Cancer Clinical Trials Office Blog

Treatment orders are communication tools. Licensed prescribers write orders to instruct other licensed professionals, such as nurses and medical assistants, how to deliver care to patients.

To better meet this criteria, the CCTO/ITA Task Force, a group that meets monthly to improve clinical operations workflows at Stanford Cancer Institute, updated treatment orders templates.

The main changes to the 2017 old order set are:

• Order Header and Footer sized to meet SHC Medical Records requirements for scanning
• Prescriber initials and dates are required for review of safety labs and pre-medications
• Separate orders for different treatment days
• Tubing instructions section added
• Generic reaction management for oral and intravenous drugs

The template and supporting documents (e.g.: examples and guider’s user) are now available at CCTO website Resources: Coordinator Corner > CRFs/Templates/Tools > Infusion Treatment Area (ITA) to be used, immediately, to all new patients.

To facilitate the adoption of the new order set, there is a three-month grace period to transition old orders to the new format.

NEW to CCTO Feasibility Form https://is.gd/feasibility_form is the option to send and receive an emailed pdf of a completed Form. 

Once study coordinators select “Submit” to a completed file to route for managers’ approval, they now have a new option that auto-populates in their screen asking for entering an email address for confirmation to receive an email notification with an attachment of the submission. 

That email can become the communication to managers that a form is ready for review and sign-off.    Please note this option is not available if “Save & Return Later” is selected.

Alternatively, instead of an email, CRCs can also download a pdf of the completed form for submission to managers.

Also new to the Database component of the Feasibility Form is an option for discarding a submission that is no longer valid.  For instance, entries started for studies that got dropped by CRG or Sponsor or yet files submitted early or in error can be removed with an email request (craveiro@stanford.edu AND mashland@stanford.edu) with the reason for the cancellation. This will prevent that forms are accounted as an outstanding incomplete entry for a particular group during monthly the data analysis.

Now posted on Coordinator Corner under the “Forms” tab and subtitle “Study Logs” are two editable PDF versions of the Delegation of Authority and Staff Personnel Training logs, both of which allow multiple signatures. Instructions are also listed with the two documents. Please review carefully.

To easily find the documents, click this link: https://med.stanford.edu/ccto/staff-resources/coordinator-corner.html#forms.

NOTE: Staff must open the document with the Adobe/Acrobat, an open option offered after you click on the website link. See example photo below.

If you have any questions, concerns, or experience problems, please reach out to Amanda Sullivan.