One of our lectures in pathophysiology was on allergic response and anaphylaxis. It wasn’t long after that class that I had to apply my knowledge in a real life situation at work.
I was feeding a nonverbal resident a puree dinner. The contents are always labeled, but most of our PO residents have been at the facility for a while so it would be normal to assume that anything from dietary is safe for them to eat. After a few minutes of feeding the resident, I noticed a rash on the face and increased drooling. The puree was marked: “shrimp fried rice 8 oz”, so I instantly thought there must be an allergy to shellfish/seafood going on. I checked our computer charting system for allergies and only saw allergies listed that I already knew about. This resident often has a rash of some kind, it wasn’t that surprising for one to pop up, but something in my gut told me to discontinue the feeding anyway. I just monitored the resident while I finished charting the rest of the intakes. I brought the resident back to the living room, told her nurse what I observed, and asked her to take a look. Most of the rash had subsided but I said that it worried me and she said she would look into it.
Two weeks go by and I’m speaking with my supervisor, the speech language pathologist, about the changes in the food since our former food service manager came back to work after becoming a registered dietitian. I said that it seemed like our staple meals had been switched for more exotic recipes. After all, meals like creamed chip beef are pretty exotic compared to the turkey salad sandwiches the residents were used to! When discussing specific meals and food preferences, it came up that the resident did have a shellfish allergy after all.
Paying attention in class really did pay off! Instead of carrying out my work on autopilot, I made a potentially life-saving call based on my own clinical judgement. When I’m a nurse this will be something I have to do everyday, but as an aide/nursing student it was really cool to use the information I had recently gone over in class and apply it at work. Plus, if it wasn’t important, the professors wouldn’t be teaching it.