Get the free Seizure Action Plan 2015 - City of Bloomington

SEIZURE ACTION PLAN CONFIDENTIAL To be filled out by Parent or Guardian HH #: Completion of this form is required along with a parent or guardian signature. The City of Bloomington, Parks and Recreation

How to fill out seizure action plan 2015

How to Fill Out Seizure Action Plan 2015:

1. Begin by gathering all necessary information: Before filling out the seizure action plan, gather all relevant medical and personal information about the individual experiencing seizures. This may include their name, date of birth, contact information, existing medical conditions, medication details, emergency contact information, and any specific instructions provided by their healthcare provider.
2. Identify seizure triggers and warning signs: The seizure action plan should include a section to identify specific triggers or warning signs that may precede a seizure. This can help caregivers or medical professionals take necessary precautions or provide appropriate support during an episode. These triggers and warning signs can vary from person to person, so it's important to accurately identify and include them in the plan.
3. Document seizure response instructions: In the seizure action plan, outline step-by-step instructions for responding to a seizure. This may include details on how to position the person safely during a seizure, when and how to administer any emergency medications (if prescribed), and guidance on when to seek emergency medical help.
4. Include emergency contacts: Ensure that the seizure action plan includes the contact information of emergency personnel, the individual's primary healthcare provider, and any other relevant contacts. This information should be easily accessible to anyone responsible for the person's care during a seizure.
5. Communicate the plan: Once completed, share the seizure action plan with the individual's healthcare provider, school nurse (if applicable), family members, and any other caregivers who may be responsible for the person's wellbeing. Regularly update and review the plan to ensure it remains accurate and effective.

Who Needs Seizure Action Plan 2015:

1. Individuals diagnosed with epilepsy: People who have been diagnosed with epilepsy, a neurological disorder characterized by recurrent seizures, may benefit from having a seizure action plan. This plan helps ensure that appropriate measures are taken during a seizure and can improve overall safety and management of the condition.
2. Parents or guardians of children with epilepsy: Parents or guardians of children with epilepsy should have a seizure action plan in place. This allows them to provide necessary instructions to babysitters, teachers, and other caretakers, ensuring the child's safety and wellbeing during a seizure.
3. Schools and educational institutions: Schools and educational institutions that have students with epilepsy should have a seizure action plan as part of their health protocols. This enables teachers and staff to respond appropriately to a seizure episode, minimizing potential risks and providing appropriate support.
4. Healthcare providers: Neurologists, epileptologists, and other healthcare providers who specialize in treating epilepsy should be knowledgeable about and involved in the creation of seizure action plans. They play a crucial role in providing guidance, prescribing medications, and monitoring the overall management of the condition.

By following these guidelines, individuals with epilepsy, their caregivers, and the relevant institutions can ensure that they have a comprehensive and effective seizure action plan in place.

For pdfFiller’s FAQs

What is seizure action plan?

A seizure action plan is a document outlining specific instructions on how to respond to a seizure emergency.

Who is required to file seizure action plan?

Schools, daycare facilities, and other institutions that care for individuals with epilepsy are required to file a seizure action plan.

How to fill out seizure action plan?

To fill out a seizure action plan, include detailed information about the individual's seizures, triggers, medication, emergency contacts, and appropriate response steps.

What is the purpose of seizure action plan?

The purpose of seizure action plan is to ensure the safety and well-being of individuals with epilepsy by providing a clear guideline for proper response during a seizure.

What information must be reported on seizure action plan?

The seizure action plan must include details about the individual's medical history, seizure triggers, emergency contacts, medication regimen, and step-by-step instructions on how to respond to a seizure.

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