As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Home Infusion Therapy Policy and Procedure Manual includes this customizable template, Treatment for Anaphylactic Reactions - Physician Order Sheet. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards.

Here is some sample content from Treatment for Anaphylactic Reactions - Physician Order Sheet:

	TREATMENT FOR ANAPHYLACTIC REACTIONS PHYSICIAN ORDER SHEET Client Name: Address: Diagnosis: Physician: ALLERGIC REACTION - Promptly Discontinue Drug Infusion/Administration Diphenhydramine Benadryl to be given according to the following protocol: DIPHENHYDRAMINE PROTOCOL Route Recommended ADULT Dosage ADULT Dose Prescribed Recommended PEDIATRIC Dose PEDIATRIC Dose Prescribed q Slow IV Push 10 - 50 mg 6.25 - 12.5 mg less than 20 lbs 12.5 - 25 mg greater than 20 lbs q Deep IM 10 - 50 mg q Oral PO 25 - 50 mg Children greater than 20 lbs Notify physician of signs and symptoms,...
Second excerpt:
	...to clinical response. 0.01 mg per Kg of EPI 1:1,000 SC max single Pediatric dose = 0.5 mg 0.5 mL. Start with lowest dose and titrate to clinical response. Repeat every 20 mins. prn. q Slow IV Push EPI 1:10,000 0.1 mg per mL. 0.1-0.5 mg 1-5 mL of EPI 1:10,000 Push over 5-10 mins. Repeat every 5-20 mins. prn. 0.01 mg per Kg of EPI 1:10,000 Push slowly over 5-10 mins. Repeat every 20 mins. prn. Administer Methylprednisolone Solu-Medrol. Activate vial by pressing down on plastic cap...