Orders written for ambulatory care do not transfer to inpatient records, and vice versa. When entering orders for your patient to continue with treatment mid cycle, be aware that the correct day 1 date should be entered upon ordering. This will ensure that the treatment which the patient has received at another facility will not be duplicated upon administration. For example: Your patient began treatment on 1/1/10 and received days 1 and 2 as an outpatient. Your patient is now being admitted to inpatient on day 3 (1/3/10). When writing inpatient orders, be sure to enter the day 1 date as 1/1/10. If the day 1 date is entered as today, you will need to delete days 1 and 2 from the scheduled days for all applicable orders. See Overview of Handling Chemo Orders Across Treatment Locations.
Chemo meds must have scheduled days to be included in the order session. A chemo med with no numbers after "Day(s)" in the description is not part of the orders even if it is checked off.
If an active chemo order from a previous treatment was discontinued, the scheduled days for the order were deleted automatically. You must restore the scheduled days to include the order in the current session.
For some protocols, scheduled days cannot be changed. If allowed, the Scheduled Days button is active.
Click the Schedule tab, then click Sched days/doses.
For protocols, click OK (ALT+ O) to acknowledge that you have read the instructions regarding required permission from the Sponsor, Principal Investigator, and IRB to change days of treatment.
Click the Days (ALT+Y) option.
In the Days field, type numbers separated by commas (,) to designate days of the treatment. There are limits to the changes allowed. Use negative numbers for days prior to a defining event—for example, a bone marrow transplant. To indicate a number of consecutive days, type the first and last day of the range, separated by a colon (:).
If you decrease the number of scheduled days, type the reason when prompted.
Click OK (ALT+ O).
See also: