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#1 Posted : 12 September 2007 14:04:00(UTC)
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Posted By Jason L Evans
We have just had a student in the college I work that suffers from allergies and carries an Epipen.
I have arranged for staff to be trained on its use, had a chat with the student, done the risk assessment etc.
I have just had a member of staff state she would not be happy to administer this injection, she is happy with the training provided but feels there are moral issues such as the consequences if the injection went wrong.
All the guidance I have had states that we have done all we can, we have no Occ health nurse on site but do have paid first aid teams. Any advice please!!
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#2 Posted : 12 September 2007 14:14:00(UTC)
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Posted By LMR
i too carry an adrenalin pen. i too have made sure that my colleagues know how to use it. i too have colleagues that will not ever no matter how bad i am use it. I have said to them that it is fine and i can understand their feelings as i too do not want to use it!
That said i have also said that if it gets to a point where the pen has to be utilised i will also need an ambulance so they can be the one with the active digit calling the emergency services and stating exactly what is happening, so long as the also shout for a volunteeer who would be happy to utilise the pen.

This is an acceptable compromise to me, and it is my life threatening condition.

All that said i am also advised that i am to self-administer the pen and that even the emergency services may not adminster the adrenilin without making further checks, so i can fully understand anyones reservations.

hope this helps
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#3 Posted : 12 September 2007 15:12:00(UTC)
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Posted By Phil
Adrenaline is a POM (prescription only medicine), and as such requires training before it can be administered.
Oxygen and Entonox are also POM's and require training before they can be administered.
Trained people should have no fears or anxietys of litigation as long as they stay within the limit of their training.


Phil
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#4 Posted : 12 September 2007 17:14:00(UTC)
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Posted By Jay Joshi
There was a detailed discussion--refer to:-

http://www.iosh.co.uk/in...iew&forum=1&thread=27979

There were divergent views.

Please refer to :-
http://www.hse.gov.uk/firstaid/faqs.htm#tablets

It states that:-
Medicines legislation restricts the administration of injectable medicines. Unless self administered, they may only be administered by or in accordance with the instructions of a doctor (eg by a nurse). However, in the case of adrenaline there is an exemption to this restriction which means in an emergency, a suitably trained lay person is permitted to administer it by injection for the purpose of saving life. The use of an Epipen to treat anaphylactic shock falls into this category. Therefore, first aiders may administer an Epipen if they are dealing with a life threatening emergency in a casualty who has been prescribed and is in possession of an Epipen and where the first aider is trained to use it.

There is legal exemption for parenteral (administered by means other than through the alimentary tract as by intramuscular or intravenous injection) administration in an emergency to human beings of certain prescription only medicines via Regulation 7 of the The Prescription Only Medicines (Human Use) Order 1997

It includes Adrenaline Injection 1 in 1000 (1 mg in 1 ml).

Refer to:-
http://www.opsi.gov.uk/si/si1997/71830--b.htm#7

http://www.opsi.gov.uk/si/si1997/19971830.htm

It is clear in law that the medicines legislation permits the administration in an emergency to human beings of certain prescription only medicines via Regulation 7 of the The Prescription Only Medicines (Human Use) Order 1997




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