Pharmacy specific orders / instructions always supersede the Agency guidance provided below. If in doubt, do not guess, call our office, or tag @TeamHelp-CareCoordination(Best Tag) and ask for Clinical Support.
ALWAYS establish IV access prior to mixing any meds
ALWAYS make sure you have everything you need to complete infusion before you begin
ALWAYS confirm your medication dose against the medication label and orders
ALWAYS reach out to us first (not the Pharmacy) with any questions
NEVER tell a Pt you have not given a particular medication before
MIXING
THIS MAY BE A PATIENT TEACH
(Confirm with Care Coordinator if patient teach or RN is to administer)
Obtain a clear/clean space to prepare the FASENRA
Be sure all the necessary supplies are available to complete injection. You will need:
Pre-filled autoinjector or pre-filled syringe, alcohol, gauze or cotton ball, bandage and sharps container
Remove prefilled autoinjector/prefilled syringe from fridge and remove from tray
Inspect and wait 30 minutes before use (may use up to 14 days after removal from fridge)
Look in inspection window and check that the liquid is clear and colorless to slightly yellow, it may contain small white particles
It is normal for there to be 1 or more air bubbles
Choose injection site
It is recommended to use thighs or abdomen or upper arms
Only a caregiver can inject in upper arms
ADMINISTRATION
Take baseline vitals and document basic assessment
Clean injection site with alcohol and allow to air-dry
PREFILLED AUTOINJECTOR
Remove cap from prefilled autoinjector by pulling straight off
It is normal to see a drop of medicine at end of needle
Injection must be given within minutes after removing the clear needle cap
Start Injection
Hold prefilled autoinjector with inspection window visible
Place prefilled autoinjector straight onto injection site with green needle guard flat on surface of skin
Push the autoinjector all the way down and keep holding against the skin
There will be a 1st ‘click’ to indicate injection has started
Watch the inspection window and the green plunger will move down in the viewing window during the injection
After the 2nd ‘click” the green plunger will fill the viewing window
Once injection is completed lift the autoinjector from the skin
PREFILLED SYRINGE
Remove needle cap from prefilled syringe by pulling it straight off, away from needle
Start Injection
Use free hand to pinch skin around injection site
Insert entire needle into pinched skin at a 45° angle
Inject all medication by pushing in plunger all the way until plunger head is completely between needle guard activation clips. This is necessary to activate needle guard
After injection, maintain pressure on plunger head, remove needle from skin and release pressure on plunger head to allow needle guard to cover needle
Check injection site and gently hold pressure over skin with cotton ball or gauze until bleeding stopped
Do not rub injection site
Cover with bandage if needed
Monitor patient for any adverse reactions
Record vitals 5-10 minutes post infusion
Record lot number and expiration date
Clean and dispose of used supplies
ADDITIONAL INFO
HCP Website: Fasenra HCP
Prescribing Info: Fasenra PI
Administration Guide: Fasenra Admin
Video: Fasenra Video