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GA Fulton County Schools Seizure Action Health Care Plan 2013 free printable template

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Seizure Action Plan Student Name DOB Weight School Year School Teacher Known Allergies Parent/Guardian Information Mother s NameFather s Name Home Home Mobile/otherMobile/Other Seizure History When did your child have their first seizure How frequently does your child have seizures When was your child s last seizure Are there any possible triggers seizure Seizure Information What do your child s seizures look like How long do seizures generally last Average frequency daily weekly monthly...
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How to fill out GA Fulton County Schools Seizure Action Health

01
Obtain the GA Fulton County Schools Seizure Action Health form from the school's website or the school nurse.
02
Fill in the student's personal information, including their name, date of birth, and grade level.
03
Provide the parent's or guardian's contact information, including phone number and email address.
04
Detail the student's seizure history, including type, frequency, and any triggers.
05
List the physician's name and contact information for the child’s healthcare provider.
06
Include written instructions from the healthcare provider regarding seizure management, including medications and emergency procedures.
07
Sign and date the form, ensuring that all required signatures are present.
08
Submit the completed form to the school nurse or designated school officials.

Who needs GA Fulton County Schools Seizure Action Health?

01
Students diagnosed with epilepsy or seizure disorders.
02
Parents or guardians of children with seizure conditions.
03
School staff who need to be informed about students' seizure management plans.
04
Healthcare providers who are coordinating care for students with seizures.
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During the seizure Did they lose awareness, appear dazed or confused or lose consciousness? Was there any change in their breathing pattern? Did it become noisy or appear difficult or laboured? Was there any change in their facial colour?
A seizure is an abnormal, unregulated electrical discharge that occurs within the brain's cortical gray matter and transiently interrupts normal brain function; a seizure typically causes altered awareness, abnormal sensations, focal involuntary movements, or convulsions (widespread violent involuntary contraction of
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.
Documentation of initial medical history and physical should include the date of seizure onset, type and frequency of seizures, description of typical seizures, previous antiepileptic drugs (AEDs) used, and the date of the last seizure.
Describe what the person's seizures usually look like, what type of movements, what happens before and after, how frequent, how intense. It is important to document how long a seizure lasts, the date and time, what movements and actions you see, and what happened before and after a seizure.
Only call 911 if one or more of these are true: The person has never had a seizure before. The person has difficulty breathing or waking after the seizure. The seizure lasts longer than 5 minutes. The person has another seizure soon after the first one. The person is hurt during the seizure.

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GA Fulton County Schools Seizure Action Health is a health form designed to provide information on students who have seizure disorders. It outlines necessary actions and care procedures to support students during a seizure episode.
Parents or guardians of students diagnosed with seizure disorders are required to file the GA Fulton County Schools Seizure Action Health form to ensure proper care and response at school.
To fill out the GA Fulton County Schools Seizure Action Health form, parents should provide detailed information about the student’s medical history, seizure triggers, and the specific care actions that need to be taken in case of a seizure.
The purpose of GA Fulton County Schools Seizure Action Health is to ensure that school personnel are informed about a student's seizure disorder so that appropriate measures can be taken in case of a seizure, thereby safeguarding the student's health and wellbeing.
The GA Fulton County Schools Seizure Action Health form must report information including the student's name, diagnosis, type of seizures, emergency contacts, the medication being taken, and specific instructions for care during a seizure.
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