Escalate through proper clinical chain (on-call doctor) and document in EMR.

You contact the on-call doctor/resident via the approved mechanism and present succinctly:

• patient code + key facts

• allergy risk

• stock situation

• recommended alternatives from pharmacist

• need for timely decision

You ask the nurse to document vital signs and symptoms, and you ensure the plan is written in EMR once confirmed.

The on-call doctor replies:

“Use alternative B. Avoid drug class X. Document allergy verification and counseling.”