Immunotherapy Toxicities: A New Electronic Documentation Template to Improve Patient Care

Elizabeth Reimschissel

Buenagracia Dela Cruz

Melissa Gonzalez

Joaquin Buitrago

Cary Goodman

Patricia A. Johnston

immunotherapy, electronic health records, documentation, toxicity
CJON 2017, 21(2), 41-44. DOI: 10.1188/17.CJON.S2.41-44

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.

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