Clear and objective documentation is an essential aspect of this process. Personnel directly involved in a chemotherapy variance must complete an online medication event report. For a Chemotherapy error, multiple description of the same event may be written from various vantage points and submitted. Elements of the protocol that must be logged include the notification algorithm, specifically recording who was called and when. The patient assessment, clinical workup, and treatment plan, including a discussion of current and anticipated side effects, all need to be detailed. Also, personnel should detail information on the monitoring level, reassessment plan, and time frame. Discharge instructions are provided to the patient and documented in the electronic medical record. These include patient expectations and requirement necessary to comply with the increased scrutiny of the treatment and monitoring plan.