Oncology Infusion Reiki Note

Date of service: [Date of service]

Start time / Stop time / Total minutes: [Start time] / [Stop time] / [Total minutes]

Location: [Infusion center, chair/room as relevant]

Author: [Name], [Role], [Credentials]

Pre-Session Assessment

[Therapy timing relative to infusion: during infusion / pre-infusion / post-infusion]. [Reason for Reiki visit: patient request / nursing request / program offering]. [Primary goal in patient's words when available]. RN coordination: [Infusion RN notified: yes / no]; [Session cleared to proceed: yes / no]; [Clinical constraints communicated, if any]. Safety screen: [Alertness and ability to participate]; [Relevant lines, tubes, or ports present]; [Isolation or PPE requirements if applicable]. Consent: [Patient agreed to session today / Declined / Unable to obtain]. Touch preference: [hands-on allowed / hands-off only]. Areas to avoid: [Specific areas or "None specified"]. (Consent must be explicitly documented—never inferred. If consent not obtained, document "Session deferred: [Reason]" and end note here.)

Baseline Symptoms (0-10 scale): Pain [#/10]; Anxiety [#/10]; Nausea [#/10]; Fatigue [#/10]; [Other symptom if assessed]. Time assessed: [Time]. Reporter: [patient / proxy]. (0=none, 10=worst. If unable to assess, document "Not assessed: [reason]" rather than leaving blank. Do not copy forward from prior visits.)

Session

Session type: [hands-on with light touch / hands-off / mixed]. Duration: [Total minutes]. Interruptions: [none / describe: vitals, pump alarms, nursing care, etc.].

Positioning: [reclined / upright / side-lying] with [modifications as needed]. Areas avoided: [e.g., infusion arm, port site].

Technique: [Hand positions and proximity used; breathing or relaxation cues offered]. (Describe in observable terms. Avoid unverifiable mechanism claims; attribute energy-related beliefs clearly to patient.)

Tolerance: [tolerated well / partially tolerated / stopped early: reason]. Observations: [Brief objective signs, e.g., relaxed facial muscles, eyes closed, slowed respirations]. [Short patient quote if clarifies impact].

Post-Session & Plan

Post Symptoms (0-10 scale): Pain [#/10]; Anxiety [#/10]; Nausea [#/10]; Fatigue [#/10]. Time assessed: [Time]. Summary: [e.g., "Anxiety decreased from 7/10 to 3/10 after session per patient report"]. (Use "after session" phrasing; avoid implying causation.)

Adverse events: [No adverse effects observed or reported / Describe unexpected or worsening symptoms and actions taken].

Communication: [Infusion RN updated on session completion]. [If escalation occurred: who notified, when, and reason].

Follow-up: [Follow-up session offered / scheduled / declined]. [Self-care suggestions if within scope]. [Patient informed how to request future sessions and to notify nursing for medical symptoms].