Seizure management in school
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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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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

Overview

  • Communication

  • Plan development

  • Teacher/staff education

  • Resources

  • Questions


Communication parent student

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


Communication parent student cont

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


Communication parent student cont1

Communication: Parent/Student (cont.)

  • Sample form

    • Questionnaire for Parent of Student with Seizures (Epilepsy Foundation)

    • Health History Assessment (State Department of Education)


Communication parent student cont2

Communication:Parent/Student (cont.)

  • Obtain additional information

    • General health status (past and present)

    • Educational status/concerns

    • General concerns


Communication parent student cont3

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


Communication health care provider

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


Communication health care provider cont

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


Communication health care provider cont1

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


Communication health care provider cont2

Communication:Health Care Provider (Cont.)

  • Sample forms

    • Seizure Action Plan (Epilepsy Foundation)

    • District forms

      • Medication order form

      • Special procedure form


Communication health care provider cont3

Communication:Health Care Provider (Cont.)

  • Special considerations

    • Health services

    • Transportation

    • Field trips

    • Activity precautions/restrictions

    • Sports


Communication teachers staff

Communication:Teachers/Staff

  • Obtain information regarding seizure observations

    • Observations – new student vs student with new diagnosis

    • General academic status/concerns


Plan development

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)


Plan development1

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)


Plan development2

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


Plan development3

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


Teacher staff education

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


Teacher staff education1

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


Teacher staff education cont

Teacher/Staff Education (Cont.)

  • Stress importance of communication

    • Parent

    • Nurse

    • Student observations


Resources

Resources

  • Epilepsy Foundation of CT

    • 800-899-3745

    • Epilepsyct.com

  • www.epilepsyfoundation.org/schoolnurse

    • Seizure Action Plan form

    • Epilepsy Foundation Marketplace


Questions

Questions ??


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