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RARE COVID-19 Mandatory Health Screening Name: Date: Location: 1. In the past 24 hours, have you experienced: YesNoFever or chills (100.4 or above) Cough Shortness of breath or difficulty breathing
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How to fill out allergic reactions including anaphylaxis

01
Identify the signs and symptoms of allergic reactions, including anaphylaxis. These may include hives, itching, swelling, difficulty breathing, wheezing, rapid heart rate, dizziness, and loss of consciousness.
02
If you witness someone experiencing a severe allergic reaction, especially if they show signs of anaphylaxis, call for emergency medical assistance immediately.
03
While waiting for help to arrive, help the person move to a safe area away from the allergen, if possible.
04
If the person has an epinephrine auto-injector (EpiPen) and is able to administer it themselves, encourage them to do so according to the instructions on the device.
05
Ensure the person's airway remains open and clear. If they are having difficulty breathing, assist with techniques like the Heimlich maneuver or CPR if necessary and you are trained to do so.
06
Monitor the person's vital signs, such as heart rate and breathing, and be prepared to perform life-saving measures if their condition worsens.
07
Stay with the person until medical professionals arrive and provide any necessary information about the allergic reaction and any known allergies the person has.
08
After the allergic reaction has been treated, it is important to follow up with a healthcare professional to determine the cause of the reaction and develop a plan to prevent future episodes.

Who needs allergic reactions including anaphylaxis?

01
Anyone who has a diagnosed allergy or a known hypersensitivity to certain substances needs to be aware of allergic reactions, including anaphylaxis.
02
Individuals who have previously experienced severe allergic reactions, especially anaphylaxis, are at a higher risk and should take extra precautions.
03
People with a history of anaphylaxis caused by food, insect stings, medications, or other allergens should always be prepared for potential allergic reactions and carry an epinephrine auto-injector.
04
Parents, caregivers, and individuals who spend time with someone who has known allergies should also familiarize themselves with the signs and symptoms of allergic reactions to be able to respond quickly in case of an emergency.
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Allergic reactions including anaphylaxis are severe and potentially life-threatening reactions that can occur in response to allergens such as food, insect stings, or medications.
Healthcare providers, hospitals, and other medical facilities are required to file reports of allergic reactions including anaphylaxis.
To fill out reports of allergic reactions including anaphylaxis, healthcare providers need to document details such as the patient's symptoms, the suspected allergen, and any treatment provided.
The purpose of reporting allergic reactions including anaphylaxis is to track and monitor potential trends or outbreaks of severe allergic reactions, and to improve patient care and safety.
Information that must be reported on allergic reactions including anaphylaxis includes the patient's demographics, the allergen suspected to have caused the reaction, the symptoms experienced, and any treatment provided.
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