Seizures
School Nursing
Seizures
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Each plan plays a specific role in managing a student’s seizure care at school, helping everyone involved understand how to provide daily and emergency support.
Seizure Action Plan (SAP)
- What it’s for: Lists daily and emergency seizure care instructions, including input from parents and the school nurse. This form can also function as an Emergency Action Plan (EAP).
- Who writes it: The parent/guardian and the school nurse collaborate to develop this plan.
- Important note: This plan does not include permission to administer medication; the Seizure Medication Management Order (SMMO) is also necessary.
Seizure Medication Management Order (SMMO)
- What it’s for: This is the medication authorization for seizure rescue medications. This form must be submitted to the LEA if emergency medication is required at school. It should be submitted to the school every year and must be signed by a parent and the student’s healthcare provider.
- Who writes it: The student’s doctor, with input from the school nurse and parent/guardian.
Individualized health care plan (IHP)
- What it’s for: Explains how seizure care will be managed at school. It is a written document developed by the school nurse using the nursing process, which includes assessment, diagnosis, outcome identification, planning, implementation, and evaluation.
- Who writes it: The school nurse for their use.
- Important note: The IHP is needed if seizure care tasks are delegated to other staff members.
Emergency action plan (EAP)
- What it’s for: Summarizes what to do in a seizure emergency so staff know how to help.
- Who writes it: The school nurse.
- Who sees it: All staff who support the student.
General Seizure Training
- Epilepsy Foundation: Seizure Training for School Personnel
- Duration: 75 minutes
- Format: Online, on-demand
- Learn More
Seizure First Aid
- Epilepsy Foundation: Seizure First Aid
- Duration: 35 minutes
- Format: Online, on-demand
- Learn More
- Epilepsy Alliance of America: On-Demand Seizure First Aid Training for School Personnel
- Duration: 25 minutes
- Format: Online, on-demand
- Learn More
Seizure Training for School Personnel
- Epilepsy Foundation - Seizure Training for School Personnel (75 min, online, on-demand)
- Epilepsy Foundation - Seizure First Aid (35 min, online, on-demand)
- Epilepsy Alliance of America - Seizure First Aid Training for School Personnel (25 min, online, on-demand)
- Vector Training Solutions (only if your district or school contracts with them for training - see their site for link)
Click the link below to view videos on different seizure rescue medications. - Seizure Training for School Personnel (Epilepsy Foundation)-
- Seizure First Aid (Epilepsy Foundation)
- On-Demand Seizure First Aid for School Personnel (Epilepsy Alliance)
- Seizure Rescue Medication Training for Utah (Canvas course for school nurses)
- Seizure Rescue Medication Training (Epilepsy Alliance America - training for administration of lorazepam, Diastat, Nayzilam, and Valtoco)
- Seizure Rescue Medication in the Schools - Train the Trainer Webinar (2016)
- Seizure Rescue Medication Training (ppt)
- Seizure Rescue Medication Training (pdf)
- Seizure Rescue Medication Quiz
- Seizure Rescue Medication Quiz (answer key)
- Intranasal Training Video
- Rectal Medication Training Video
- Seizure Training Certificate
- Volunteer Competency Checklist
- CPR Instructions
- Seizure Training for School Personnel (Epilepsy Foundation)
- Seizure First Aid (Epilepsy Foundation)
- On-Demand Seizure First Aid for School Personnel (Epilepsy Alliance)
- Seizure Rescue Medication Training for Utah (Canvas course for school nurses)
- Seizure Rescue Medication Training (Epilepsy Alliance America - training for administration of lorazepam, Diastat, Nayzilam, and Valtoco)
Seizure Training for School Personnel
Epilepsy Foundation - Seizure Training for School Personnel (75 min, online, on-demand)
Epilepsy Foundation - Seizure First Aid (35 min, online, on-demand)
Epilepsy Alliance of America - Seizure First Aid Training for School Personnel (25 min, online, on-demand)
Vector Training Solutions (only if your district or school contracts with them for training - see their site for link)
Click the link below to view videos on different seizure rescue medications.
Standards of Care: Asthma 2024
Asthma in schools: stock albuterol training (2020)
Resources for Schools (AstraZenica)
School Programs
Open Airways School Program
Centers for Disease Control and Prevention
www.cdc.gov/asthma/
American Academy of Allergy, Asthma and Immunology
https://www.aaaai.org/conditions-treatments/asthma
National Institutes of Health
Stock albuterol is an emergency medication for treating asthma symptoms in students. Schools can keep it available for use if a student has an asthma diagnosis, a current asthma action plan on file, and shows signs of an asthma emergency.
Participation in stock albuterol programs is voluntary for schools. Schools are not required to provide stock albuterol but may choose to participate by training staff and making stock albuterol available for emergencies.
Obtaining stock albuterol:
As of August 2024, stock albuterol can be obtained through a standing order. The standing order is still being finalized, so if your school does not have a medical provider to fill out the prescription, please reach out to Sami Bushnell at samanthabushnell@utah.gov for assistance with this process.
Stock Albuterol Rx Template 2024
Schools can access stock albuterol through a standing order provided by a school district physician, local health department medical director, or department healthcare provider.
Training requirements:
Any school staff administering stock albuterol must complete initial and annual training provided by the department. The training covers recognizing asthma emergencies, proper storage and use of stock albuterol, and emergency follow-up steps.
Schools are encouraged to have more than one staff member trained to administer stock albuterol to ensure coverage and availability in case of an asthma emergency.
After training, staff should keep the written materials for reference.
Asthma in Schools: Stock Albuterol Training (2020)
Administration of stock albuterol:
In the absence of a school nurse, a trained staff member may administer stock albuterol to a student experiencing asthma symptoms.
After administering, follow up with emergency medical services or appropriate medical contacts as outlined in the training materials.
Immunity from liability:
Staff members and schools that act in good faith when administering stock albuterol in an emergency are protected from liability. This immunity covers actions taken under the law to assist students with asthma emergencies.
Storage:
Stock albuterol must be stored according to state standards, ensuring it is accessible in an emergency but secure to prevent misuse.
Parental responsibility:
Schools should remind parents that stock albuterol is for emergency use only and does not replace a student’s personal inhaler. Parents must still provide their child’s prescribed asthma medications.