Immunotherapy Safety for the Primary Care ... - U.S. Coast Guard

Summary
• Pull the patient's allergy record.
• Pull the patient's extract. Ensure that the right extract is pulled for the right
patient, that the vial content agrees with what is ordered.
• Question the patient about any delayed local reaction or systemic symptoms.
Make the appropriate adjustment in the dosage IAW protocol guidelines. If the
patient states he or she had a delayed systemic symptoms, record this on the
injection administration record and make a follow up appointment with the
Allergist for the patient to be seen before proceeding with immunotherapy.
• Check dosage progression schedule for the amount of extract to be given.
Document the dosage in the appropriate column on the injection record. The
technician who is administering immunotherapy will initial the appropriate
areas on the treatment record. Annotate the date and time of administration,
and the injection site.
• Gently shake the vial before using. Draw up the dosage required using 1cc or
3cc syringe with a 26 - 27 gauge (5/8 – ½ inch) safety needle. Change the
needle prior to injection. Ensure that the pertinent information is checked:
confirm this information with the patient.
(1) Right patient
(2) Right extract
(3) Right dosage
(4) Right interval
(5) Right method or technique