Legal Rights of Children with Epilepsy in School & Child Care

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Seizure Action Plan Effective Date This student is being treated for a seizure disorder. The information below should assist you if a seizure occurs during school hours. Student’s Name Date of Birth Parent/Guardian Phone Cell Other Emergency Contact Phone Cell Treating Physician Phone Significant Medical History Seizure Information Seizure Type Length Frequency Description Seizure triggers or warning signs: Student’s response after a seizure: Basic First Aid: Care & Comfort Please describe basic first aid procedures: Does student need to leave the classroom after a seizure? ❒ Yes ❒ No If YES, describe process for returning student to classroom: Emergency Response A “seizure emergency” for this student is defined as: Seizure Emergency Protocol (Check all that apply and clarify below) ❒ Contact school nurse at __________________________ ❒ Call 911 for transport to __________________________ ❒ Notify parent or emergency contact ❒ Administer emergency medications as indicated below ❒ Notify doctor ❒ Other ________________________________________ Treatment Protocol During School Hours (include daily and emergency medications) Basic Seizure First Aid • Stay calm & track time • Keep child safe • Do not restrain • Do not put anything in mouth • Stay with child until fully conscious • Record seizure in log For tonic-clonic seizure: • Protect head • Keep airway open/watch breathing • Turn child on side A seizure is generally considered an emergency when: • Convulsive (tonic-clonic) seizure lasts longer than 5 minutes • Student has repeated seizures without regaining consciousness • Student is injured or has diabetes • Student has a first-time seizure • Student has breathing difficulties • Student has a seizure in water Emerg. Dosage & Med. ✓ Medication Time of Day Given Common Side Effects & Special Instructions Does student have a Vagus Nerve Stimulator? ❒ Yes ❒ No If YES, describe magnet use: Special Considerations and Precautions (regarding school activities, sports, trips, etc.) Describe any special considerations or precautions: Physician Signature ___________________________________________________ Date _________________________________ Parent/Guardian Signature _____________________________________________ Date _________________________________ DPC772
Seizure Observation Record Student Name: Date & Time Seizure Length Pre-Seizure Observation (Briefly list behaviors, triggering events, activities) Conscious (yes/no/altered) Injuries? (briefly describe) Mouth Eyes Color Extremity Muscle Tone/Body Movements Movements Rigid/clenching Limp Fell down Rocking Wandering around Whole body jerking (R) arm jerking (L) arm jerking (R) leg jerking (L) leg jerking Random Movement Bluish Pale Flushed Pupils dilated Turned (R or L) Rolled up Staring or blinking (clarify) Closed Salivating Chewing Lip smacking Verbal Sounds (gagging, talking, throat clearing, etc.) Breathing (normal, labored, stopped, noisy, etc.) Incontinent (urine or feces) Confused Post-Seizure Observation Sleepy/tired Headache Speech slurring Other Length to Orientation Parents Notified? (time of call) EMS Called? (call time & arrival time) Observer’s Name Please put additional notes on back as necessary.
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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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CHAPTER SIX Special Education and S
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Special Education and Students with
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Page 177 and 178: Selected State Laws on School Medic
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Legal Rights of Children with Epilepsy in School & Child Care

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