3.3.3 Sample Extravasation Documenting Tool
Download Word version
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Extravasation of infusing chemotherapy is a rare but potentially debilitating adverse event of cancer therapy. This printable tool can be used to both document and grade the issue and allow for concise review of the incident.
Download/print the Sample Extravasation Documenting Tool:
This guidance document was developed by Ms. Julie Dowler, Ms. Denise Reniers and Ms. Anne Chambers, Children’s Hospital, London Health Sciences Centre, London. Reviewed in consultation with POGO Satellite Nurse Coordinators (2021) and Ms. Denise Mills, POGO/The Hospital for Sick Children.
Disclaimer: Source Accuracy
You are welcome to download and save a local copy of this document in the Word and/or PDF formats provided. As the POGO Satellite Manual is subject to ongoing revisions and updates by POGO, we recommend you regularly check the online version posted at https://www.pogo.ca/satellite-manual/ to ensure you have the most up-to-date content. In the event of any inconsistency between the content of a local copy and the online version of the POGO Satellite Manual, the content of the online version shall be considered correct. Please see also the POGO Satellite Manual Disclaimer.
Record of Updates
|Version Number||Date of Effect||Summary of Revisions|
|1||7/19/2021||Original version posted.|