Order Chemotherapy—No Previous with Standard Changed

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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

• See Chemo Overview: Reusing Exception Orders for information on the requirements for reusing previous orders.

• Previous orders available

• Previous order omitted by rule

• Previous orders not available: Orders are awaiting authorization or approval

• Previous orders not available: The standard treatment has been significantly changed

1. To continue writing orders for adult patients, providers who have access to the webLMR must review previously administered chemotherapy by clicking Infusion Flowsheet.

2. To return to Order Entry from the LMR, click Orders in the CAS.

3. Click OK (ALT+O) to acknowledge the message.

The chemotherapy medications in the standard regimen have been changed significantly since the previous orders were written. You will not be able to reuse your previous settings. A general care order is added to the set to inform nursing and pharmacy that previous settings did not automatically carry over, and that all dosing should be checked.

• Previous orders not available: Orders were discarded

• 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 .