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SEIZURE ACTION PLAN FOR SCHOOL Student Name ___D. O.B.___ ID # ___ School ___ Teacher___ Physician Phone: ___ EMERGENCY CONTACTS NameRelationshipHome #Work #Cell #1.___ 2.___ 3.___ Type of seizure:
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How to fill out seizure action plan students

01
Obtain a seizure action plan form from the school nurse or healthcare provider.
02
Fill in the student's personal information such as name, date of birth, and emergency contact information.
03
Provide details about the student's seizure history, including types of seizures, triggers, and duration.
04
List the student's current medications and dosages, as well as any allergies or medical conditions.
05
Include instructions on how to respond to a seizure, including when to administer emergency medication if applicable.
06
Ensure all relevant school staff and teachers have a copy of the completed seizure action plan.

Who needs seizure action plan students?

01
Students who have been diagnosed with epilepsy or other seizure disorders
02
Students who have a history of experiencing seizures
03
Students who may require specific medical interventions or assistance in the event of a seizure
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Seizure action plan students is a document that outlines steps to take in the event of a student having a seizure.
School administrators, nurses, and staff who are responsible for the care of students with epilepsy or other seizure disorders are required to file seizure action plans for these students.
Seizure action plans should be filled out by gathering information about the student's seizure history, triggers, medication, emergency contacts, and specific instructions for responding to seizures.
The purpose of seizure action plans for students is to ensure that school personnel are prepared to effectively and safely respond to seizures that may occur during school hours.
Information that must be reported on seizure action plans includes the student's seizure triggers, medication regimen, emergency contacts, and specific instructions for responding to seizures.
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