New nurses are often handed a long "allergy list" and five minutes to make sense of it. In this episode, Kati Kleber talks with Sophia L. Thomas, DNP, APRN, FNP-BC, PPCNP-BC, FNAP, FAANP, former President of the American Association of Nurse Practitioners and NP at DePaul Community Health Centers, about how to take a focused allergy history that actually improves patient care. What you'll learn: ✅ A fast framework to separate side effect vs intolerance vs sensitivity vs true allergy ✅ The exact questions to verify things like "penicillin allergy" and when to consider delabeling ✅ How and when to use allergen-specific IgE blood testing (no antihistamine washout) ✅ High-impact pitfalls: alpha-gal syndrome and heparin; birch–apple cross-reactivity ✅ Documentation that helps providers choose safer meds and diets ✅ When to loop in pharmacy/allergy, and what to tell families about prevention This episode is great info for new grads, med-surg, ICU/ED, primary care, school nurses, and anyone updating intake workflows. 🔗 Resources & Links: Connect with Dr. Sophia Thomas on LinkedIn and X Join the FreshRN email list for free resources & updates: https://www.freshrn.com/email-sign-up/ Nurse leaders: Looking for a comprehensive residency program for your new grads? Check out: https://www.freshrn.com/enterprise/   🎧 Follow & Subscribe: If this episode gave you something to think about, follow FreshRN wherever you listen to podcasts, and share it with a nurse friend!

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