Order Chemotherapy—Enter Height & Weight

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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

• Enter height and weight

• If no data is available from the LMR, type the patient’s height and weight, using customary US or metric units. At the request of the Chemotherapy Safety Committee, only one type of unit is allowed, dependent on the care setting. The alternative units and BSA are calculated automatically. Press TAB or click the next field to continue.

• If there is data available from the patient’s ambulatory Longitudinal Medical Record (LMR), the difference between the LMR weight and the most recent Chemo Order Entry (COE) weight is displayed. For comparison and calculation, as with manual entry described above, the care setting determines which unit—US customary or metric—is used. If there is no previous COE weight (including the case that the last COE weight is expired), the difference is 100%.

• To display the LMR data, click View LMR Weight & Height. The values, entry date, and percent difference are displayed. As with manual entry described above, the care setting determines which unit—US customary or metric—is used. Click Update COE with LMR Information (ALT+U) to use this data for ordering chemo; click Cancel (ALT+C) to close the display without using the LMR weight. The alternative units and BSA are calculated automatically.

Weight and height for chemo calculations is stored separately from any other order entry values—for example, the values used for weight-based dosing of medications ordered outside of a regimen or protocol. Weight must be re-entered every 30 days for oncology patients, every 90 days for patients receiving chemotherapy for other conditions.

• 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 .