As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Outpatient Surgery and Ambulatory Services Policy and Procedure Manual includes this customizable template, Latex Allergy Assessment Form. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from Latex Allergy Assessment Form:

	LATEX ALLERGY ASSESSMENT Patient Name: Ask the patient the following questions and explain: Do you have or have you ever experienced:Explain: Asthma Hay fever Eczema Problems with rashes Hand rash that lasted longer than a week Multiple surgeries Spinal cord problems at birth Exposure to latex in the workplace An allergic reaction of unknown cause, especially during a medical or dental procedure Allergies:Explain: Any type of allergy Known rubber or latex allergy Avocados Bananas Celery Chestnuts Figs Kiwi/stone fruits/passion fruits Papaya Pears Potatoes Tomatoes Have you ever experienced...
Second excerpt:
	... runny nose, wheezing, eye irritation, shortness of breath, otherExplain: During a dental examination or procedure During a rectal examination During a vaginal examination During any medical examination After a bladder catheterization After an examination by a healthcare professional wearing rubber or latex gloves After contact with a condom After contact with a diaphragm During or after wearing rubber gloves After touching or blowing up a balloon After contact with any latex or rubber...