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1. patient and thus avoid alert fatigue gt Go To Allergy Editor NEWS ON VERSION 6 6 We are hard at work on version 6 6 It includes a Cardiovascular Risk Calculator and Algorithm which allow you to follow the new guidelines for treating hyperlipidemia released in November 2013 from the American College of Cardiology and American Heart Association If there are particular features you would like to see in version 6 5 please contact us SEND US YOUR TIPS If you have tips shortcuts questions or suggestions for future newsletter topics please send them to us at Welford Medical Computing Inc or MEDCOM Information Systems 3779 Hermitage Trail 2117 Stonington Avenue Rockford IL 6111 Hoffman Estates IL 601952. WELFORD CHART NOTES NEWSLETTER Volume 45 No 3 March 2014 copyright 2014 Welford Medical Computing Inc All rights reserved TESTED DRAGON MEDICAL CROSS REACTING ALLERGIES SKIP LIST User s Manual pages 1322 1325 Cross Reacting Allergies are situations in which the patient is allergic to a medication in one class for example penicillin which puts the patient at higher risk for an allergy to a medication in a different class for example cephalosporins The program comes with a library of known cross reacting allergies to which you can add your own User s Manual pages 843 845 However what if you have a patient who is known to be allergic to one of these drugs but has been safely taking the cross reacting drug and thus is not allergic to it You can now tell the program to stop warning you about the cross reacting allergy for this particular patient Let s see how this is done 1 Press Libraries Cross Reacting Allergies Skip Edit For Drug 1 enter one of the drugs iN amp Cross Reacting Allergy Skip List Editor the pair of cross reacting allergies for example PENICILLINS Drug 1 PENICILLINS 3 For Drug 2 enter the other drug in the Dmgz CEPHALOSPORINS pair of cross reacting allergies for pstient BOOP ELZABETH example CEPHALOSPORINS Note gitndste 44 1949 that if the cross reacting allergy applies Cade Na pool to an entire Class of medications enter Suz the name of that class If it on
3. ies Cross Reacting Allergies Skip List 2 Youcan see the item you just added on this list 3 lf you wish to Cross Reacting Allergy Skip List change something about this JONES FREDA SULFONAMIDES GLIPIZIDE Beverly McFadden 8 4 2013 10 27 a m or double BOOP ELIZABETH SULFONAMIDES GLIPIZIDE ALL 9 4 9019 10 21 am ap a BOOP ELIZABETH FENICILLINS CEPHALOSPORINS Suzy Secretary 2 23 2014 8 36 a m click it or highlight it and press Edit 4 If you wish to delete it from the list altogether press the Delete button The list will then show you the date and time upon which the entry was deleted and noe ae M Cancel 9 Delete active 5 If you wish to see just a portion of the entire Cross Reacting Allergies Skip List press Redisplay 6 On the redisplay screen you can limit the display over a range of time or for a particular patient or for a particular medication You can also choose whether or not to display Deleted items NG Note that you can also add an a item to the Cross Reacting Patient is on KEFLEX Allergies Skip List at the time ET when you see one of these cross reacts with KEFLEX warnings Simply press Skip from Reaction hives the warning window to open the fa ao a bat Cross Reacting Allergies Skip List Editor and add it to the list of skipped warnings Using this feature helps you to avoid wasting time seeing warnings which do not apply to a K o lio O help particular
4. ly applies fale toa specific medication rather than the Comment Elizabeth has been tolerating cephalosporins without any adverse entire Class enter the name of that specific medication 4 For Patient enter the name of the patient for whom you no longer wish to see a warning about this cross reacting allergy If you feel that this Cross Effective asok 2 23 2014 12 00 a m by Suzy Secretary Reacting Allergy is no longer valid for any patient and thus disagree with the Program Cross Reacting Allergy for this X Cancel P vocab pair of drugs set the Patient to ANY 5 For User if you are the only user who wishes to skip seeing the warning about this cross reacting allergy leave User set to your own name However if you would like to prevent all users at your site from seeing this particular combination of cross reacting allergies either for this Patient or for All patients depending on how you set the Patient field then press the All button to apply this to all users 6 Enter an optional Comment about why you feel this cross reacting allergy should be skipped 7 Press OK to store this information Note that the program records at the bottom of the window the name of the user who added this to the list of cross reacting skipped allergies as well as the date and time that it took effect effects despite her allergy to penicillin Now let s see how this item appears on the Cross Reacting Allergies Skip List 1 Press Librar
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