Version 1.

EpiPen Assessment Skills Description Effective date:

05/01/17

Trainee must perform all steps of injecting EpiPen on the trainer just as if he/she were a real person
suffering from severe allergic reaction.
The following outlines the criteria required to successfully demonstrate each step of administering the
EpiPen auto-injector.

Step Critical Step Description

1 Place open sharps box Prepares sharps box by opening it before injecting EpiPen.
next to casualty
Trainee to open the sharps box and place it on the floor next to casualty’s
leg. Sharps box should be upright.

2 Checked if there is Ensure that the casualty’s pocket is empty.

anything in the
pocket Trainee to ask customer or physically use their hand (if necessary) to
check that casualty’s pocket is empty before injecting.

3 Located outer mid- Locates correct injection area on outer mid-thigh at right angle to the leg.
thigh area for
injection Trainee is able to identify injection location to outer mid-thigh area only.

4 Applied orange tip Ensures that orange tip (where needle is hidden) is applied to the
end of EpiPen to casualty’s outer-mid thigh area.
outer mid-thigh area
Trainee to wrap his fingers around the EpiPen and hold it with fingers
away from both ends.
Trainee places the orange tip of the EpiPen on the casualty’s outer-mid
thigh area before removing the blue safety cap.

5 Removed blue safety Activates EpiPen auto-injector by removing the blue safety cap.
cap to activate the
auto injector Trainee holds EpiPen in place and removes the blue safety cap while
orange tip is applied to the outer mid-thigh area.

6 Held EpiPen at a right Ensures that EpiPen is applied to outer mid-thigh area at a 90 degree
angle (at a 90 degree angle.
angle) to outer mid-
thigh area. Trainee ensures that the angle of the injection is 90 degree to the outer
mid-thigh area.

7 Pressed the orange tip Activates auto-injector mechanism by pressing EpiPen against the outer
firmly into the outer mid-thigh area.
mid-thigh (should
hear a click) Trainee presses the EpiPen firmly against outer mid-thigh area.

1
 Version 1.3

EpiPen Assessment Skills Description Effective date:

05/01/17

Step Critical Step Description

8 Held firmly in place Holds EpiPen firmly to outer mid-thigh area until all medication is
for 10 seconds released.

Trainee holds EpiPen firmly against outer mid-thigh area and observe the
time (using own watch or counting).
Trainee ensures at least 10 seconds passes before removing orange tip
from the thigh.

9 Disposed of EpiPen in Ensures that orange tip is facing down when disposing EpiPen in the
sharps box with sharps box.
orange tip facing
down Trainee safely removes orange tip in a straight manner away from the
thigh.
Trainee ensures that orange tip of the used EpiPen is facing down while
disposing it safely into the sharps box.

10 Closed sharps box and Demonstrates safe disposal of EpiPen and advise casualty to massage
advised casualty to thigh for 10 seconds.
massage the injection
site for 10 seconds Trainee closes sharps box immediately after disposing used EpiPen.
Trainee verbally advises casualty to massage the injection site for at least
10 seconds.

End of Assessment