Order Chemotherapy—Select a Chemo Treatment—Regimen

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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

• Review the Cumulative Dose for Defined Chemo Medications

• Select the treatment— protocol

• Select the treatment— regimen

1. For the initial treatment, select a diagnosis.

2. If you plan to add exception orders, or order from a regimen for an alternate diagnosis, click to check Exception Orders (ALT+E) .

• Only MDs can write exception orders. See Overview of Exception orders for more information.

• See also: Writing Exception Orders for Chemotherapy Medications.

3. To order from a regimen for an alternate diagnosis:

• If you haven't already, click to check Exception Orders (ALT+E) .

• Click Alternate Diagnosis (ALT+T) .

• Select an alternate diagnosis.

4. Select a treatment from the Regimen drop-down list.

• If you select the Exception regimen, you must write every order from scratch. The custom regimen will be saved for the patient.

• The options available are based on the primary diagnosis, or the alternate diagnosis if that option is selected.

• Pediatric regimens are offered only to clinicians with pediatrics authorization.

5. If the option is available, select from the Indications drop-down list.

• Indication is required if present.

• The information must be updated when ordering subsequent treatments after 60 days.

6. Type the identifying number in the Cycle /Week field, if empty. Press TAB or click the next field to continue.

• Phase (pediatric) and Weekly (adult) treatments are not numbered—no entry is needed.

• For adult patients on cycle-defined treatments, the cycle number increments automatically for subsequent cycles after the first is written.

• For pediatric treatments defined by week or cycle, you must enter the number every time. The numbers need not be sequential.

7. Type the date of Day 1 or Day 0 of the treatment. Press TAB or click the next field to continue.

• If you are writing the orders after the patient has started treatment, enter the past date that the treatment started. You will be prompted to confirm that Day 1/ Day0 is in the past.

• The relation of the current date to the initial date of treatment is displayed to the right of the Day 1/ Day 0 field. "Today is day..." will be a negative number if the start of treatment is set for the future; and positive if the treatment starts today or has already started.

• Enter height and weight

• Validate the weight (triggered alert as outlier for age group)

• Validate the height (triggered alert as outlier for age group)

• Click OK (ALT+ O ).

• 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

• Check the orders awaiting activation

• See also Overview of Chemo Order Entry .