Order Chemotherapy—Desensitization

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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

• 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 a chemo order

• Click the line for an order to highlight it and display its parameters in the section beneath the order list.

• Dose modifications

• AUC dose modifications

• Change the preset weight

• Adjust dosing of oral medications

• If needed, make limited changes to the scheduled day(s)

• If needed, prevent recalculation of dosing of chemotherapeutics at activation—based on adjustments made to the patient's weight, height, or creatinine

• Order desensitization

To queue the order for the allergist team to calculate concentrations, infusion rates, and durations when the patient needs to be desensitized:

1. Click to select an order from the list.

2. Click the Desensitize tab.

3. Click the Desensitize checkbox.

4. When prompted, lookup the name of the allergist with whom you discussed the desensitization orders:

1. Type at least the first three (3) letters of the allergist’s last name.

2. Click Search.

3. Click to select the name from the search results.

4. Click OK (ENTER).

• Only continuous infusion medications that are approved for desensitization can be requested. Consult the allergist team before ordering desensitization. Orders for desensitization are flagged <DESEN>, and the patient Order Status includes the <DESENZ> flag. See Overview of Desensitization Orders.

• Update administration instructions

• Write or Edit a prescription for an oral investigational chemo med

• 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 .