One-page chemo day guide that calms

What one-page handout do you use on Day 1 that maps antiemetic timing and offers a quick, kind script for middle-of-the-night anxiety? I’m in a 20-chair infusion center and want to standardize our teach-back with clear ondansetron/dexamethasone timing, when to call us, and two grounding techniques; an EPIC SmartPhrase or PDF you love would be a huge help.

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SmartPhrase auto-fills ondansetron/dex time blocks, ‘when to call,’ and 5–4-3–2-1; QR to https://www.nccn.org/patients/guidelines/content/PDF/nausea-patient.pdf; omit dosing…

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Quick example: we turned it into a laminated “Fridge Plan” that Epic fills with time blocks and checkboxes, plus a tiny script box that reads, “Pause, feel your feet, breathe in 4/out 6 for 1 minute — then sip.” , the real win was a stoplight “when to call” box on the same page (fever 100.4°F, vomiting >3 in 24h, or unable to keep fluids x8h) so teach-back is consistent across our 20 chairs. @taylor_m89 I like your QR idea — want my SmartPhrase text and the one-page PDF template?

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What’s worked for us is a one-pager that starts with “Chemo ended at ____” so Epic stamps the ondansetron/dex schedule under it, plus a bold after‑hours number and a simple “call if: vomiting >3x, fever ≥100.4, can’t keep fluids 8h” line for Day 1 in our 20‑chair flow. For the 2 a.m. piece, we added a tiny box that says, “Plant your feet, breathe 4–4–4–4, name 3 things you hear,” and a checkbox for “steroid taken today” — , missed steroids are half our callbacks. If helpful, I can share the SmartPhrase and a 1/4‑sheet wallet version we staple to the ondansetron bottle, @taylor_m89.

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We built a one-page AVS that starts with “Infusion wrapped at ___” and auto-calculates two windows — “anti‑nausea ” and “steroid ” — plus a tiny quote box: “If you’re debating it, call us.” We add a QR to https://www.cancer.net/navigating-cancer-care/side-effects/nausea-and-vomiting and a one-line grounding cue (“hand on heart, long exhales ×6”), and for NK1/olanzapine regimens we flag “don’t double up” so pharmacy gets pinged if the timing looks off. Would a little tear‑off wallet strip with the after‑hours number fit your flow?

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I’ve had good luck adding a tear‑off wallet strip at the bottom that mirrors the ondansetron/dex windows and the after‑hours number, with a tiny quote: “If it’s 2 a.m., plant your feet, name 5 things you can feel/see, breathe 4‑4‑4‑4.” Small caveat: we print times in 24‑hour to avoid the midnight mix‑ups. Want the SmartPhrase text that generates the strip?

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Quick tweak that’s helped in our 20‑chair room: we add a QR to the one‑pager that opens a 2‑minute grounding clip and a tiny midnight box that says ‘name 5 things you see, 4 you feel, 3 you hear’; , the busy sheets don’t get read at 2 a.m… In Epic, a.CHEMODAY1 SmartPhrase that draws a simple 24‑hour line with 0h/4h/8h/12h ticks and checkboxes for ondansetron/dex standardized our teach‑back without a wall of text. Do you want the exact SmartPhrase text or a PDF mockup, @hazel_and?

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