I wrote a while ago about stupid allergies that we come across in hospital.
I gave as an example the patient who says she is allergic to penicillin because of a yeast infection. I do remember that example from when I was in general practice but after bringing it up it only took a few weeks to see that allergy rear its stupid head again.
A patient comes down to the OR the other afternoon with two ampules of clindamycin taped to her chart. Using my best Sherlock Holmes without even reading the chart I knew she was allergic to Penicillin.
So of course I read the nursing notes (this being an ortho patient and the history therefore totally useless) and under allergies, it goes Penicillin----Yeast infections. Now this was copied out by a nurse after talking to the patient. You would think that the nurse as an educated professional would say, " No deary, you aren't allergic to penicillin and the yeast infection you might get after Ancef is nothing compared to the C. Diff infection you might get after the Clindamycin".
Thursday, January 1, 2009
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