Download - Seizure Management in School
![Page 1: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/1.jpg)
Seizure Management in School
Jean M. Lane, R.N., B.S.N., M.A.School Nurse
Town of Westport May
2010
![Page 2: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/2.jpg)
Overview
Communication Plan development Teacher/staff education Resources Questions
![Page 3: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/3.jpg)
Communication: Parent/Student
Obtain seizure history information Triggers Warning signs/behavior changes Type(s) of seizures Typical duration of seizure
activity When the last seizure occurred
![Page 4: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/4.jpg)
Communication: Parent/Student (cont.)
Obtain treatment plan information Medication(s): daily First aid procedures during seizure Medications: rescue/emergency Appropriate magnet use if has a vagus
nerve stimulator Post ictal status/management
![Page 5: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/5.jpg)
Communication: Parent/Student (cont.)
Sample form Questionnaire for Parent of
Student with Seizures (Epilepsy Foundation)
Health History Assessment (State Department of Education)
![Page 6: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/6.jpg)
Communication:Parent/Student (cont.)
Obtain additional information General health status (past and
present) Educational status/concerns General concerns
![Page 7: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/7.jpg)
Communication:Parent/Student (Cont.)
Obtain permission to communicate with the health care provider School district’s HIPAA and
FERPA compliant release form Health care provider’s release
form
![Page 8: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/8.jpg)
Communication:Health Care Provider
Obtain seizure history information Past medical history Triggers Warning signs/behavior change Type(s) of seizures Typical duration of seizure activity When the last seizure occurred
![Page 9: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/9.jpg)
Communication:Health Care Provider
(Cont.)
Obtain treatment plan information Medications: daily at school First aid procedures during
seizure What is considered a “seizure
emergency” Medications: rescue/emergency
![Page 10: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/10.jpg)
Communication:Health Care Provider
(Cont.)
Obtain treatment plan information (cont.) Use of vagus nerve stimulator
magnet as ordered When to call 911 Post ictal status/management
![Page 11: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/11.jpg)
Communication:Health Care Provider
(Cont.)
Sample forms Seizure Action Plan (Epilepsy
Foundation) District forms
Medication order form Special procedure form
![Page 12: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/12.jpg)
Communication:Health Care Provider
(Cont.)
Special considerations Health services Transportation Field trips Activity precautions/restrictions Sports
![Page 13: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/13.jpg)
Communication:Teachers/Staff
Obtain information regarding seizure observations Observations – new student vs
student with new diagnosis General academic
status/concerns
![Page 14: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/14.jpg)
Plan Development
Individualized healthcare plan (IHP) “Written document that outlines
the provision of student healthcare services intended to achieve specific student outcomes.” (NASN & ANA, 2005)
![Page 15: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/15.jpg)
Plan Development Emergency Care Plan (ECP)
An ECP is a written plan of action that addresses the “emergency care needs of a student who may have a life-threatening episode (Harringan, 2002) and is generally written for the purpose of directing the actions of school personnel (Schwab & Gelfman, 2001).” (NASN, 2008)
![Page 16: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/16.jpg)
Plan Development
Emergency Care Plan (ECP) (Cont.) Based on information obtained
from parent/student and health care provider
Simple, clear, understandable to lay people, and easy to read
![Page 17: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/17.jpg)
Plan Development
Transportation Care Plan (TCP) Alerts bus driver and provides clear
directions for bus driver to follow Based on parent/student, health care
provider input and district policies Distributed to appropriate personnel Samples
![Page 18: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/18.jpg)
Teacher/Staff Education
Provide general seizure education Epilepsy Foundation “Fact Sheet” Epilepsy Foundation videos –
Seizure Disorders and the School I Seizure Disorders and the School II
![Page 19: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/19.jpg)
Teacher/Staff Education
Review plans with staff Individualized healthcare plan Individualized emergency care plan Individualized transportation plan
Update plans yearly or more often as needed
![Page 20: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/20.jpg)
Teacher/Staff Education (Cont.)
Stress importance of communication Parent Nurse Student observations
![Page 21: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/21.jpg)
Resources
Epilepsy Foundation of CT 800-899-3745 Epilepsyct.com
www.epilepsyfoundation.org/schoolnurse Seizure Action Plan form Epilepsy Foundation Marketplace
![Page 22: Seizure Management in School](https://reader035.vdocuments.us/reader035/viewer/2022081417/56815b62550346895dc94e2c/html5/thumbnails/22.jpg)
Questions ??