Is this a question about a specific class or program?
During our instructor led event we have a medication table set up for people to
handle the epinephrine and have found that the medication is not meant to
be used multiple times. We do refill the vial with water but find that the caps
go missing and the box falls apart. We were wondering what others do to keep
Let me clarify. Is this about NRP?
There is a different location I'd like to move this post to if it is. I also would like to reach out to resources that can help answer your question, once that is confirmed.
Yes this is about NRP.
2 of 2 people found this helpful
This query was forwarded to the NRP Steering Committee, and they shared the following response:
Thank you for your question about how to keep epinephrine boxes and pieces intact for multiple use.
- I have found that it helps to reinforce all of the edges of the epi box with clear tape (Scotch tape). Run a piece smoothly down all the edges of the box.
- Before the first use, tape the top of the box closed (where it should NOT be opened) with a wide piece of tape (such as packing tape).
- After the box is opened the first time, re-close the box by taping the attached side of the box to at the end of the box so the bottom stays on the box and things don't fall out. On the side of the box that opens to access the epi, make a tab of tape so that the box can be opened easily by pulling the tape off he box enough to re-open the bottom of the box, and closed after use . The tab of tape needs to be replaced occasionally, depending on how often the box is opened and closed.
- During practice, put the epi supplies on a tray or box lid (such as a cafeteria tray or he top of the plastic box where you store your medication supplies). The lid will keep things from rolling away.
- Tell instructors and learners at the beginning of class to keep everything together and DO NOTTHROW ANYTHING AWAY.
- Make a sign for the box that says "EVERYTHING is re-used! Do not toss syringe caps or boxes!" and attach it to your box of medication supplies.
- Keep a "spare parts" box from the epi that is no longer re-usable so that you have a little supply of extra caps, etc.
The pieces inside the box have a better chance for re-use when
learners are supervised during use and instructors are informed and committed
to keeping everything together and re-assemble everything in the box after use.
Everyone has to help keep the epi supplies re-usable.
I hope this is helpful.
1 of 1 people found this helpful
I follow many of the same processes that Rachel outlined. I also have a small consistent group of instructors who teach this section and make sure that nothing is lost or tossed. I also have the Pharmacy send me expired epi and I keep the extras in a drawer in my office. That way, not everything I have is out there to be played with. Finally, I keep my meds, extra med caps, conversion caps so they can draw up the meds into a syringe, etc. in a tackle box so that everything is kept together in one place.
We have had more trouble with new residents dropping the epi vials (and shattering them) than anything else.
Rachel and Anne,
Thank you for the helpful tips. I think that the problem recently has been a turnover of new staff and
we relocated our NRP supplies so that they could have access to them unsupervised. This has
led to our caps going missing and the boxes falling apart. Also pharmacy wants me to find another
way to find mock meds because they get reimbursed for the outdated ones. I haven't been able
to find the epi bristojet that we use online in mock form. Pharmacy is trying to help me with this
but if anyone else uses this method I would be interested in the website that you use.