All policies and procedures will be reviewed and approved by the Pharmacy and Therapeutics Subcommittee. An attending physician, fellow, resident, physician assistant, pharmacist, nurse, or research assistant may write inpatient and clinic chemotherapy orders and outpatient prescriptions for chemotherapy. All such chemotherapy orders and prescriptions require the signature of a fellow or attending physician. Each division will establish policies on which fellows are authorized to prescribe chemotherapy. This information will be communicated to pharmacy and nursing.
Verbal orders are only acceptable in the case of a dose modification.
Orders and prescriptions for antineoplastic agents that are signed by non-oncology staff or fellow physicians are restricted to that physician's area of specialty. Clinic Medication Orders and Record of Administration. Standard diluents, diluent volumes, and rates of administration will be used unless otherwise ordered. Services wishing to develop new preprinted chemotherapy order forms to substitute for the standard form should include this minimum information on the form. The Pharmacy and Therapeutics Subcommittee must approve these alternate forms.