The Day of Treatment Assessment Tool is a risk assessment tool originally developed in the United Kingdom to standardise pre-treatment assessment and grading of treatment-related toxicities and direct the clinician to the appropriate course of action.

The aim of this project is to develop an Australian version of the tool, adjusted to reflect the Australian health care context, using the advice and expertise of national review committees.

How does the tool work?

Similar to the telephone triage toolkit which assesses patients contacting 24-hour advice lines, the day of treatment tool uses a Red, Amber and Green (RAG) scoring system to assess whether a patient is fit for treatment and includes:

  • Prompting questions to ask the patient to aid with appropriate grading 
  • ECOG performance status review
  • An action guide (see example below) 
Review by senior nursing/medical staff
Must be SEEN and reviewed by senior medical staff prior to treatment

How you can help

We’re looking for interested clinicians to join our review groups. The groups will include representation from across Australia and New Zealand and across disciplines including medical and nursing, haematology, radiation oncology and medical oncology.

Two committees will support the review of the tool:

Clinical advisory committee (CAC)

Provides clinical knowledge, expertise and experience in oncology to ensure the tool is applicable to the Australian health care context.

Responsibilities include:

  • Attendance at 3 x virtual committee meetings
  • Review of tool and provision of feedback and comment on clinical content and usability of the tool.

Inclusion in the CAC requires:

  • Prior involvement in the 24 hour triage toolkit national review group OR experience in the use of the 24 hour triage toolkit 
  • Senior level position in oncology (senior nurse or consultant).

External Review Group (ERG)

Members of the external review group provide feedback on the functionality and usability for the tool to ensure it is easy to interpret and use in the clinical setting.

Responsibilities include:

  • Attendance at 1 x virtual meeting 
  • Review of tool and provision of feedback and comment on functionality, usability of the tool.

Inclusion in the ERG requires:

  • Experience in oncology as a medical trainee or cancer nurse – no specialist knowledge or experience in the use of the 24 hour triage toolkit required. 
This project will run between January 2021 and the end of May 2021.‚Äč

Meet our subject matter expert: Joan Thomas

Joan has worked in Cancer Care for 33 years, the past 10 years here in Australia. She was the Lead Chemotherapy Nurse and Advanced practitioner for her organisation in the UK, and is currently Nurse Manager of the Chemotherapy Day Units at Peninsula Health. 

Joan led the development of the Australian version of the Telephone triage toolkit with eviQ and has joined the team in 2020 to once again lead the adaption of an international tool to the Australian context.


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