MANAGING CHILDREN WITH EPILEPSY SCHOOL NURSE GUIDE . This program provides school nurses the knowledge and skills they need to provide care to students with epilepsy, and also to train other school staff. Determine if changes can be made in activities or situations that may trigger seizure. The RRT nurse uses suction to clear secretions from the patient’s mouth, making sure not to force the suction tip past Mr. Gunner’s teeth during the seizure so he doesn’t bite it. School Nurses. There are different kinds of seizures (epileptic, focal-onset, general-onset). ACKNOWLEDGEMENTS TO THOSE WHO HAVE CONTRIBUTED TO THE NOTEBOOK Children’s Hospital of Orange County Melodie Balsbaugh, RN Sue Nagel, RN Giana Nguyen, CHOC Institutes Fullerton School District Jane Bockhacker, RN Orange Unified School District Andrea Bautista, RN Martha Boughen, RN Karen … Managing Students with Seizures: A School Nurse Training Program External School nurses play an important role in recognizing and managing seizures at school. The exact cause of a seizure can be extremely difficult to pinpoint. Seizures are caused by abnormal electrical discharges in the brain. If seizures are "mini" (petit mal or absence) instead of "grand mal", it may not be noticeable that a person is … Keep the bed in a low position with siderails up, and use padded siderails as needed. Basically, abnormal electrical discharges are occurring in the brain. per seizure protocol. Saftey measures should be taken if there is an indication that the person is experiencing an aura before the onset of a seizure, (e.g., have the client lie down). Etiology. Seizures can involve both the body (convulsions) and mind (altered mental status), or only parts of the body. Carol summarizes Mr. Gunner’s status for the team. d. If a sitter is … Management of seizures in the ED has three components: Status epilepticus (SE) is defined as any seizure type (simple to complex) with continuous seizure activity or a series of seizures without a return to full consciousness, usually for >5-10 minutes. Seizures are life-threatening when a condition known as status-epilepticus occurs, meaning the seizure will not subside. Medical Protocol LFSVA 6/2016 Medical Protocol and Procedure Seizure Management Policy The nurse shall ensure individuals, responsible parties, and all caregivers have an understanding of seizures as well as the medications, interventions, and monitoring strategies used to control seizures A bedside blood glucose is normal. c. Patient must never get out of bed without assistance. 2. Consider increasing vigilance toward end of stay when seizure risk is higher. Nurse light and seizure alarm device (this may be a push button or paddle depending on facility) within reach of patient. Seizure Protocol Before a seizure occurs: 1. After a phone consult 3 minutes into the seizure, Mr. Gunner’s … John Hopkins Epilepsy Center divides seizures into two categories: provoked and unprovoked. Identifying and understanding the various type of seizures often guides clinical management. 3. Nursing care for Seizures September 11, 2009 by Greg 10 Comments I was given an opportunity to create a learning presentation for nurses in a place that I work part time about seizures. The RRT nurse also orders 2 mg lorazepam I.V.