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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

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
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