Background: Emerging immunotherapies are associated with numerous toxicities. Although traditional health records allow nurses to document system-based assessments, few offer immunotherapy-based documentation templates to assess and grade toxicities.
Objectives: The aim of this article is to present the development of a standardized template for documenting genetically modified cellular product–related toxicities in an electronic health record (EHR).
Methods: Through interprofessional collaboration, a documentation template for genetically modified cellular product–related toxicities was developed in an EHR, allowing for standardized documentation, data reporting, and tracking of immune-related toxicities.
Findings: The documentation template has enhanced the quality and safety of practice at the authors’ institution and provides a framework for other nursing units when initiating immunotherapy care.