Order Chemotherapy—Define Parameters to Treat

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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

• 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

1. Click Sign (ALT+S).

2. Define parameters for treatment when prompted.

1. Select an option and complete as appropriate to indicate whether treatment should be administered based on one or more of the patient's lab results:

• Laboratory results are displayed on the right. These are results that have been reported in the previous 21 days, which are defined as relevant to the chemo medications for the current regiment or protocol. Today’s results are bold and underlined. Results outside of the reporting lab's reference range are flagged in red followed by H (high) or L (low). If no results are displayed, check the Results viewer by clicking Results in the CAS toolbar on the left. (See Checking Last Known Values for Lab Results.)

• The option not to administer treatment under described conditions is selected by default. To indicate what test results or other parameters should be considered before starting administration, click the associated checkbox. You must check and complete at least one parameter for this option. For ANC and Platelet Count, type the test result minimum; for Bilirubin and Creatinine, type a maximum (the greater and less than signs are already there). For SGOT/SGPT (AST/ALT), include the test name and a less than maximum or greater than minimum description. For other, type a description.

• To indicate that the patient can be treated without considering lab results, click the option to administer regardless of laboratory values.

2. Click OK (ALT+O).

3. Type your signing key.

4. Assign provider for orders requiring either approval or authorization. To look up a provider:

1. Type at least three letters of the last name, followed by a comma (,), and one or more letters from the first name (no spaces).

2. Press ENTER. The Providers list opens, displaying any names that matched your input.

3. Click to select a name, or press ENTER to take as typed.

5. Life-Sustaining Treatment—All inpatients must have orders. If the patient needs and doesn't have active orders for Life-Sustaining Treatment, the three options—Full, Limited, or Unknown—are active beneath the key field. To change from the default of Unknown, click another option.

6. Click OK (ALT+O).

7. Allergies—If there is no allergy information on the patient, the Allergies tab pops to the front.

• To open the Allergies order form and record known allergies, click Enter Allergies (ALT+E).

• If the patient has no known allergies, click NKA (ALT+K).

• If you have no information on drug allergies for this patient, click Allergies Unknown (ALT+K).

• Click OK (ALT+O).

• Check the orders awaiting activation

• See also Overview of Chemo Order Entry .