FLOW CHART FOR INTRATHECAL CHEMOTHERAPY DOSES
PRESCRIPTION FOR ANY INTRAVENOUS DOSES SENT TO PHARMACY
PHARMACY CHECK PRESCRIPTION AND PREPARE INTRAVENOUS DOSES
INTRAVENOUS DOSES PACKED IN BLUE or BLACK PLASTIC WRAPPING IN
DEDICATED ENVOPACK
Phone clinical area to collect
Or put in chemo dedicated pneumatic tube
NURSES CHECK THAT PACKAGE IS WRAPPED IN BLUE or BLACK PLASTIC
CHECK SYRINGE LABEL and
CHECK DRUG IS BEING GIVEN TO CORRECT PATIENT
TWO CHEMOTHERAPY TRAINED NURSES MUST CHECK PATIENT & DRUGS
(OR ADMINISTERING DOCTOR AND CHEMOTHERAPY TRAINED NURSE)
SIGN PRESCRIPTION AFTER GIVING DOSES
PRESCRIPTION FOR INTRATHECAL DOSE (S) ON INTRATHECAL
CHEMOTHERAPY CHART SENT TO PHARMACY WITH CHART FOR
INTRAVENOUS DOSES
PHARMACY CHECK THAT INTRAVENOUS DOSES HAVE BEEN GIVEN BEFORE
PROCEEDING
PHARMACY CHECK PRESCRIPTION AND PREPARE INTRATHECAL DOSE
Dose prepared on day of administration
INTRATHECAL SYRINGE WRAPPED IN RED PLASTIC WRAPPING AND PACKED
IN A DEDICATED ENVOPACK
Doctor bleeped to collect
And take to Designated area
DOCTOR CHECKS THAT PACKAGE IS WRAPPED IN RED PLASTIC
CHECK SYRINGE LABEL and
CHECK DRUG IS BEING GIVEN TO CORRECT PATIENT
DO NOT ADMINISTER IF VOLUME IS MORE THAN 5ml
DOCTOR PERFORMING PROCEDURE & CHEMOTHERAPY TRAINED NURSE
ON INTRATHECAL REGISTER MUST CHECK PATIENTS & DRUGS. SIGN
PRESCRIPTION AFTER GIVING DOSE