Comprehensive Oncology Patient Flow Protocol

1. Pre-Visit Protocol

Registration & Documentation

• Verify insurance and pre-authorizations
• Collect relevant medical records and imaging
• Complete new patient documentation
• Review genetic testing requirements

Initial Triage

• Assess urgency level
• Document chief complaints
• Record vital signs
• Note any immediate concerns

2. Clinical Assessment

Nursing Assessment

• Update medical history
• Medication reconciliation
• Review symptoms and side effects
• Document performance status (ECOG/KPS)

Provider Examination

• Physical examination
• Review of imaging and lab results
• Disease staging assessment
• Treatment plan evaluation

3. Treatment Area Protocol

Chemotherapy Administration

• Pre-treatment verification checklist
• Double nurse verification of orders
• Treatment administration protocol
• Monitoring requirements

Supportive Care

• Hydration protocols
• Antiemetic administration
• Pain management
• Emergency response procedures

4. Post-Treatment Protocol

Immediate Follow-up

• Post-treatment assessment
• Side effect management
• Patient education
• Next appointment scheduling

Documentation Requirements

• Treatment summary
• Adverse event reporting
• Care plan updates
• Communication to referring providers

5. Quality Metrics

Patient Safety Measures

• Treatment verification steps
• Fall risk assessment
• Infection control protocols
• Emergency response readiness

Efficiency Metrics

• Wait time targets
• Patient satisfaction scores
• Treatment room turnover time
• Documentation completion rates