Canterbury DHB


Prescription and Preparation of Cytotoxic Drugs

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Prescription of Cytotoxic Drugs

Preparation of Cytotoxic Drugs

Prescription of Cytotoxic Drugs

Preparation of Cytotoxic Drugs

All reconstitution and dilution of cytotoxic medications is outsourced to Baxter Pharmacy Services. To facilitate the timely ordering and manufacture of chemotherapy, Pharmacy requests that chemotherapy is prescribed and faxed to Pharmacy as early as possible before treatment, and routinely at least 48 hours in advance. Achieving this sort of lead time for 90% of requests ensures truly urgent requests can be accommodated more easily.

Chemotherapy provided at short notice and outside regular working hours (i.e. unable to be manufactured in advance) may incur extra fees from Baxter and should be avoided where at all possible.

Follow this procedure when faxing drug charts:

  1. Fax the chart to Pharmacy (extension 81037).
  2. Place the original copy in the chemotherapy (purple) sleeve of the patient's notes.
  3. Sign administration details on the original chart (nursing staff).
  4. Re-fax the original chart to the Pharmacy when further doses must be prepared,
  5. Check the prescription before cytotoxic preparation (clinical pharmacist).

The original copy must be signed at administration, placed on the patient’s clipboard, then filed in the patient's notes when no longer required. It is important that the pharmacy is advised promptly of any dose change, withholding of doses, or suspending treatment.

About this Canterbury DHB document (5719):

Document Owner:

Steve Gibbons and Fiona Stone (see Who's Who)

Issue Date:

March 2017

Next Review:

March 2020


Note: Only the electronic version is controlled. Once printed, this is no longer a controlled document. Disclaimer

Topic Code: 5719