⏱️ TUG (Timed Up & Go)

  • Chair with arms → mark 10 ft → stand → walk → turn → sit

  • High risk: ≥12 sec (CDC 2024), TUG guide, or visible unsteadiness

  • Document: TUG time in flowsheet

🩺 Orthostatic BP

  • After 5 min supine, then at 1 & 3 min standing

  • Positive: drop ≥20 systolic or ≥10 diastolic, or symptoms (dizzy/woozy) (CDC, Orthostatic BP, 2025).

  • Document: values + symptoms

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⚠️ If either is concerning (or any near-fall):

  • EHR: set High Fall-Risk flag + Fall Bundle orders

  • Care: arrange escort; safe room setup; gait belt as needed

  • Teach-back: use preferred language

  • Handoff: SBAR to RT/front desk

  • Plan: schedule rechecks at week 2 & week 6

“This clinic sets the standard for safer outpatient radiation therapy—simple checks, clear communication, and a team that truly cares.” 

Oliver Hartman