Seizure documentation sample 2025

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  1. Click ‘Get Form’ to open the seizure documentation sample in the editor.
  2. Begin by entering the student’s name, date of birth, weight, school year, and school details in the designated fields. This information is crucial for identifying the student.
  3. Fill out the Parent/Guardian Information section with names and contact numbers. Ensure accuracy for effective communication regarding your child's health.
  4. In the Seizure History section, provide details about your child's first seizure, frequency, last occurrence, triggers, and any warning signs. This helps in understanding their condition better.
  5. Complete the Seizure Information section by describing what seizures look like for your child and their duration. Note any changes in seizure patterns over time.
  6. List all medications in the Medication Information section along with dosages and frequency. Include instructions on what to do if a dose is missed.
  7. In the School Plan section, indicate if emergency medication is prescribed and how it will be managed at school. Provide first aid instructions for seizures occurring during school hours.
  8. Finally, sign and date the form at the bottom to authorize communication between health services and school staff regarding your child’s care plan.

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A sudden alteration in consciousness with associated motor movements is the common description of a convulsive seizure. For generalized seizures with associated motor movements, the convulsion typically has a stiffening or tonic phase followed by clonic movements - rhythmic phased motor movements.
Use the three Cs campaign (Calm, Cushion, Call) to ensure everyone knows what to do if they see someone having a seizure. Stay CALM and stay with the person who is having a seizure.
Make a note of any useful information What were they doing before the seizure? Did the person mention any unusual sensations, such as an odd smell or taste? Did you notice any mood change, such as excitement, anxiety or anger? What brought your attention to the seizure?
Write down what happened as soon as you can. Include as much information as possible about the following areas: BEHAVIOR BEFORE THE SEIZURE - what was the person doing at the time of event, change in mood or behavior hours or days before, warning or aura shortly before event.
If possible, a video is the ideal way to capture the seizure. Download the Keeping records of possible seizures visual guide. Then, write down a detailed description of what happened before, during and after the seizure, as soon as possible.