Get the free Seizure Action Plan - Alaska Department of Health
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Seizure Action Ineffective Date This student is being treated for a seizure disorder. The information below should assist you if a seizure occurs during school hours. Students Name Date of Birth Parent/GuardianPhoneCellOther
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How to fill out seizure action plan
How to fill out seizure action plan
01
To fill out a seizure action plan, follow these steps:
02
Start by providing your personal information such as your name, contact information, and emergency contact details.
03
Mention the details of your healthcare provider, including their name, contact information, and any specific instructions they have given regarding your seizures.
04
Specify the types of seizures you experience and describe them in detail. Include any triggers or warning signs you may have noticed.
05
Outline the steps that should be taken during a seizure. This may include protecting your head, turning you onto your side, and removing any potentially dangerous objects.
06
Provide information about the medications you take for seizures, including the name, dosage, and time of administration. Also, mention any side effects or precautions to be taken.
07
If you use any medical devices such as a Vagus Nerve Stimulator or an Epilepsy Alert Bracelet, make sure to mention them in the action plan.
08
Include any additional information or specific requests you have regarding your seizures, such as what not to do during a seizure or any circumstances where immediate medical attention should be sought.
09
Once you have filled out all the necessary details, review the action plan and ensure that everything is accurate and up-to-date.
10
Keep copies of your seizure action plan in various accessible locations, such as at home, work, and in your wallet or purse.
11
Regularly update your seizure action plan as needed, especially if there are any changes to your medications, healthcare provider, or contact information.
Who needs seizure action plan?
01
Seizure action plans are recommended for individuals who have been diagnosed with epilepsy or any other condition that causes seizures. It is particularly important for the following individuals:
02
- People who have frequent or recurring seizures
03
- Individuals who experience different types of seizures
04
- Those who have a history of prolonged or severe seizures
05
- Individuals who have been newly diagnosed with epilepsy and are still learning about their condition
06
- People who take medications for seizures and may require specific instructions in case of emergency
07
- Individuals with high-risk professions or activities, such as pilots, drivers, or athletes, where a seizure could potentially pose a danger to themselves or others
08
- Children with epilepsy who attend school or daycare, to ensure that teachers and caregivers are well-informed about seizure management
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What is seizure action plan?
A seizure action plan is a personalized document outlining steps to take when someone has a seizure.
Who is required to file seizure action plan?
Individuals with epilepsy or other seizure disorders are typically required to have a seizure action plan.
How to fill out seizure action plan?
Seizure action plans can be filled out by a healthcare provider in collaboration with the individual and their caregivers.
What is the purpose of seizure action plan?
The purpose of a seizure action plan is to ensure that appropriate actions are taken in the event of a seizure to keep the individual safe.
What information must be reported on seizure action plan?
Seizure action plans typically include information on the individual's medical history, seizure triggers, medications, and emergency contacts.
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