Multiorder grid |
Multidrug chemotherapy regimens can be prescribed on one form in which each row represents a separate electronic order. |
Order dependency |
Orders in the grid are linked to each other. |
Height/weight |
Data feeds in from a separate centralized functionality and cannot be changed directly on the order. |
Built-in calculators |
Dosing formulas include those per m2, per kg, flat dose, and area under the curve. |
Data modifiers include ideal body weight and adjusted/ideal body weight. |
Dosing can be capped for individual drugs in specified regimens. |
Dose rounding is automated per predefined rules. |
Total daily dose |
Total daily dose is calculated and displayed on form. |
Dose modifications |
Doses can be adjusted by fixed percentages. |
Reasons for modification are indicated on the form. |
Relevant results policy |
Applicable laboratory results specific to the service are displayed on the form. |
Regimen modification |
Chemotherapy agents within the order set can be added or removed on the fly. |
Prescribing limitations |
Administration routes and units can be restricted for each drug. |
Associated orders |
Standard antiemetics and hydration can be ordered by clicking one check box. |
Relative dates |
Subsequent doses can be placed relative to the date of first dose (eg, T + 7). |
Verification chain |
Orders feed sequentially to attending, verification registered nurse, pharmacy (Fig 2). |
Order statuses |
Statuses appear on grid with automatic real-time updates. |
Advanced orders can be kept in “hold” status until required to be released. |