seizure management in school
DESCRIPTION
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 - PowerPoint PPT PresentationTRANSCRIPT
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 Warning signs/behavior changes Type(s) of seizures Typical duration of seizure
activity When the last seizure occurred
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 (cont.)
Sample form Questionnaire for Parent of
Student with Seizures (Epilepsy Foundation)
Health History Assessment (State Department of Education)
Communication:Parent/Student (cont.)
Obtain additional information General health status (past and
present) Educational status/concerns General concerns
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
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.)
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
(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
(Cont.)
Sample forms Seizure Action Plan (Epilepsy
Foundation) District forms
Medication order form Special procedure form
Communication:Health Care Provider
(Cont.)
Special considerations Health services Transportation Field trips Activity precautions/restrictions Sports
Communication:Teachers/Staff
Obtain information regarding seizure observations Observations – new student vs
student with new diagnosis General academic
status/concerns
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 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 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 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
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 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.)
Stress importance of communication Parent Nurse Student observations
Resources
Epilepsy Foundation of CT 800-899-3745 Epilepsyct.com
www.epilepsyfoundation.org/schoolnurse Seizure Action Plan form Epilepsy Foundation Marketplace
Questions ??