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BURLINGTON COUNTY INSTITUTE OF TECHNOLOGY PHYSICIANS ORDERS FOR ALLERGY EMERGENCY TREATMENT Students Name Birth Date Grade/Teacher The above student is allergic to: Previous episode of anaphylaxisYesNoMEDICATIONS
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How to fill out epi-pen orders

01
Gather all necessary information: the patient's name, date of birth, weight, allergies, and emergency contact information.
02
Check the prescription or medical order for any specific instructions or dosage recommendations.
03
Ensure that the Epi-Pen is not expired and in proper working condition.
04
Wash your hands and put on disposable gloves.
05
Prepare the Epi-Pen by removing the blue safety cap.
06
Hold the Epi-Pen with the orange tip facing downwards.
07
Form a fist around the Epi-Pen and firmly push the orange tip against the outer thigh, through clothing if necessary.
08
Hold the Epi-Pen in place for 3 to 10 seconds to ensure the medication is fully administered.
09
Remove the Epi-Pen and massage the injection site for a few seconds.
10
Dispose of the used Epi-Pen in a sharps container or follow local regulations for proper disposal.
11
Document the administration of the Epi-Pen, including the date, time, dosage given, and any observed reactions.
12
Provide the patient or caregiver with aftercare instructions and advise them to seek further medical attention if necessary.

Who needs epi-pen orders?

01
People who have been diagnosed with severe allergies or anaphylaxis.
02
Individuals who have experienced an anaphylactic reaction in the past.
03
Patients at risk of exposure to allergens that could trigger an anaphylactic reaction.
04
Individuals with a known risk of anaphylaxis due to insect stings or certain foods.
05
Anyone who has been prescribed an Epi-Pen by a healthcare professional.
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Epi-pen orders are prescriptions for emergency epinephrine auto-injectors used to treat severe allergic reactions.
Healthcare providers and pharmacies are required to file epi-pen orders.
Epi-pen orders can be filled out by including patient information, prescribing physician details, and dosage instructions.
The purpose of epi-pen orders is to ensure that patients at risk of severe allergic reactions have access to life-saving medication.
Epi-pen orders must include patient name, date of birth, prescribing physician information, and directions for use.
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