Recognize and immediately manage anaphylaxis (epinephrine, airway, EMS) and severe drug reactions with prompt escalation.
Administer IVIG/immunotherapy with premedication and reaction monitoring; manage immunosuppression infection precautions.
Provide heightened infection surveillance in the immunosuppressed resident, recognizing the blunted response.
Teaching / training (to mastery)
Teach the resident/representative allergy avoidance and the anaphylaxis action plan (and auto-injector use where relevant), immunosuppression infection precautions, and warning signs, with return-demonstration/teach-back.
Train CNAs on infection precautions for the immunosuppressed resident and reporting any reaction, fever, rash, or subtle change immediately, with documented understanding.