Public Health Nursing Documentation Guidelines - Indian Health ...

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Documentation and Coding Guidelines for Public Health Nurses Case 3. What if no allergy assessment has been done? If no allergy assessment has been done and the patient has no allergies, then right click on the Adverse Reactions frame and select New Adverse Reaction in the pop-up menu. The Lookup Causative Agent dialog box will appear. Check the No Known Allergies option. Click OK. The Adverse Reactions frame will indicate no known allergies. Indian Health Service Page 5-6
Documentation and Coding Guidelines for Public Health Nurses Case 4: New allergies or adverse reactions need to be reported. Right click on the Adverse Reactions frame and select New Adverse Reaction in the pop-up menu. Use the search function in the dialog box to find the desired food, drug, or other causative agent. Click OK after selecting the desired agent. Indian Health Service Page 5-7
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DOCUMENTATION AND CODING GUIDELINES
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