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Table 1 Steps for accurate demonstration of epinephrine autoinjectors *

From: Demonstration of epinephrine autoinjectors (EpiPen and Anapen) by pharmacists in a randomised, simulated patient assessment: acceptable, but room for improvement

 

Original EpiPen

New-look EpiPen

Anapen

Step 1: Remove safety caps

Form a fist around EpiPen and remove gray safety cap

Form a fist around EpiPen and pull off blue safety release

1. Pull off black needle shield

2. Pull off gray safety cap from red button

Step 2: Place against thigh

Place black end against outer mid thigh (with or without clothing)

Place orange end against outer mid thigh (with or without clothing)

Place needle end firmly against outer mid-thigh (with or without clothing)

Step 3: Push and inject

Push down hard until a click is heard or felt and hold in place for 10 seconds

Push down hard until a click is heard or felt and hold in place for 10 seconds

Press red button so it clicks and hold in place for 10 seconds.

Step 4: Remove and massage site

Remove EpiPen and do not touch needle. Massage injection site for 10 seconds

Remove EpiPen. Massage injection site for 10 seconds.

Remove Anapen and do not touch needle. Massage injection site for 10 seconds.

  1. *Steps as listed on the relevant ASCIA Action Plan for Anaphylaxis at the time of this research[30].