EPI-PEN TRAINING

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EPI-PEN TRAINING
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Suggested personnel training

• Any delegate administering an EpiPen injection
  must receive child specific training.
• The delegate must be willing to assume the
  responsibility.
• The delegate must be willing to learn the
  procedure for treating anaphylaxis.
• The delegate must be checked for competency by
  the school nurse utilizing the Epi Training
  Form
• The delegate should secure a CPR Providers course
  completion card issued by American Red Cross but
  this is not required.

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ANAPHYLAXIS

• It is a rapid, severe allergic reaction that
  occurs when a person is exposed to an allergen,
  often triggered by bees or other insects, food,
  including Peanuts, other nuts, milk, shellfish,
  latex, and others.
• Initial symptoms hives, swelling of lips,
  throat, tongue, wheezing, shortness of breath,
  coughing, hoarseness, nausea, vomiting and
  abdominal cramps. If symptoms left untreated the
  situation may become life threatening.

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TREATMENT OF ANAPHYLAXIS

• RECOGNIZE THE PROBLEM
• CALL FOR ASSISTANCE NURSE OR DELEGATE
• OBTAIN EPI-PEN-FROM DESIGNATED LOCATION
• ADMINISTER EPI-PEN PER IHCP
• CALL 911
• STAY WITH VICTIM
• KEEP EMPTY EPI-PEN TO GIVE TO FIRST AIDE
  RESPONDER
• NOTIFY THE PARENT

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WHERE SHOULD THE EPI-PEN BE?
Self medication policy and form must be on file
in order for a student to carry their own Epi
Pen.
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At most of the Toms River Schools, Epi-Pens are
kept in both the nurses offices and in a
designated safe spot, convenient for all
designees. ALWAYS KNOW WHERE YOUR PENS ARE!!!!
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EPI PEN TRAINING

• Review concepts and procedures for Standard
  Precautions
• Review definition of anaphylaxis signs and
  symptoms
• Act according to steps listed in IHCP
• Thoroughly check that the medication is the right
  medication for the right student
• Check for the expiration date of the Epi Pen to
  be injected

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• Hold black tip near outer thigh (always apply to
  thigh) The needle will go through clothing.
• Pull off gray activation cap
• Swing and jab firmly into thigh until
  Auto-injector functions. Hold in place to count
  of 10. Massage the injection area for 10 seconds.
• Save syringe to take to ED.

STEPS TO USE THE SYRINGE
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Review the steps
Remove Gray activation cap
Black tip to be placed against thigh
Hold black tip against thigh for the count of 10
and then massage for the Count of 10. Save auto
injector to accompany student to hospital. Did
you call 9-1-1???? Did you notify the parent???
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Designee Requirements

• Must be a willing volunteer
• Must have received training from the school nurse
  annually and as necessary
• Epinephrine Auto-Injection Training Form must be
  signed by the delegate and school nurse
• Designee must review the signs and symptoms for
  each individual they are responsible for

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References

• The Food Allergy and Anaphylaxis Network
• http//www.foodallergy.org/downloads.html