Topic Thread

verbal order policy for chemotherapy CHANGES

  • 1.  verbal order policy for chemotherapy CHANGES

    Posted 02-12-2018 03:05 PM
    Hello everyone,

    As we are moving to launch Beacon this summer, it has come to our attention that our current hospital policy across the system does NOT allow for verbal orders AT ALL regarding chemotherapy.  Unfortunately in the outpatient world, to function and provide timely care, the oncology pharmacists have been taking verbal orders directly from the physician or mid-level for dose CHANGES only.

    Can other institutions please help with what your current policy is regarding chemotherapy, changes to original prescribed therapy and how you allow these to happen?

    Thank you for your responses in advance!


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    Krista L Voytilla, Pharm.D., BCOP
    Clinical Pharmacy Specialist, Oncology
    Cancer Centers of Colorado and Saint Josephs Hospital
    Denver, Colorado
    303-318-3712
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  • 2.  RE: verbal order policy for chemotherapy CHANGES

    Posted 02-13-2018 08:29 AM

    We do not accept or are allowed to make changes to chemotherapy. The physician must adjust or write a new order. We do have a new NP, but I am not sure of her role in order writing, adjusting, etc.

     

    J. Jared Vernon, RPh

    Pharmacist, Pharmacy Infusion Services Supervisor

    Holzer Health System

    100 Jackson Pike

    Gallipolis, OH  45631

    Office 740-446-5246 | Fax 740-441-3346

    jvernon@holzer.org

    1459953169444_PastedImage

    "Friendly Visits, Excellent Care, Every Patient, Every Time"

     

     






  • 3.  RE: verbal order policy for chemotherapy CHANGES

    Posted 02-13-2018 09:11 AM
    ​Our institution allows pharmacists to take verbal orders for changes to existing orders. No verbal orders for initiation of treatment.


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    Dayna McCauley BCOP,PharmD
    Good Samaritan Hospital
    West Islip NY
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  • 4.  RE: verbal order policy for chemotherapy CHANGES

    Posted 02-13-2018 10:14 AM
    Verbal orders allowed from oncologists to pharmacists on dose changes or date changes only. NP/PAs allowed if they were the original prescribers (Cycle 2 and on).

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    Katelyn Toeniskoetter, PharmD
    Siteman Cancer Center
    Washington Unviversity Physicians
    St. Louis, MO
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  • 5.  RE: verbal order policy for chemotherapy CHANGES

    Posted 02-13-2018 01:22 PM
    We allow pharmacists to dose change only as it pertains to dose rounding (this is done in the verification mode of Beacon). All other dose changes must be done by the physician.

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    Danielle Austin RPh BCOP
    Peninsula Regional Medical Center
    Salisbury MD
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  • 6.  RE: verbal order policy for chemotherapy CHANGES

    Posted 02-14-2018 07:04 AM
    ​No verbal orders for initiation of therapy.
    Verbal orders ok for dose changes.
    Dose rounding policy in place as well.

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    Brian Hart RPh, BCOP
    Oncology Pharmacist
    Beaumont Health
    Royal Oak MI
    248.898.4487
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  • 7.  RE: verbal order policy for chemotherapy CHANGES

    Posted 02-21-2018 11:09 AM
    ​Hi,

    My health system does not allow verbal or telephone orders for changes to the chemotherapy dose; the order would have to be completely rewritten by a physician. However, our policy does allow telephone orders from a physician for the following:
    1. Ancillary medications (pre- and post-chemo meds)
    2. Changes in rate of administration
    3. Orders to hold chemo or change the date of administration
    4. Change in volume or type of diluent

    Hope this helps.

    Thanks,
    Marcus

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    Marcus S. Flores, Pharm.D., BCPS
    Oncology Clinical Pharmacist
    Hackensack Meridian Health
    Jersey Shore University Medical Center
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