Important Contact Information
- Oncologist: [Name] ___________ Phone: ___________
- Primary Care: [Name] ___________ Phone: ___________
- Emergency Contact: [Name] ___________ Phone: ___________
- Cancer Center: ___________ Phone: ___________
When to Seek Immediate Medical Attention
Call 911 or Go to Emergency Room If:
- Chest pain or difficulty breathing
- Severe abdominal pain that is new or different
- Fever of 101.5°F (38.6°C) or higher
- Uncontrolled bleeding
- Sudden severe headache with confusion
- Seizures
Contact Your Oncology Team If:
- Temperature between 100.4°F - 101.4°F (38°C - 38.5°C)
- Nausea/vomiting that prevents medication intake
- Diarrhea (more than 4 loose stools in 24 hours)
- New or worsening pain
- Unusual bruising or bleeding
- Signs of infection around port or PICC line
Medication Information
Current Medications
- Chemotherapy drugs: ___________
- Anti-nausea medications: ___________
- Pain medications: ___________
- Other medications: ___________
Important Documents to Take to ER
- Insurance card
- List of current medications
- Recent lab results
- Treatment summary
- Advanced directives (if applicable)
Notes for Emergency Staff
- Current treatment protocol: ___________
- Known allergies: ___________
- Recent procedures: ___________
- Port/PICC line location: ___________
Keep this plan updated and easily accessible at all times