Legal Rights of Children with Epilepsy in School & Child Care

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Seizure Observation Record Name of student______________________ Baseline Weight______________________ DATE PRESEIZURE OBSERVATION Note: activity, behaviors, triggering events SEIZURE OBSERVATION Start time End time Conscious (yes/no) Facial movements-twitching, chewing, smacking lips Head movement to the left or right Fell Incontinent – urine, bowel movement Eye movements to the left or right, up/down, blank stare, rolled back, rapid blinking, closed Verbal sounds (describe) – gagging, throat clearing, drooling Breathing changes- noisy, slowing or other Extremity movement -- right arm and/or leg, left arm and/or left leg, stiffening, jerking, limp, clenching Skin color -- normal, red, pale, blue (facial, lips, nails) POST SEIZURE OBSERVATIONS Confused Sleepy, tired Alert Headache Speech slurring Other Length of time for reorientation, wakefulness ADDITIONAL COMMENTS Parents notified (note time) EMS/MERT activated, note time of call, time of arrival Staff initials Initials/Signatures _________________________ _____________________________ Seizure Disorder Emergency Treatment Plan Page 3 of 4
The following form is to be completed by the physician who is actively treating the child for the seizure disorder. Limitations of the child: Emergency Medical Services should be called when: Medications to be given at Day Care Name of Medication Dose/Route Time Possible Side Effects Emergency Medication – If child receives diazepam rectal gel or another emergency medication, please list the appropriate procedures to follow prior to, during and after administration. Physician’s Directives to EMTs: Transportation to the hospital should be provided under the following conditions. Staff will not prevent EMTs from transporting a child that they believe requires emergency hospital care. Physician Name (printed) Physician’s Signature Date Signed Physician’s Phone # ****************************************************************************************************************************************** By signing below I am agreeing that the center staff will follow the steps laid out in the Seizure Disorder Emergency Treatment Plan to ensure the child’s safety prior to the arrival of the EMT’s. The staff will also provide this information sheet, including the physician’s directives and the seizure observation record to the EMT’s. Date Signed Center Management Seizure Disorder Emergency Treatment Plan Page 4 of 4
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AN ADVOCATE’S MANUAL AN ADVOCATE
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User is hereby granted permission t
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CHAPTER TWO What Laws Apply to Chil
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Case Scenarios ....................
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4.35Q: What happens if a parent dis
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5.20Q: 5.21Q: 5.22Q: Does a school
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Case Scenarios ....................
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8.20Q: May a party appeal a due pro
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ABOUT THE AUTHOR Leslie Seid Margol
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Legal Rights of Children with Epile
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CHAPTER TWO What Laws Apply to Chil
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What Laws Apply to Children with Ep
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Legal Rights of Children with Epilepsy in School & Child Care

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