Policy Manual sample

MDT Home Health Care Agency, Inc. 7 10. If symptoms increase following epinephrine, repeat same dose SQ after an interval of 5 minutes. If symptoms persist repeat same dose after an interval of 10 minutes. Arrange transport to nearest medical facility. 11. Complete adverse reaction as indicated for MedWatch and complete agency incident report. DOCUMENTATION: Record assessment findings, physician notification, specific patient symptoms, medications administered with date, time and patient response. Document patient status at time of transfer to EMS or medical facility. ____________________________________________________

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