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Validation and Screening of Patient Allergies (2.2)

Validation and Screening of Patient Allergies (2.2) - Policies, Clinical, UWHC Clinical, Department Specific, Pharmacy, Ambulatory

2.2

POLICY & PROCEDURE





Effective Date:

May 2016

Pharmacy Policy Manual
Chapter: Ambulatory

Policy #: 2.2


 Original 5/16
 Revision

Page 1
Of 2

Title: Validation and Screening of Patient
Allergies


I. PURPOSE
Establish process for validating and assessing patient allergy and adverse drug reaction
(ADR) information.

II. POLICY
UW Health pharmacies will maintain and routinely validate a patient’s medication
allergies and ADRs to ensure safe and effective medication use.

III. DEFINITIONS
1. EnterpriseRx: retail pharmacy management software
2. Medication allergy: the abnormal reaction of your immune system to a
medication. The most common signs and symptoms of medication allergy are
hives, rash or fever. A medication allergy may cause serious reactions, including
anaphylaxis.
3. Adverse Drug Reaction (ADR): harmful or unpleasant reaction, resulting from an
intervention related to the use of a medication, which predicts hazard from future
administration and may warrant prevention or specific treatment, or alteration of
the dosage regimen, or withdrawal of the product.

IV. PROCEDURE:

A. Medication allergies and ADRs are received by the pharmacy multiple ways. These
include:
a. Directly from the patient
b. Patient’s caregiver
c. Patient’s provider
d. ADT interface with the electronic medical record
e. Written communication on the prescription

B. Prior to dispensing a prescription the pharmacy staff will collect an up-to-date list of
allergies and ADRs by asking the patient and verifying with current records. Updates
are documented in the patient profile in EnterpriseRx.
C. Allergies and ADRs are added to the patient profile on the second tab labeled
“Health”.
D. EnterpriseRx will provide a medication allergy and ADR screen for the pharmacist
during the pre-verification step.
E. The pharmacist will review the medication(s) being provided to ensure they do not
conflict with a known allergy or ADR.
F. If an allergy or ADR to the prescribed medication(s) exists, the pharmacist will
contact the provider and perform any necessary intervention.
G. Medication Allergies and ADRs will be reviewed by the pharmacist or pharmacy
intern with the patient at consultation prior to providing the medication to the patient.
If any updates or modifications are identified during consultation, they will be
documented in EnterpriseRx.

POLICY & PROCEDURE





Effective Date:

May 2016

Pharmacy Policy Manual
Chapter: Ambulatory

Policy #: 2.2


 Original 5/16
 Revision

Page 2
Of 2

Title: Validation and Screening of Patient
Allergies




V. COORDINATION
1) Authored by: Carrie Boeckelman, RPh, BCACP
2) Reviewed by: Ambulatory Pharmacy Operations Subcommittee
3) Committee Approval: Ambulatory Pharmacy Leadership Committee



Approved By:___________________________

Director of Pharmacy Services
Date:_________________