Overview of Chemo Order Entry

Topics:

Writing Chemo Orders

Chemo Treatment Plans

Restrictions to Editing Chemo Orders

Changing Chemo Orders in an Oncology Protocol

Editing Chemo Orders Before Activation

Editing Active Chemo Orders

Exception Orders

Reusing Previous Orders

Defining Approval and Authorization

Approving Chemo

Desensitization

Activating Chemo Orders

Activation Dates and Expiration of Inpatient Chemo Orders

Ordering, Activation, and Expiration of Chemo Pre-Admission Orders

Activation Dates and Expiration of Ambulatory Chemo Orders

Expiration of Active Chemo Orders

Handling Orders Across Treatment Locations

Sending Chemo Sessions Between MGH Inpatient & Ambulatory

Standing Orders for Ambulatory Chemo

There are a number of ways to change a patient's chemotherapy orders, each dependent on the situation. Click to view the corresponding process:

• Changing the Dose for an Active Chemo Order Patient is receiving chemo, dose for following administrations must be decreased due to adverse reaction or other reason

• Changing Other Parameters in an Active Chemo Order Changes needed for instructions, infusion rates, frequency of administration, flow rate, etc.

• Changing the Scheduled Days for an Active Chemo Order Patient is receiving chemo, need to change or skip days due to adverse reaction or other reason

• Discontinuing an Active Chemo Order D/C an order to stop administration

• Ending Treatment From a Protocol Remove patient from protocol registration to allow ordering from a regimen

• Switching to an Alternate Regimen Before the Original Treatment is Complete Patient is receiving chemo, current therapy isn't acceptable due to adverse reaction or other reason; discontinue (D/C existing) orders from current treatment and replace with orders from an alternate regimen

• Changing the Treatment Date for Active Orders Patient will not receive treatment as scheduled; reset the treatment date to prevent the orders from expiring