SEIZURE ACTION PLAN 2025

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The document is a Seizure Action Plan designed for a student with a seizure disorder, outlining essential information and protocols to follow during school hours in the event of a seizure. It includes details about the student, emergency contact information, medical history, current medications, and specific seizure types. The plan provides guidelines for administering medication, when to call emergency services, post-seizure care, and basic first aid procedures. Additionally, it highlights special considerations for school activities and requires signatures from parents or guardians.

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Click ‘Get Form’ to open the SEIZURE ACTION PLAN in the editor.
Begin by entering the effective date at the top of the form. This helps ensure that all information is current and relevant.
Fill in the student’s name and birthdate, followed by contact details for both parents or guardians. Accurate contact information is crucial for emergencies.
Provide details about the treating physician, including their phone number, to facilitate quick communication if needed.
Document significant medical history, current medications, and allergies in the designated sections to inform school staff of any critical health issues.
Complete the SEIZURE EMERGENCY PROTOCOL section by specifying medication dosages and emergency procedures. This ensures that staff are prepared during a seizure event.
Indicate any seizure types experienced by the student along with descriptions of symptoms. This aids in recognizing specific seizure patterns.
Finally, gather signatures from parents or guardians and date the document to validate it before submission.

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What is the 5 minute rule for seizures?

Schools and districts are required to create and maintain individualized seizure action plans. Schools and districts must develop seizure action plans in collaboration with each students parent or guardian.

Who can write a seizure action plan?

How to create a seizure action plan (SAP) The patients name. Information on the seizure (what a baseline seizure might look like, triggers, how long it might last) Any allergies that are important to note. What to do during a seizure to help the patient. When to administer rescue medications if prescribed to do so. Creating a Seizure Action Plan | Valley Childrens Healthcare valleychildrens.org resources-and-support valleychildrens.org resources-and-support

What are the 3 Cs for seizures?

If the person is lying down, turn them gently on their side, with their mouth pointing to the ground. This will keep their airway clear. Time the seizure to track if it lasts more than 5 minutes. If it does, seek immediate medical attention or call 911.

What should be in a seizure action plan?

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.