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Epi-pen training
thedarg Offline
#1 Posted : 07 September 2011 16:50:18(UTC)
thedarg


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Hi guys, I've been training first aid for a number of years now, my background being a lot of practical experience, FaW since before there was an FAW (I'm sure back in the '60s it was called something else?), initially a T the T course, more recently PTLLS 3, then 4.  So far so good.

I've recently been asked to prepare and present a short course for teachers, child care assistants, etc, on the use of Epi-pens. 

I have been talking about and explaining their use for years, using an Epi-pen trainer and the demo clip on the DVD supplied by the manufacurers (all of 45 seconds).  Do I need any specific course or qualification to run a stand alone Epi-pen course?  Any suggestions as to length of the course, or content - clearly, if I'm charging for a course, I want the learners and clients to feel they've got value for money.  An explanation of anaphylaxis, cause, effect, and treatment is required, but I'd be struggling to extend that much more than half an hour. 

Suggestions please?

Ian
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dashodoric Offline
#2 Posted : 07 September 2011 19:41:13(UTC)
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We do an anaphylaxis awareness course through St Andrews.  It includes use of the Epi pen and the Ana pen.  The course lasts about three hours and includes use of the pens and causes of anaphylaxsis and of course recovery position and CPR.
JonAcc Offline
#3 Posted : 07 September 2011 21:16:02(UTC)
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Was thanked: 1 time(s) in 1 post(s)
Same here

Causes, recognition, action without epipen, action with epipen, practice epipen, then on to worst case scenario with a CPR refresher and recovery position. Nice gentle but active 3-hour session



Simples!!!





(makes with the meerkat noise)
kevwilson Offline
#4 Posted : 07 September 2011 21:27:26(UTC)
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Just incase you haven't found this reference, check out http://www.resus.org.uk/pages/reaction.pdf it gives you some very useful info to back up your session. Somewhere on the resus website, it a very good pdf presentation slide set. I am aware that some of the data is aimed at health care professionals, but most of the data is generic.

I have a few real epi - pens, out of date ones, that I have set off, but not discharged the epinephrine, sealed them in the original tubes etc. My students have found looking at these extremely benificial. It even demonstrates the actual size of the needle and why it is long enough to inject through clothing etc.

Good luck with your training Ian.
CARE1 Offline
#5 Posted : 08 September 2011 11:32:24(UTC)
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If anyone is teaching paeds courses and you have a video player, Anaphylaxis Campaign are virtually giving away their video (the DVD is about £18) at £1.50 each. I use bits of it a lot on my courses. It described what anaphylaxis is, stories from children and their parents describing exactly what happened when they had a reaction - also emphasises that children often have respitarory s/s rather than shock s/s (at last!) and shows how to use epi-pens. very good video/DVD.
medicdog Offline
#6 Posted : 08 September 2011 13:31:55(UTC)
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Just phoned the lady in Farnboro and ordered one..many thanks
Scazzer Offline
#7 Posted : 11 September 2011 12:23:18(UTC)
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Further to this discussion, where oh where can I obtain training Epi-pens from?

I tried a few places on t'internet, most never replied, some don't seem to exist any more.
kevwilson Offline
#8 Posted : 11 September 2011 13:52:08(UTC)
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I got mine from the epi pen manufacturers. Just send them a letter with a cheque for the trainer on headed business paper that proves you are a trainer. Most of that info is on their web site.

alternative supplier is SP Services, they sell them as well.
nicktriplel Offline
#9 Posted : 12 September 2011 22:35:16(UTC)
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Try Ebay they have shops on there which sell the training units or you can do a course on the anaphylaxis campaign website and they give you a trainers pack for healthcare trainers who deliver courses.
PHECTA Offline
#10 Posted : 23 September 2011 15:34:53(UTC)
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We cover Epi-pen on all our courses. Its simple to teach, should be done in conjunction with CPR as ive seen severe cases where Eppinephrine (Adrenaline for those old sweats) has simply not worked sufficiently and casualties have relapsed.



if you already have this included in your lesson planse and system of work then run a first aid course which includes epi-pen, we do, and its no hastle..
glennjo Offline
#11 Posted : 24 September 2011 09:37:07(UTC)
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We retain all our Expired EpiPens and when we have our EpiPen refresher courses we have the chance to "fire" (supervised) a real one into a peice of fruit. This also highlighted the high risk of a needle stick injury as people could actually see the needle protruding. Our newbies find this experience very useful.

Although the discarded expired EpiPens are then placed into the Sharps Bin for disposal it is emphasised that these would normally go with the patient to hospital.

I found a big difference in using a Training Pen to the real thing - the real thing seems to fire with a much greater noise & thump.

Oh.... and the fruit was safely discarded of as well before any asks!
PHECTA Offline
#12 Posted : 24 September 2011 12:52:59(UTC)
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Glenjo



what you are doing is a potentially dangerous practice, there was an instance a few years ago where an old expired  epipen was used in training and the device malfunctioned almost causing harm to a student.



In this day and age of littigation, using an actual device as oppose to a training device would not be defendable.



Epi-Pen Training devices are around £16.00 each, so its not even as though the items are expensive.



Please think about your practice.
glennjo Offline
#13 Posted : 24 September 2011 18:13:19(UTC)
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PHECTA

The real Epipens are NOT used during the actual training - only Trainng EpiPens are used, Sorry I should have made this clear. The real expired Epipens are only "fired" into some fruit if a candidate wishes to afterwards and only then under supervision. Any fired Epipens are disposed off in a Sharps Bin.
amandajlay Offline
#14 Posted : 24 September 2011 22:32:13(UTC)
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Just to make you aware, Alk-Abello (Epi-pen manufacturers) have recently brought a new product onto the market called 'Jext'.  Works in a similar way to Epipen, but rather than the injector having to 'hit' the thigh to trigger the needle, you just place the tip of the autoinjector onto the thigh then push until it clicks.



Can be seen on www.jext.co.uk



Trainer devices & DVD are available, BUT, a word of caution before rushing to get 1....they can only be delivered to an NHS address if ordered online.



I rang them, & because I am an RGN (& provided my PIN number so they could check), & emailed relevant info to them, it was sent out to me, so nurses, dr's & registered paramedics should have no problems acquiring them if they ring the helpline, anyone else will possibly have to wait until someone starts to sell them!!
medrocktraining Offline
#15 Posted : 25 September 2011 11:06:45(UTC)
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Just to go on from PHECTAs post. We have expended Epipens (needle and contents removed) which we use to show delegates what they look like, we also have a number of training pens we let the delegates use.



On Friday the trainer heard a sound emanating from his kit box (a black and Decker type workman's box on wheels - highly recommend them btw). He opened it to find his 'show pen' had come apart. The spring despite being expended still has a significant amount of grunt left in it and the glue which holds the casing together had presumably disintegrated allowing the spring to fully unwind ejecting the end of the pen.



I can see how that incident referred to can happen - a lesson for us all.



Paul
metromidget Offline
#16 Posted : 04 October 2011 11:24:39(UTC)
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Lots of really good info can be found on this web site.



http://www.nhs.uk/Condit...xis/Pages/Treatment.aspx
Grumpy Grandad Offline
#17 Posted : 06 October 2011 13:01:47(UTC)
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I recall seeing this mentioned in the Resuscitation Guidelines if you look up Epi pen there it does not stipulate the training requirement of the Trainer for Epi Pen from memory which is slipping I think it uses words such as a 'competent person'.



If you look at the guidelines yourself that will put your mind at ease, dont forget to include both anapen and epi pen, most of the rest of the advice here has been very useful also
Imbexservices Offline
#18 Posted : 09 October 2011 20:49:05(UTC)
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Just to carry on from a few peoples comments on here again I would reccomend that all expired LIVE EPIPEN units are disposed of within 3 months of the expiry there are many cases where these units have malfunctioned in may ways after this time period. The expiry date is aimed at not only the sterility/sutability of the drug but also the unit itself. I personally have seen one of these units malfunction in a training session which had been a trainers "show item".



As far as the courses requied to teach epi-pen courses it is generally regarded as a First aid trainer who has been trained in the use of an epi-pen. There is no specific training requirements, but as always its a little dodgy to train something you are not yourself trained in...



Hope this helps. Dan
genmed Offline
#19 Posted : 12 March 2012 20:38:07(UTC)
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You can now obtain epi-pen training units on Amazon! They're not very expensive.
kevwilson Offline
#20 Posted : 12 March 2012 23:06:53(UTC)
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trouble with the ones advertised on ebay is they are the original epi pens, now the jext type are on the market and these are not currently available from amazon. I did find reference to them on here http://www.jext.co.uk/ then use the contact link to email the Alk abelo manufacturer.
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