What should be documented if a resident has no known allergies?

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When documenting a resident's health information, noting "No known allergies" is essential for ensuring accurate medical care and safety. This phrase clearly communicates to all healthcare providers that the resident does not have any allergies that could impact medication administration or treatment plans. By documenting this clearly, it helps prevent potential allergic reactions during future treatments or medication administration.

While noting "Unknown allergies" could suggest a lack of information, it may lead to confusion or imply a potential risk when the resident has actually been evaluated and confirmed to have no allergies. Documenting “All allergic reactions” focuses on past reactions rather than the current status of allergies, which is not relevant in this case. Similarly, including “Medication history” is important but does not specifically address the allergy status which reflects the immediate safety and care considerations for the resident.

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