Safe School Plan - William S. Hart Union High School District

Health Care Plan For:
SEIZURE DISORDER (Grand-Mal/Generalized Tonic-Clonic)
Description:
Seizures are brief malfunctions in the brain’s electrical system. The
manifestations of seizures are determined by the site of origin and may include
unconsciousness or altered consciousness, involuntary movements, and changes
in perception, behavior, sensations, and posture. During a seizure there is usually
rigidity, followed by involuntary jerking of the body. Breathing is shallow,
followed by louder breathing in the relaxed stage. Saliva around the mouth may
be blood-flecked from a bitten lip or tongue. A child may lose bladder or bowel
control. A seizure may last about 1-3 minutes or longer, followed by fatigue and
confusion.
Signs/Symptoms to Watch For:
1. Abrupt arrest of activity, characterized by involuntary jerking movements and loss of posture
control.
2. Pale or ashen skin color.
3. Eyes may deviate from center position. Eyes may roll back in head or move from side to side.
4. Possible loss of bladder or bowel control.
5. Drooling, lip-smacking or teeth grinding and/or clenching.
Intervention:
1. ***CALL 911*** NOTIFY PARENT AND DISTRICT NURSE
2. Ease child to the floor, clear area of hazards, and place soft item under the head. Loosen any
restrictive clothing.
3. Place child in side-lying position to maintain an open airway, especially in the event that
vomiting occurs.
4. Document onset of seizure activity and duration of seizure. Stay with student until seizure stops and
the student is awake and alert.
5. Do not attempt to restrain student during seizure activity. Do not put anything in the student’s
mouth. Do not try to hold the tongue. Do not give fluids or food.
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