Order Chemotherapy—Reason For Omitting Chemo

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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

• 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

• Click Next (ALT+N) to open the Chemotherapy folder and display the orders in the grid to the right.

• Results for relevant laboratory tests are displayed in a grid above the order list. If no results are displayed, check the Results viewer by clicking Results in the CAS toolbar on the left—see Checking Last Known Values for Lab Results.

• Set up AUC dosing if prompted

• Set up pediatric AUC rule-driven dosing if prompted

• Set up weight for dosing if prompted

• If any of the orders is PO, a message reminding you to use dose options appears. Click OK (ALT+O).

• Missing scheduled days: If an order for chemo was discontinued, a message displays that an order does not have scheduled days. Click OK (ALT+O). You must restore the scheduled days to include the order in this session. See Editing scheduled days.

• Select orders from the chemo set

• Undo order selections in the chemo set

• Click to remove the check.

• If you uncheck an order that is defined as required by the treatment, type a reason for omitting the order, then click OK (ALT+ O ).

• Edit a chemo order

• 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 .