Get the free SEIZURE ACTION PLAN - Parma City School District
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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
Start by filling out personal information such as name, emergency contact information, and healthcare provider.
02
Include details about the type of seizures experienced, triggers, and symptoms leading up to a seizure.
03
List current medications, dosages, and any allergies or sensitivities.
04
Include information on what actions should be taken during a seizure, such as staying with the person, protecting their head, timing the seizure, and not restraining them.
05
Provide instructions on when to call for emergency medical assistance and what information to provide to healthcare professionals.
Who needs seizure action plan?
01
Individuals diagnosed with epilepsy or other seizure disorders.
02
People who have experienced seizures in the past.
03
Caregivers or family members of individuals with seizure disorders.
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What is seizure action plan?
A seizure action plan is a document that outlines specific steps to be taken in the event of a seizure.
Who is required to file seizure action plan?
Individuals with epilepsy who are at high risk of having seizures are required to file a seizure action plan.
How to fill out seizure action plan?
A seizure action plan can be filled out by working with a healthcare provider to identify triggers, warning signs, and appropriate responses to seizures.
What is the purpose of seizure action plan?
The purpose of a seizure action plan is to ensure that appropriate assistance is provided quickly and effectively during a seizure.
What information must be reported on seizure action plan?
A seizure action plan must include information on triggers, warning signs, emergency contacts, and steps to take during a seizure.
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