Anonymous
Post 08/13/2015 17:42     Subject: Epi - pen training/liability

Anonymous wrote:
Anonymous wrote:Please, please just tell me that you don't want to work with my kid who has allergies and let me move on and you move on to a job with a "normal" kid. This is so much more trouble than it's worth.


Schools do not assume this liability and neither should a nanny. Stay home and take care of your own kids if their situation is so drastic.


Schools in my state (IL) absolutely assume this responsibility. Epipens are designed so that anyone, even children, can use them. If a nanny is not competent enough to use one, I would seriously questioning their ability to provide any kind of adequate care.
Anonymous
Post 08/13/2015 16:18     Subject: Re:Epi - pen training/liability

OP practice on an orange.

I was a nanny and used to have practice scenarios with my kids when theirs expired. I wanted the sibling to know what to do as well.
Anonymous
Post 08/13/2015 13:45     Subject: Epi - pen training/liability

Anonymous wrote:Please, please just tell me that you don't want to work with my kid who has allergies and let me move on and you move on to a job with a "normal" kid. This is so much more trouble than it's worth.


Schools do not assume this liability and neither should a nanny. Stay home and take care of your own kids if their situation is so drastic.
Anonymous
Post 08/12/2015 22:47     Subject: Re:Epi - pen training/liability

I am a nanny, have a severe allergy and have had to have an epipen on me at all times since first incident happened to me at 6 weeks old. At every annual checkup, my doctor always made sure my mom knew how to administer epipen and then gave her a dummy one to practice on me with (the epipens usually come with a dummy one to practice with now, but doctors almost always have them if your charge's did not) and then I had to practice as well when I was old enough to do so. Ask MB and DB if you can accompany child to next physical or doctor's appointment of any kind and ask doctor to walk you through it. This is completely normal. In your contract with NF(if you don't have one then you absolutely should) have them put a clause that says that you will not be liable if administration of epipen goes incorrectly and that you must maintain knowledge and confidence with knowing how to use epipen. Hope this helps.
Anonymous
Post 08/12/2015 20:56     Subject: Re:Epi - pen training/liability

As the parent of a child with severe food allergies, I appreciate your reflectiveness and inquiry. Always feel welcome to talk about it with the family and determine your comfort administering the epi-pen. If you're not comfortable, that's no problem at all and I'm sure you'll find another family to work with. Much better to be open about it and explore together, whatever the result may be. Thanks for thinking about the health and safety of the child and being honest about your feelings too. If a situation occurs that needs an epi-pen, there won't be time to think then.
Anonymous
Post 01/09/2015 20:41     Subject: Epi - pen training/liability

If you go on the epipen website there are videos and instructions
Anonymous
Post 01/09/2015 19:46     Subject: Epi - pen training/liability

Please tell your MB. Honestly, I have actually have kids with food allergies and have been very upfront with all nanny candidates about the job requirements. If my nanny told me that she may not give a shot, we would part ways amicably and immediately. I cannot have a caregiver who isn't 100% sure they will give an epi pen. This isn't a choice, it's to save the life of a child. Your excuses are aggregious. Please know I would purse you to the ends of the earth if you didn't give my child an epi pen when needed--that's the liability you need to worry about.
Anonymous
Post 01/09/2015 08:22     Subject: Epi - pen training/liability

Epi-pens now talk you through it, very innovative.
Anonymous
Post 01/09/2015 08:14     Subject: Epi - pen training/liability

Anonymous wrote:Speak to the parents. Have them show you how to use it. Practice with the epipen trainer (which doesn't have a needle, but is shaped just like the epipen and you practice by pushing it into your thigh just like a real epipen)

I use an epipen, as I have nut allergies. I am a director of a childcare center, and I train my teachers in how to use it when we have a child who needs one enrolled in the school. ALL teachers are taught, not just the ones in the child's room, because who knows who will be in the room at the moment when you need it.

You are injecting epinephrine, which is a stimulant. You must inject it into the fleshy (fat) part of the thigh and you can do it through pants, jeans, whatever. So it's really, really easy.

Most centers do NOT refuse to administer the epipen, but if they did that, then they need to refuse enrollment by that family, because if you don't use the epipen when the child (or adult like me) needs it, the child wil most likely die. Period. By using it, you give the child/adult 15 minutes to get to the emergency room.

No, EMTs in some states do not carry epipens, but paramedics may. This is stupid, but it's the deal with some states. Other states allow EMTs to use epipens. I had an instance where I was taking a child at our daycare center via ambulance to the hospital with a suspected allergic reaction - it was his first allergic reaction in his life and he was at our center. So of course he didn't have his own epipen, although the next day when he returned to the center, he of course had one.

They honestly aren't that hard to use, but if you don't think you'd use one, please tell the parents this and give notice and leave. They deserve to know this and hire a nanny who is willing to be trained and use the epipen as needed.

Frankly, you are more liable if you know a child is supposed to get an epipen and you don't use it - just flat out refuse. And, no, there isn't time for you to ccall the parents and have them race home to use the epipen - there isn't time. It needs to be used immediately upon thinking an allergic reaction is happening.

Finally, it's epinephrine, adreniline, it will make my heart race, my hands shake, but it won't hurt me. Not using it will hurt me more than using it will!



This is incredibly helpful information. I wasn't decided one way or the other but your reply makes me feel much more confident. I also researched daycare policies in the DC area and found several medical auth/liability waivers. Also found a kitchen management training to prevent cross contact via food prep surfaces, utensils, etc. With all these combined I feel comfortable staying with my NF.
Anonymous
Post 01/08/2015 23:43     Subject: Epi - pen training/liability

Speak to the parents. Have them show you how to use it. Practice with the epipen trainer (which doesn't have a needle, but is shaped just like the epipen and you practice by pushing it into your thigh just like a real epipen)

I use an epipen, as I have nut allergies. I am a director of a childcare center, and I train my teachers in how to use it when we have a child who needs one enrolled in the school. ALL teachers are taught, not just the ones in the child's room, because who knows who will be in the room at the moment when you need it.

You are injecting epinephrine, which is a stimulant. You must inject it into the fleshy (fat) part of the thigh and you can do it through pants, jeans, whatever. So it's really, really easy.

Most centers do NOT refuse to administer the epipen, but if they did that, then they need to refuse enrollment by that family, because if you don't use the epipen when the child (or adult like me) needs it, the child wil most likely die. Period. By using it, you give the child/adult 15 minutes to get to the emergency room.

No, EMTs in some states do not carry epipens, but paramedics may. This is stupid, but it's the deal with some states. Other states allow EMTs to use epipens. I had an instance where I was taking a child at our daycare center via ambulance to the hospital with a suspected allergic reaction - it was his first allergic reaction in his life and he was at our center. So of course he didn't have his own epipen, although the next day when he returned to the center, he of course had one.

They honestly aren't that hard to use, but if you don't think you'd use one, please tell the parents this and give notice and leave. They deserve to know this and hire a nanny who is willing to be trained and use the epipen as needed.

Frankly, you are more liable if you know a child is supposed to get an epipen and you don't use it - just flat out refuse. And, no, there isn't time for you to ccall the parents and have them race home to use the epipen - there isn't time. It needs to be used immediately upon thinking an allergic reaction is happening.

Finally, it's epinephrine, adreniline, it will make my heart race, my hands shake, but it won't hurt me. Not using it will hurt me more than using it will!