Does anyone have a process for oral chemo monitoring they would be willing to share? How do your pharmacists or nurses document monitoring? How often do they monitor (daily? weekly?) Do you have any formal oral chemotherapy agent monograph they use to determine monitoring and adjustment parameters or use drug references like lexicomp?

Thank you in advance,
Mara

Wondering if any institutions have a policy or procedure for assessing the continuation of home oral chemotherapy agents when admitted from home? We have seen a couple instances of patients being continued on their home chemotherapy, when the likely reason for admission were adverse effects of their oral chemotherapy that were not immediately recognized on admission. Does anyone hold oral chemotherapy orders to be assessed the next day by an oncologist? Open to other policies or procedures, thoughts or suggestions as well. Thanks.

Wondering if anyone has a policy or procedure in place to assess for appropriateness of continuing oral chemotherapy when admitted from home? We have seen a couple instances of patients being admitted for adverse effects from their home medication and the offending medication is being continued upon admission. Does anyone hold the medication upon admission until a oncology specialist or oncologist can review prior to continuing? Other procedures?

Jenni Shahan, PharmD, BCPPS
Medication Safety Specialist
WVUMedicine