Question: what are the four steps of using an epinephrine auto-injector?
Answer: Take the epinephrine auto-injector out of its package.
Remove the blue safety cap.
Hold the auto-injector in your fist. ... 
Push the end with the needle firmly against the side of the child's thigh, about halfway between the hip and knee. ... 
You can give the injection through clothes or on bare skin.