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SEIZURE EMERGENCY ACTION PLAN School Year___ Teacher ___ Students Name___ DOB___ Parent/Guardian___ Cell___SEIZURE INFORMATION (to be completed by physician) Seizure Type___ How it looks___ Seizure
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How to fill out seizure emergency action plan

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How to fill out seizure emergency action plan

01
Obtain a seizure emergency action plan form from your healthcare provider or epilepsy organization.
02
Fill out personal information such as name, age, emergency contact information, and healthcare provider information.
03
Include details about seizure triggers, types of seizures experienced, and any medications being taken.
04
Specify the steps to take during a seizure, including when to administer rescue medications or call emergency services.
05
Review the completed seizure emergency action plan with your healthcare provider to ensure accuracy and understanding.

Who needs seizure emergency action plan?

01
Individuals with epilepsy who experience seizures.
02
Caregivers of individuals with epilepsy.
03
Schools, workplaces, and other organizations where individuals with epilepsy may need assistance during a seizure.
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A seizure emergency action plan is a documented strategy designed to provide guidance on how to respond to a person experiencing a seizure, ensuring their safety and addressing medical needs effectively.
Individuals who are responsible for the care of a person with seizures, such as caregivers, teachers, and healthcare providers, are typically required to file a seizure emergency action plan.
To fill out a seizure emergency action plan, gather required medical information, describe the specific types of seizures the individual experiences, outline steps to take during a seizure, and include emergency contact information.
The purpose of a seizure emergency action plan is to ensure that caregivers and bystanders are prepared to respond appropriately during a seizure, minimizing risks and ensuring prompt medical assistance.
The information that must be reported includes the individual's medical history, seizure triggers, specific care instructions, emergency contacts, and any necessary medications.
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