Nursing checklists

All the National Lung Matrix Trial Nursing Checklists are available below for use by site staff. Word versions for adding local site-specific information are available by request to the National Lung Matrix Trial Office.

Current Nursing Checklists are in line with Protocol v3.0a dated 19-Nov-2015

All Arms

  • All Arms – Physical Exam Checklist [pdf]

Arm A

  • Arm A – Screening [pdf]
  • Arm A – Cycle 1 [pdf]
  • Arm A – Cycle 2 Onwards [pdf]
  • Arm A – Discontinuation [pdf]
  • Arm A – 28 Day Follow Up [pdf]
  • Arm A – Ophthalmology Checklist [pdf]

Arm B

  • Arm B – Screening [pdf]
  • Arm B – Cycle 1 Onwards [pdf]
  • Arm B – Discontinuation [pdf]
  • Arm B – 28 Day Follow Up [pdf]

Arm C

  • Arm C – Screening [pdf]
  • Arm C – Cycle 1 [pdf]
  • Arm C – Cycle 2 [pdf]
  • Arm C – Cycle 3 Onwards [pdf]
  • Arm C – Discontinuation [pdf]
  • Arm C – 28 Day Follow Up [pdf]

Arm D

  • Arm D – Screening [pdf]
  • Arm D – Cycle 1-3 [pdf]
  • Arm D – Cycle 4 Onwards [pdf]
  • Arm D – Discontinuation [pdf]
  • Arm D – 28 Day Follow Up [pdf]
  • Arm D - Ophthalmology Checklist [pdf]

Arm E

  • Arm E – Screening [pdf]
  • Arm E – Cycle 1 [pdf]
  • Arm E – Cycle 2 Onwards [pdf]
  • Arm E – Discontinuation [pdf]
  • Arm E – 28 Day Follow Up [pdf]
  • Arm E – Ophthalmology Checklist [pdf]

Arm F

  • Arm F – Screening [pdf]
  • Arm F – Cycle 1 [pdf]
  • Arm F – Cycle 2 Onwards [pdf]
  • Arm F – Discontinuation [pdf]
  • Arm F – 28 Day Follow Up [pdf]

Arm G

  • Arm G – Screening [pdf]
  • Arm G – Cycle 1 [pdf]
  • Arm G – Cycle 2 Onwards [pdf]
  • Arm G – Discontinuation [pdf]
  • Arm G – 28 Day Follow Up [pdf]
  • Arm G – Ophthalmology Checklist [pdf]

Arm NA Cohort NA1

  • Arm NA Cohort NA1 – Screening [pdf]
  • Arm NA Cohort NA1 – Week 0 [pdf]
  • Arm NA Cohort NA1 – Weeks 2 Onwards [pdf]
  • Arm NA Cohort NA1 – Discontinuation [pdf]
  • Arm NA Cohort NA1 – 28 Day Follow Up with PD [pdf]
  • Arm NA Cohort NA1 – 28 Day Follow Up in absence of PD [pdf]
  • Arm NA Cohort NA1 – 2 Month Follow Up in absence of PD [pdf]
  • Arm NA Cohort NA1 – 3 Month Follow Up in absence of PD [pdf]
  • Arm NA Cohort NA1 – 4 Month Follow Up in absence of PD [pdf]
  • Arm NA Cohort NA1 – 6 Months Onwards Follow Up in absence of PD [pdf]

Combined Nursing Checklist Document

  • Combined Nursing Checklists [pdf]