Seizure Action Plan For School Page 2
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4IF SMALLER SEIZURE OCCURS (e.g., lip smacking, behavior outburst, staring, twitching of
mouth or hands)
1.
Assist student to comfortable, sitting position.
2.
Time the seizure.
3.
Stay with student, speak gently, and help student get back on task following seizure.
IF STUDENT EXHIBITS:
1.
Absence of breathing or pulse.
2.
Seizure of 10 minutes or greater duration.
3.
Two or more consecutive (without a period of consciousness between) seizures
which total 10 minutes or greater.
4.
Continued unusually pale or bluish skin or lips or noisy breathing after the
seizure has stopped.
INTERVENTION:
1.
C all 911.
2.
START CPR for absent breathing or pulse.
WHEN SEIZURE COMPLETED:
1.
Reorient and assure student.
a.
Assist change into clean clothing if necessary.
b.
Allow student to sleep, as desired, after seizure.
c.
Allow student to eat, as desired, once fully alert and oriented.
2.
A student recovering from a generalized seizure may manifest abnormal behavior
such as incoherent speech, extreme restlessness, and confusion. This may last from
five minutes to hours.
3.
Inform parent immediately of seizure via telephone conversation if:
a.
Seizure is different from usual type or frequency or has not occurred at
school in past month.
b.
Seizure meets criteria for 911 emergency call.
c.
Student has not returned to "normal self" after 30-60 minutes.
4.
Record seizure on Seizure Activity Log.
If you want additional care given, describe action here:
If symptoms are ______________________________________________________________________________________
_______
Give_________________________________________________________________________________________________
(medication/dose/route)
Possible side effects_____________________________________________________________________________________
Physician Signature____________________________________
Date_______________________
Print Name___________________________________________
Phone______________________
‰
I want this plan implemented for my child,
, in school. I hereby
give my permission for exchange of confidential information contained in the record of my child between
the nurse and physician and my signature is an informed consent to share this medical information with
school staff as a need to know for academic success and emergency plan as determined by the nurse.
Parent/Guardian Signature:
Date:
‰
Approved by School Nurse
School Nurse Signature:
Date:
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