Epinephrine Auto-Injector Information

State law allows physicians to prescribe epinephrine auto-injectors to businesses and the general public with proper training and certification. The epinephrine certification card issued by the EMSA allows an individual to obtain a prescription for and administer an epinephrine auto-injector to a person experiencing anaphylaxis, with civil liability protection.

EPINEPHRINE CERTIFICATION REQUIREMENTS

 

Epinephrine Certification Application: Please disregard epinephrine certification application instructions and read Epinephrine Application Instructions.

For those wishing to obtain an Epinephrine Certification, please review these steps:

1. Using these instructions, Epinephrine Application Instructions [PDF], submit the following:

● An Epi Certification Application [PDF]
● Proof of completion of CPR and First Aid for Adults, Children and Infants
Proof of completion of an EMSA-Approved Epinephrine Training Program

● Check or money order in the amount of $15.00, made out to “Specialized First Aid Fund”

2. EMSA staff have 30 calendar days to process your payment and review your application.

3. Within 30 days of receipt, EMSA staff will either:

● Approve your application,
     OR
● Send a deficiency letter, notifying you of any missing items you must submit to complete your application.

4. Once your application is complete and approved, EMSA will mail you an approval letter and certification card, which includes the dates of your certification cycle.

5. Once approved, you may also view your certification information in the Central Registry public look-up.

For those wishing to renew an Epinephrine Certification, please review these steps:

1. Using these instructions, Epinephrine Application Instructions [PDF], submit the following:

● An Epi Certification Application [PDF]
● Proof of completion of CPR and First Aid for Adults, Children and Infants
Proof of completion of an EMSA-Approved Epinephrine Training Program

● Check or money order in the amount of $15.00, made out to “Specialized First Aid Fund”

2. EMSA staff have 30 calendar days to process your payment and review your application.

3. Within 30 days of receipt, EMSA staff will either:

● Approve your renewal,
     OR
● Send a deficiency letter, notifying you of any missing items you must submit to complete your renewal.

4. Once your application is complete and approved, EMSA will mail you a renewal letter and certification card, which includes the new dates of your certification cycle.

5. Once renewed, you may also view your certification information in the Central Registry public look-up.

FREQUENTLY ASKED QUESTIONS

 

Do I need a certification card to carry my own epinephrine auto-injector?
No. If you have an epinephrine auto-injector prescribed to you by an authorized health care provider, for your own use, you do not need to apply for a certification card.
 
Do I need a certification card to use an epinephrine auto-injector prescribed to my child or spouse?
No. If your child or spouse has an epinephrine auto-injector prescribed to them by an authorized health care provider, you do not need a certification card to use/administer epinephrine to them.
 
I work in an elementary/high school. Can I obtain this training and use the certification to have Epi pens stocked at the school?

See Health & Safety Code 1797.197(g) : This section does not apply to a school district or county office of education, or its personnel, that provides and utilizes epinephrine auto-injectors to provide emergency medical aid pursuant to Section 49414 of the Education Code.

You may obtain the training, become certified, and obtain a prescription for Epipen auto-injectors, however, the certification does not extend to include elementary or high school campuses.

Are off-duty EMS personnel considered “lay rescuers” under the law when off-duty?

Yes. When off-duty, EMS personnel are considered lay rescuers. Paramedics, AEMTs, EMTs and First Aid trained public safety personnel are not independent medical practitioners who can use an epinephrine auto-injector while off-duty, unless further certified. The epinephrine auto-injector certification will allow EMS personnel to legally use an epinephrine auto-injector and be protected from civil liability while off-duty.
 
How do I renew my certification?
The requirements and process for renewal of the certification are the same as that for the initial certification. You will find the application with required documentation provided above.
 
After I finish with training can I go get an epinephrine auto-injector from the pharmacy?
No, you must first get a prescription from a health care provider to present to the pharmacy.

FREQUENTLY ASKED QUESTIONS

 
Can businesses stock epinephrine auto-injectors?
Businesses and other organizations may obtain a prescription for and stock epinephrine auto-injectors if they employ or utilize a volunteer that is an EMSA-certified lay rescuer as provided above. To receive the epinephrine auto-injector(s) the business would need to take the EMSA certification card to a physician to receive a prescription. The prescription can then be filled by a pharmacy. A business that stocks epinephrine auto-injectors is required to keep records, create and maintain an operations plan, and report to EMSA when an epinephrine auto-injector is used.
 
What businesses should be stocking epinephrine auto-injectors?
It’s recommended that all businesses have access to epinephrine auto-injectors.
 
Is a business or certified person required to keep records of epinephrine auto-injector use?
Yes. Per regulations, certified persons shall make, maintain, and make available to EMSA upon request a record for five years, including:
        • Dates of receipt, use and destruction of each auto-injector dispensed, and
        • The name of any person to whom epinephrine was administered by using an auto-injector, and
        • The circumstances and manner of disposal of any auto-injectors

Training Program Approval Information

For those wishing to become an EMSA-approved epinephrine auto-injector training program, please review these steps:

1. Submit the following:

Option 1:

● A completed Training Program Checklist [PDF], including all attachments
● Check or money order in the amount of $500.00, made out to “Specialized First Aid Fund”

OR

Option 2:

● Your written request for renewed training program approval (in-lieu-of Part I of the Checklist)
● All items identified in the Training Program Checklist [PDF],
● Check or money order in the amount of $500.00, made out to “Specialized First Aid Fund

2. EMSA staff will notify you of receipt of your program materials upon their arrival at EMSA.

3. EMSA staff then have 60 days to review your training program materials and either:

● Approve your application and program materials,
     OR
● Send a modification letter, notifying you of any missing items you must submit to complete your application

4. Once your application is complete and approved, EMSA will:

● Send you an approval letter and program certificate, indicating your four-year approval cycle
● Add your program to EMSA’s public Training Program Database.

For those wishing to renew an EMSA-approved epinephrine auto-injector training program, please review these steps:

1. Submit the following:

Option 1:

● A completed Training Program Checklist [PDF], including all attachments
● Check or money order in the amount of $500.00, made out to “Specialized First Aid Fund”

OR

Option 2:

● Your written request for renewed training program approval (in-lieu-of Part I of the Checklist)
● All items identified in the Training Program Checklist [PDF],
● Check or money order in the amount of $500.00, made out to “Specialized First Aid Fund

2. EMSA staff will notify you of receipt of your program materials upon their arrival at EMSA.

3. EMSA staff then have 60 days to review your training program materials and either:

● Approve your renewal,
     OR
● Send a modification letter, notifying you of any missing items you must submit to complete your program renewal

4. Once your application is complete and approved, EMSA will:

● Send you a re-approval letter and program certificate, indicating your new four-year approval cycle
● Update your program expiration date in EMSA’s public Training Program Database.

Find a Training Program Near You!

Image used as button linking to Epinephrine Auto-Injector Training Page

Find Epinephrine Auto-injector Training and Certification for lay-rescuers and off-duty EMS personnel.

Please contact the programs directly for their course offerings.

The EMSA does not schedule or register participants for classes.

 

 

 

 

Contact the Epinephrine Certification Program!

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We are located at:
Emergency Medical Services Authority
10901 Gold Center Drive, Suite 400
Attn: Epi Program
Rancho Cordova, CA 95670
Phone: (916) 322-4336