Is the nursery being unreasonable? - EpiPen related(43 Posts)
Dd (aged 3) has a severe egg allergy, of which his nursery are obviously aware.
It's currently about 17 months since she was diagnosed, and the two epipens we were given at the time will soon be past their expiry date (18 months).
I've called up the GP multiple times asking for new epipens, but have been told that they're currently unavailable and they have no idea when we'll be able to get them.
Dd's nursery say that she can't attend without an in-date epipen.
Are the nursery being unreasonable to be so inflexible when it's quite literally impossible to get hold of an EpiPen within the UK at the moment?
Of course they're not being unreasonable. You're basically asking them to possibly administer out of date medication. would you honestly give your child out of date Calpol.
Can you get a different prescription for adrenaline - we were prescribed Emerade only last week without any problems. And to be honest I prefer it as there is only one cap, so you can't stab yourself in the hand!
As far as I am aware, they are all adrenaline shots, just different brands that make them.
Do you have a pair at home - could you give one to them, or alternatively give your home set to them each day and bring it home each day until you have something more permanent sorted?
I know someone who should have two epipens due to the severity and speed of her reactions and she can only get hold of one due to the shortage, and that one is rapidly approaching it's date.
If you can not get hold of an up to date epi pen or equivilent, surely it is discrimination to exclude a child because the health service cannot provide them with the optimal medication?
It isn't discrimination.They are looking at the best interests of the child. The child has a severe allergy and they are concerned that they would not be able to offer the best care for the OPs child in their setting without up to date adrenaline shots - I think that is fair enough.
It’s not discrimination
They would not be following their own policy and procedures if they accepted out of date medicine
I work in a hospital. The other brand is Jext
A bit inflexible I think. I am a school First Aider, I have several pupils with Epipens affected by this. I consulted with the the NHS and parents and was told epipens could be used after their advisory date, they have a “window “ on them where you can see if the contents are still clear, there are instructions regarding this. Approximately 6 months. We can’t tell secondary pupils they can’t come to school, common sense has to prevail. In the end they were all quite quickly replaced by Emerade injectors and the problem was solved.
I carry an Epipen for a life threatening allergy and know the frustration.
There is an alternative i've been prescribed called a Jextpen, apparently it's the same ingredients etc but just a different brand. I had to get my GP to specifically prescribe these though as the Chemist couldn't just give them out.
There's information on the extended use by dates for epipens here:- www.anaphylaxis.org.uk/2019/01/22/statement-from-mylan-on-the-availability-of-epipen-0-3mg-and-0-15mg-adrenaline-auto-injectors
It seems to say that 0.3mg and 0.15mg epipens are now available - though from your experience that's not true.
I really sympathise with you. It took me two months from last September to get epipens for my daughter and ,even then, the pharmacist could only get epipens that expired at the end of February so I've just had to request another prescription.No idea if I'll actually be able to get them.
Of course nursery are not being unreasonable.
I was told last year by boots that there was a worldwide shortage of epipens.
Today at work I was told that we no longer have access to pre-filled adrenaline syringes so when we run out we are onto ampoules of drug which have to be drawn up.
All very scary. The pharmacist in boots told me that manufacturers were advising all GPs to tell their patients that epipens could be used after their expiry dates.
🤞 we are ok for now. DS has 3 and all are in date up until July. Touch wood he won’t need to use one but he is off to West Virginia in July and I am shitting it really as he won’t be with us. I will be sending him with large amounts of antihistamines though and advising him to take them every day symptoms or not.
We are a little more edgy though as we don’t know what triggered his reactions.
I would urge you to ask for a prescription for either Jext or Emerade. They are actually far easier to use as you’re less likely to accidentally stab yourself when administering them. That said, as others have said, some pens have their dates extended due to the shortage so you may be ok. We had issues replacing our general EpiPen at school and now have a Jext instead.
Yabu they need to be confident that in event of your dd grabbing food off another child that they can administer the medication. I've heard of nurseries even refusing kids with allergies because can you imagine what would happen if the child is harmed? They are simply not equipped to deal with severe allergies - and they are wide ranging so they would basically have to ban food to accommodate every possible allergy (the nursery at work as a kid allergic to carrots, and one allergic to bananas)
Nursery has policies and procedures that have to followed and they cannot be flexible.
I work in a school. And we have to send kids home if their medications aren't right. A recent example was an out of date inhaler, parents sent them in every day, we sent them home because we cannot have a child in school without the correct medication.
The nursery might accept a letter from your doctor to say the pen will be ok for 6 months after the date.
Get a different brand. I had a prescription for epi but pharmacy could only get jextpen - same thing and very similar to use.
As for nursery, i imagine if they are inspected they'd have to have in date meds. I can understand their side.
Provide them with syringes, needles and Adrenalin ampules then. It’s the same thing.
@Nothinglefttochoose - seriously? Do you honestly think a nursery will be willing to use a needle to inject adrenalin into a child?! They're not nurses!!!!
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