Get Protocol Code: Savac Page 1 Of 2 - Bccancer.bc.ca - Bccancer Bc

Filling out the PROTOCOL CODE: SAVAC form is an important step in managing treatment protocols effectively. This guide will walk you through the process to ensure that all necessary information is captured accurately.

Follow the steps to complete the form correctly.

1. Press the ‘Get Form’ button to access the form and open it in your editing tool.
2. Fill in the height (Ht) in centimeters. This information is essential for calculating dosages.
3. Enter the weight (Wt) in kilograms, which is also crucial for dosage determination.
4. Calculate and input the body surface area (BSA) in square meters, as this influences medication dosing.
5. Document the date of completion of the form and the cycle number of treatment to track patient progress.
6. Indicate if the regimen will alternate with SAIME every 2 or 3 weeks, or follow a non-alternating schedule.
7. If applicable, specify any treatment delay required, entering the number of weeks for postponement.
8. Complete the laboratory test requirements section, ensuring blood count parameters meet the specified criteria prior to treatment.
9. List premedications required for the patient, confirming if the patient will use their supply.
10. Fill in the chemotherapy drug dosages, ensuring to include any dose modifications as necessary.
11. Document the doctor's signature to validate the orders, ensuring all entries are accurate and complete.
12. Once all fields are complete, save the changes, and choose to download, print, or share the completed form.

Complete your documents online to manage treatment effectively.