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This document allows parents or guardians to authorize their child to carry and self-administer an Epi-Pen at school, including necessary consents and responsibilities for proper usage.
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How to fill out selfadministration of epi-pen epi-pen
How to fill out Self–Administration of Epi-Pen/ Epi-Pen Jr.
01
Remove the EpiPen or EpiPen Jr. from its carrying case.
02
Hold the EpiPen in your dominant hand, with the orange end pointing down.
03
With your other hand, remove the blue safety cap without touching the orange end.
04
Place the orange end against the outer thigh, at a 90-degree angle.
05
Press down firmly until you hear a click; this indicates the injection has started.
06
Hold the EpiPen in place for 3 seconds to ensure the medication is delivered.
07
Remove the EpiPen from the thigh and massage the injection area for 10 seconds.
08
Safely dispose of the EpiPen in a sharps container.
Who needs Self–Administration of Epi-Pen/ Epi-Pen Jr.?
01
Individuals with a history of severe allergic reactions (anaphylaxis).
02
People who have been prescribed an EpiPen after an allergic assessment by a healthcare provider.
03
Individuals with known allergies to certain foods, medications, insect stings, or latex.
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People Also Ask about
How to self administer an ?
Place the orange tip against the middle of the outer thigh. Push hard against the leg until you hear a pop, which signals that the injection has started. Count slowly.
Can I administer my own ?
Some allergists will say a kid can self-administer an autoinjector as early as age 9 or 10. Virtually all doctors agree that they should be able to do it by the time they turn 12 or 13, per the American Academy of Allergy Asthma & Immunology.
Do you have to go to the hospital after administering an ?
In conjunction with the administration of epinephrine, the patient should seek immediate medical or hospital care. More than two sequential doses of epinephrine should only be administered under direct medical supervision.
Is the 3 seconds or 10 seconds?
Jab the ® firmly into your outer thigh at a right angle. Hold firmly for 3 seconds, before removing and safely discarding.
How to administer an Jr.?
The blue end is the safety cap and the orange end is the needle. Think blue to the sky orange to theMoreThe blue end is the safety cap and the orange end is the needle. Think blue to the sky orange to the thigh. You'll simply take off the blue safety cap. Hold it in the other. Hand.
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What is Self–Administration of Epi-Pen/ Epi-Pen Jr.?
Self–Administration of Epi-Pen/Epi-Pen Jr. refers to the process in which an individual, typically someone diagnosed with severe allergies or anaphylaxis, uses an auto-injector device to administer a dose of epinephrine without assistance in the event of an allergic reaction.
Who is required to file Self–Administration of Epi-Pen/ Epi-Pen Jr.?
Individuals who are prescribed an Epi-Pen or Epi-Pen Jr. for allergic reactions and their guardians are typically required to file Self–Administration forms, particularly in school settings or institutions to ensure proper management of allergies.
How to fill out Self–Administration of Epi-Pen/ Epi-Pen Jr.?
To fill out the Self–Administration form for Epi-Pen/Epi-Pen Jr., individuals must provide personal information, details of their prescription, verify their understanding of the device's usage, and in some cases, obtain signatures from a physician or authorized health professional.
What is the purpose of Self–Administration of Epi-Pen/ Epi-Pen Jr.?
The purpose of Self–Administration of Epi-Pen/Epi-Pen Jr. is to empower individuals with severe allergies to respond quickly to anaphylactic reactions, ensuring they can self-administer epinephrine promptly to prevent serious health complications.
What information must be reported on Self–Administration of Epi-Pen/ Epi-Pen Jr.?
The information that must be reported includes the individual's name, the prescribing healthcare provider's information, the specific allergy triggers, instructions for use, any known side effects, and emergency contact information.
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