1. c
MODULE:
EpiPen

2. Purpose
To provide basic knowledge and skill to school personnel to administer epinephrine by auto-injector in the event of a life threatening situation to students with known allergic conditions.

3. Objectives
Upon completion participants will be able to demonstrate the following:
Identify common causes of an allergic reaction
Recognize general and student specific warning signs of an allergic emergency
Accurately identify students for whom the epinephrine is prescribed
Accurately read and interpret the emergency medication administration plan
Correctly follow directions on the medication administration plan
Accurately read the epinephrine label and follow directions from label
Safely administer and handle epinephrine by auto-injector
Accurately describe the school’s plan for responding to emergencies
Access resources appropriately, including emergency medical services, school nurse, parent and physician

4. Anaphylaxis
It is a potentially life-threatening medical condition commonly caused by exposure of an individual to a specific allergen or allergens.
Most individuals react within an hour of exposure but anaphylaxis can occur rapidly or up to two hours after exposure.

5. Common Causes of Allergic Reactions
Food Allergies
Peanuts, tree nuts, egg, dairy products, shellfish, soybean, wheat, and corn
Insect Venom
Bee stings
Latex
gloves
Medication
Antibiotics
Exposure to the cold
Exercise

6. Signs and Symptoms of an Allergic Reaction
Hives
Vomiting
Itching
Diarrhea
Swelling
Stomach cramps
Red, watery eyes
Runny nose
Coughing
Change of voice
Difficulty breathing, shortness of breath
Throat tightness or closing
Sense of doom
Itchy, scratch lips, tongue, mouth, and/or throat
Fainting or loss of consciousness
Dizziness, change in mental status
Flushed, pale skin, cyanotic (bluish) lips and mouth area

7. Individual Health Care Plans
Review each student’s individual health care plan before an emergency occurs.
The following information is necessary on each plan in order to properly respond during an emergency:
The correct student name/info
The correct medication
The correct dosage
The correct route
The correct time

8. *Call 911 after administering the Adrenaclick
How to use Adrenaclick
Remove the GRAY cap labeled “1”.
Never put thumb, finger, or hand over RED tip.
Remove the GRAY cap labeled “2”.
Place RED tip on the middle of outer side of the thigh.
Press down hard until the needle penetrates the skin and slowly count to 10 before removing the pen.
*Call 911 after administering the Adrenaclick

9. Administration of the EpiPen
Pull of the blue safety release
Form a fist around the unit with orange tip down
Hold orange tip near outer thigh
Swing and firmly push orange tip against outer thigh at a 90 degree angle and listen for a click
Hold firmly in thigh for 10 seconds so that all the medication is delivered
Call 911: the effects of the injection begin to wear off minutes after injection. Immediate activation of the emergency medical system is essential
Please note EpiPens and Twinject come in 2 different dosages 0.3mg(adult) and 0.15mg(jr)

10. Administration of the EpiPen

11. Actions if You Suspect Anaphylaxis
When anaphylaxis is suspected and there is not an EpiPen immediately available:
Call 911
Have the person lay down, except if having severe respiratory distress
Raise the person’s legs

12. Care and Storage of Epinephrine
Keep readily available at all times!
Storage:
In a dark place at room temperature (59-86 F)
Do NOT refrigerate
Do NOT expose to extreme cold or heat
Protect from light
Check clear window of auto-injector for discoloration (should be clear and colorless)

13. Responsibilities of Valley Employees
Review your responsibilities in Managing Life Threatening Food Allergies in Schools (resource available on slide 14)
Avoid allergens in the classroom, especially for projects and classroom celebrations
Have the student’s Allergy Plan readily available (for substitutes as well)
Be prepared for field trips

14. Resources Managing Life Threatening Food Allergies in Schools:
Video on administering an EpiPen:
Auvi-Q:

15. How long does it take most individuals to show signs of an allergic reaction?
Within an hour of exposure A
After one day of exposure B
After asking if the person is allergic to peanuts C
After dinner D

16. INCORRECT – Please try again
How long does it take most individuals to show signs of an allergic reaction?
Within an hour of exposure A
After one day of exposure B
After asking if the person is allergic to peanuts C
After dinner D
INCORRECT – Please try again

17. How long does it take most individuals to show signs of an allergic reaction?
Within an hour of exposure A
After one day of exposure B
After asking if the person is allergic to peanuts C
After dinner D
CORRECT

18. What should Valley staff do when anaphylaxis is suspected and there is not an EpiPen immediately available:
Call 911 A
Have the person lay down, except if having sever respiratory distress B
Raise the person’s legs C
All of the above D

19. INCORRECT – Please try again
What should Valley staff do when anaphylaxis is suspected and there is not an EpiPen immediately available:
Call 911 A
Have the person lay down, except if having sever respiratory distress B
Raise the person’s legs C
All of the above D
INCORRECT – Please try again

20. What should Valley staff do when anaphylaxis is suspected and there is not an EpiPen immediately available:
Call 911 A
Have the person lay down, except if having sever respiratory distress B
Raise the person’s legs C
All of the above D
CORRECT

21. THANK YOU FOR PARTICIPATING IN OUR EpiPen MODULE!
To complete this module please fill out this Google Form
To end the presentation press ESC