Chemo Toxicity Triage — Oncology Nursing Assessment

🍁 This is what you get — a complete chemo toxicity triage record in under 60 seconds

Symptoms, vitals, triage level and action plan — print-ready for patient records. Free. No login. No data stored.

EXAMPLE OUTPUT

CHEMO TOXICITY TRIAGE ASSESSMENT

Patient:Linda Marsh · Age 54 · Oncology Day Unit · Chair 7

Assessed by:RN Donna Bell · 13/03/2026 11:30

Regimen / Cycle:AC-T (Adriamycin / Cyclophosphamide) · Cycle 2 Day 8

Last Treatment:05/03/2026

PRESENTING SYMPTOMS

Red Flag Symptoms:Fever ≥38°C · Rigors / uncontrolled shaking

Other Symptoms:Nausea / vomiting · Severe fatigue · Mucositis

OBSERVATIONS

Temperature:38.4°C

Heart Rate:112 bpm

Blood Pressure:96/60 mmHg

Resp Rate:22 breaths/min

SpO2:96%

🔴 TRIAGE: RED — IMMEDIATE — Suspected neutropenic sepsis. Call MET / senior clinician NOW. IV access, bloods (FBC, cultures x2, CMP, LFT, CRP, lactate), empirical IV antibiotics per protocol. Do not wait for neutrophil count.

Notes:Presented via oncology helpline. Husband drove in. Last FBC D+5 showed nadir ANC 0.3. Oncologist Dr Patel notified.

Assessing a chemo patient now? Tick symptoms and enter obs below — triage level generates instantly.

⚠ Clinical Note: This tool is a triage aid only. It does not replace clinical judgement or your facility's neutropenic sepsis protocol. Any patient with fever ≥38°C within 4 weeks of chemotherapy must be treated as suspected neutropenic sepsis until proven otherwise. Do not wait for neutrophil count results before initiating empirical antibiotics. This tool stores no patient data. All information exists only in your browser.

Chemo Toxicity Triage 🍁

🍁 This is what you get — a complete chemo toxicity triage record in under 60 seconds

HOW IT WORKS

PATIENT & TREATMENT DETAILS

PRESENTING SYMPTOMS — TICK ALL THAT APPLY

CURRENT OBSERVATIONS

LIVE PREVIEW — YOUR TRIAGE RECORD