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EP042: Safety and Infection Control: Accident Prevention: Assess for allergies and intervene as needed

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  • Important to ask about all allergies, not just medication allergies
  • Some medications may have ingredients from different foods in their coating or capsules
  • Must ask about allergies to IV dyes or contrast
  • Ask about all food, environmental, and medication allergies
  • Ensure this is charted appropriately
  • Make sure to chart what happens when the patient has a medication
    • Is it a true allergy, or is it an adverse reaction?
      • Example: “I’m allergic to morphine because it makes me tired,” or “I’m allergic to aspirin because it upsets my stomach”… those are adverse reactions, not allergies.  This is especially important with antibiotics.  Patients may say they’re allergic to something, but when you ask further about specifics it’s really an intolerance.
  • Know what to do if there’s an allergic reaction
    • Follow hospital’s policies/procedure
    • Most likely notify MD and give meds, depending on severity of reaction
    • Make sure the allergy is added to the chart, after patient is addressed and clinically stable

 

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