Topic Thread

1.  verbal order policy for chemotherapy CHANGES

Posted 7 days ago
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 6 days ago

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 6 days ago
​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 6 days ago
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 6 days ago
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 5 days ago
​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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