Order Chemotherapy—Edit IV Fluid Orders

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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

• Select orders from a non-chemo set

• Edit a general care order

• Edit a medication order

• Edit an IV fluid order

1. If you haven't already, click Next (ALT+N) or Previous (ALT+P) to open the folder with the order to edit, then click the line for an order to select it.

2. The order's parameters are displayed in the tab sections at the bottom. Click a tab to view its contents.

3. Select options and type instructions as needed.

• IV1 tab Amount or Alt (alternate amount) —Type the rate. For Alt Amount, click to select cc/m2/hr for the weight/BSA-based rate.

• IV1 tab Start—Click to select an option. For Other, see Defining Non-Standard Start Times.

Scheduled days can be changed by clicking Other, then clicking the By Day option in the Start day section. When prompted, type the day number(s) as described, then click OK (ALT+ O ).

• IV1 tab Site—Click to select from the drop-down list.

• IV1 tab Heplock When—Type a description of the condition(s) to meet for adding a saline lock to the IV.

IV Fluids with the saline lock option selected automatically generate two (2) consequent medication orders on completion. See Overview of Consequent Orders .

• Instructions tab—Type as needed.

4. Press TAB to update the order display in the list.

• Add orders to a non-chemo set

• 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 .