EpiPen PPT Handout

EpiPen PPT Handout
EpiPen Administration
EpiPen
Administration
EpiPen Administration
„ This
powerpoint program has been
designed for the SOCP staff member
who will be trained to administer an
EpiPen in the event that a client has a
life-threatening allergic reaction.
SOCP Outreach Nursing
Department
You may feel like this now…
But after this program, you’ll feel
like this…
Your objectives are:
Objectives continued…
„
„
„
„
Accurately recognize client-specific warning
signs of allergic emergency
Accurately identify client for whom
epinephrine is prescribed
Accurately read and comprehend the client
specific protocol for client specific allergy.
Correctly follow directions on the client
specific protocol
„
„
„
„
„
Accurately read the epinephrine (EpiPen) label and
follow directions from the label
Always check to make sure EpiPen is not expired
Administer epinephrine by auto-injector
Safely handle epinephrine in auto-injector
Accurately describe the client specific protocol for
responding to life-threatening allergic emergencies
1
EpiPen Administration
Epinephrine is the treatment of
of choice for allergic reactions…
Epinephrine…
„ It
quickly constricts blood vessels,
raising blood pressure
„ It
relaxes smooth muscles in the lungs
to improve breathing
Epinephrine continued…
„ It
How is epinephrine stored?
stimulates the heart beat
„ It
works to reverse the hives and
swelling around the face and lips
„ Stable
at room temperature until the
marked expiration date
– Do not freeze, refrigerate, or expose to
extreme heat or sunlight…it will cause it to
oxidize and go bad..and turn brown.
How is epinephrine handled?
How is epinephrine handled?
„ Before
using, make sure solution is
clear and colorless
„ Accidental injection into the hands or
feet may result in loss of blood flow to
the affected area and will require
immediate treatment in the Emergency
Department (ED)
„ After
using epinephrine, the autoinjector should be placed back in the
impermeable container and given to
EMS personnel to take to the ED.
2
EpiPen Administration
The 5 “RIGHTS” of epinephrine
administration…
Right client…
„ Right
„
client
„ Right medication
„ Right dose
„ Right route
„ Right time
Right medication…
Identify the client with the allergy.
– Know the protocol
– Let client know you are aware of his/her allergy
– Explain to the client that you will assist him/her
with an EpiPen in the event of an allergen
exposure.
– Always take the EpiPen and a back-up EpiPen
with client on any outings, including the yard at the
group home
Right dose…
„ An
EpiPen comes in TWO different
doses:
„ Epinephrine
is available in an auto
injector called an EpiPen
Right route…
– EpiPen 0.3 mg (over approx.66 lbs.)
adult clients
– EpiPen Jr. 0.15 mg (under approx 66 lbs.)
child clients
Right time…
„ The
EpiPen is administered into the
large outer thigh muscles
„
Based on client’s symptoms and protocol
e.g., hives spreading over the body, wheezing,
difficulty swallowing or breathing, swelling in face
or neck, tingling or swelling of tongue, vomiting,
signs of shock, such as extreme paleness/gray
color, clammy skin, loss of consciousness, or any
other client-specific known symptom.
3
EpiPen Administration
Steps in EpiPen administration…
Breathe… Call for HELP! 911
„
„
„
Have client lie down if possible
Read and visualize the directions on the
EpiPen
It states:
A quick review…
„
Case study
„
You are the staff assigned to Sam Smith and you have
just taken the client outside for a walk around the yard.
Its spring and the flowers are blooming and the bees,
unbeknownst to you, are buzzing. Your client, Sam
Smith has a known bee allergy requiring immediate
EpiPen administration if stung. You’ve made it a point;
because you are an astute staff to review your client’s
Allergic Reaction Protocol and secure his EpiPen
before going outside. The unthinkable happens…
1.
2.
3.
4.
Form fist around autoinjector (orange tip down)
With your other hand, pull off blue safety cap.
Hold orange tip near outer thigh.
Swing and firmly push into outer thigh until it clicks
so unit is perpendicular (at 90 degree angle) to the
thigh. Note: Auto-injector is designed to work through clothing
5. Hold firmly in thigh for 10 seconds.
The EpiPen buys you 15 minutes
of time…
„
„ What
are the steps you would take?
– Have client lie down and administer the
EpiPen immediately
– Yell for help and have someone call 911 or
call on the SOCP issued cell phone (when
on outings)
– Keep client warm, reassured, and away
from allergen
After EpiPen administration you
must remember to…
„ Notify
the Site Manager, Outreach
Nurse and PCP.
„ If no response within 30 minutes call the
Program Manager or Nurse Manager
„ Document incident in the client specific
progress notes and do an incident
report.
„
„
Activating emergency services via 911
immediately is critical
Having all the staff CPR trained in your group
home is mandatory and important in case the
client stops breathing and needs support until
EMS arrives.
After 20 minutes you may need to administer
a second dose if breathing difficulties recur
What about Community Outings?
„
Being the the ever-prepared staff you will
review the Allergy Specific Protocol
„
You will have the client’s two Epipens; always
carry the 2nd Epipen as a spare but also in
case you need to administer a 2nd dose
Assure Epipen is readily available for
administering to the client throughout the trip.
This includes in the vehicle, store, park or
wherever the client and staff go on any
outings.
„
4
EpiPen Administration
Community Outings continued
„ You
must have telephone access to call
911 at all times while out of the group
home with the client.
You are now prepared to
administer an EpiPen in a lifethreatening allergic emergency!
I thought I was done…”
One More Thing
„
„
You must see a demonstration and then redemonstrate the Epipen by being evaluated by an
outreach nurse
BROUGHT TO YOU BY:
„ SOCP
Outreach Nursing Staff:
This training is good for one year only and must be
repeated annually in order to remain current and per
SOCP policy and licensing requirement
5
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