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Seizure Management in School

Seizure Management in School. Jean M. Lane, R.N., B.S.N., M.A. School Nurse Town of Westport May 2010. Overview. Communication Plan development Teacher/staff education Resources Questions. Communication: Parent/Student. Obtain seizure history information Triggers

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Seizure Management in School

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  1. Seizure Management in School Jean M. Lane, R.N., B.S.N., M.A. School Nurse Town of Westport May 2010

  2. Overview • Communication • Plan development • Teacher/staff education • Resources • Questions

  3. 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

  4. 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

  5. Communication: Parent/Student (cont.) • Sample form • Questionnaire for Parent of Student with Seizures (Epilepsy Foundation) • Health History Assessment (State Department of Education)

  6. Communication: Parent/Student (cont.) • Obtain additional information • General health status (past and present) • Educational status/concerns • General concerns

  7. 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

  8. 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

  9. 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

  10. 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

  11. Communication:Health Care Provider (Cont.) • Sample forms • Seizure Action Plan (Epilepsy Foundation) • District forms • Medication order form • Special procedure form

  12. Communication:Health Care Provider (Cont.) • Special considerations • Health services • Transportation • Field trips • Activity precautions/restrictions • Sports

  13. Communication: Teachers/Staff • Obtain information regarding seizure observations • Observations – new student vs student with new diagnosis • General academic status/concerns

  14. 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)

  15. 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)

  16. 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

  17. 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

  18. 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

  19. 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

  20. Teacher/Staff Education (Cont.) • Stress importance of communication • Parent • Nurse • Student observations

  21. Resources • Epilepsy Foundation of CT • 800-899-3745 • Epilepsyct.com • www.epilepsyfoundation.org/schoolnurse • Seizure Action Plan form • Epilepsy Foundation Marketplace

  22. Questions ??

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