First Aid Topics

Guide for Epinephrine Autoinjectors in New York State

May 5, 2026 Meg 3 min read

Guide for Epinephrine Autoinjectors in New York State

May 5th, 2026

A Comprehensive Resource for Safe Use and Implementation

This guide provides detailed instructions for individuals and organizations in New York State on the safe use of epinephrine auto-injectors. Its purpose is to ensure proper response to serious allergic reactions, specifically anaphylaxis.

What Is an Epinephrine Auto-injector?

An epinephrine auto-injector is a medical device designed to deliver a measured dose of epinephrine quickly and efficiently. It is used to treat individuals experiencing severe allergic reactions, known as anaphylaxis.

Who Can Use Epinephrine Auto-injectors?

  • Ambulance services and emergency medical workers
  • Camps for children and their staff
  • Schools and their staff
  • Facilities such as sports centers, daycares, stores, and restaurants
  • Other individuals or groups approved by New York State authorities

Starting an Epinephrine Auto-injector Program

  1. A physician or pharmacist must provide approval for a stock epinephrine auto-injector for either an individual or an approved program.
  2. Anyone who administers epinephrine to another person must complete a training course, ensuring they understand how to use the device safely.

Training should cover the following topics:

  1. Common causes of allergic reactions
  2. Recognizing signs of mild and severe allergic reactions
  3. How to determine when epinephrine is needed
  4. Proper use of the auto-injector
  5. Patient care until emergency help arrives
  6. Reporting and documenting the incident
  7. Safe storage and disposal of the device
  8. Understanding New York State laws regarding epinephrine administration

Policies and Procedures

  1. Develop clear policies for obtaining, storing, and disposing of auto-injectors.
  2. Ensure all users receive appropriate training.
  3. Establish a protocol for using the auto-injector and reporting its use.
  4. Maintain records and monitor program quality.

Reporting Use of an Auto-injector

When an auto-injector is used, report the following information:

  1. Name of the individual or program administering the device
  2. Location and time of the incident
  3. Patient’s age and gender
  4. Amount of medication administered
  5. Names of the ambulance corps and hospital providing advanced care after epinephrine administration
  6. Camps are required to report to the health office within 24 hours of using an auto-injector.
  7. Epinephrine Training Program Topics

Epinephrine training programs should address the following essential areas:

Common Causes of Allergic Reactions

  • Identify foods, insect stings, medications, and other triggers responsible for allergies.

Recognizing Signs and Symptoms

  • Differentiate between mild and severe allergic reactions (anaphylaxis).
  • Recognize how symptoms of anaphylaxis vary from other medical emergencies.

Decision-Making for Administration

  • Understand when epinephrine should be administered and when it should not.
  • Assess the urgency and severity of the situation.

Correct Dosage Selection

  • Decide whether to use an adult or pediatric auto-injector based on the patient’s age and weight.

Administration Procedure

  • Demonstrate the steps for safely and effectively using auto-injectors (Epi-Pen and nasal spray administration).
  • Practice proper techniques to ensure accurate medication delivery.
  • Safe Storage and Disposal
  • Learn how to store epinephrine securely.
  • Follow regulations for safe disposal of used auto-injectors.

Patient Care After Administration

  • Provide ongoing care and monitoring until Emergency Medical Services (EMS) arrive.
  • Support the patient and observe for changes in condition.
  • Documentation and Reporting
  • Record details of the incident, including who administered the auto-injector, location, time, patient information, dosage, and follow-up care.
  • Adhere to proper notification procedures, such as submitting reports to health officials or medical directors.
  • Legal and Regulatory Knowledge

Example Implementation

  • Training sessions should include hands-on practice with demonstration devices.
  • Scenario-based exercises can reinforce decision-making and emergency response skills.
  • Written checklists and reporting forms should be provided for documentation.
  • The curriculum must review New York State guidelines and legal requirements.

Conclusion

Covering these topics ensures that staff and authorized users are fully prepared to respond quickly, professionally, and effectively to anaphylactic emergencies.

 

References

New York State Center for School Health. (2026, January 28). Epinephrine, NY Senate Bill – S7807. Retrieved from School Health NY: https://www.schoolhealthny.com/a-z-resources/e-resources/epinephrine#:~:text=With%20this%20amendment%2C%20unlicensed%20school,delivery%20device%2C%20including%20nasal%20epinephrine.

 

New York State Department of Health, Bureau of Emergency Medical Services. (2017, March 3). NYS DOH, BEMS. Retrieved from Epinephrine Auto-Injectors (Epi-Pen®) Policy Statement: https://www.health.ny.gov/professionals/ems/pdf/17-02.pdf

 

NYS Senate. (2025, 5 9). Senate Bill S7807 – Expands the definition of epinephrine devices to include epinephrine nasal sprays. Retrieved from The New York State Senate: https://www.nysenate.gov/legislation/bills/2025/S7807/amendment/original