Dana,We currently have the bedside RN perform a cerebellar exam (we included most of the CARTOX 10 grid) which includes orientation, speech, cognition, a signature, nystagmus, gait, and rhomberg test) before each dose of high dose cytarabine. We have a smartphrase that the nurse uses to pull a chart into the nursing note. We hope to have flowsheet rows built within EPIC for "toxicities" that will include a cerebellar exam. As we are developing a plan to provide HiDAC in the ambulatory setting, we are still trying to decide what to do about the assessments. I believe it will be an APP before the first dose on Day1 and then the RN on subsequent days, but again, inpatient-it is the RN doing the cereblellar exam.