing chemo orders in the player.

• To accept the dose as written:

1. Click Yes, Continue Order (ALT+Y) .

2. Type a reason for the high dose in the field provided.

3. Click Close (ALT+C) .

• Respond to Interventions

• 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 .