Public Health Nursing Documentation Guidelines - Indian Health ...

Documentation and Coding Guidelines for Public Health Nurses
4.5 Allergies
Public health nurses are allowed to add allergies in the EHR. To enter a patient’s
allergies or to edit an existing one, go to the Adverse Reactions area (Figure 4.5a),
which is located in the Review tab if you’re using the default EHR design.
Figure 4.5a. Adverse Reactions
Right click anywhere on the Adverse Reactions area and a pop-up menu will appear.
Select New Adverse Reaction (or Edit Adverse Reaction for an existing one).
Figure 4.5b. Lookup Causative Agent Dialog Box
In the Look up Causative Agent dialog box (Figure 4.5b), enter an allergy cause at
the top and click the Search button. Select an item from the list that appears below
the causative agent you entered. Then, click the OK button.
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