Get Now Guidelines For Support Planning Form: Seizure Report - Dhh Louisiana

This guide provides clear and supportive instructions for completing the NOW Guidelines For Support Planning Form: Seizure Report. By following these steps, users will be equipped to accurately fill out the form online, ensuring all necessary information is captured.

Follow the steps to successfully complete the seizure report form.

1. Press the ‘Get Form’ button to access the form. This will open the document in your chosen online editor.
2. Begin filling in the personal details by entering the name of the person experiencing the seizure. This should be done in the designated field at the top of the form.
3. Fill in the date of the seizure in the provided space, followed by the seizure start time and end time, using am/pm format. Leave the start time blank if unknown.
4. Indicate the duration of the seizure by entering the approximate time in minutes and seconds. If unsure, providing an estimate is sufficient.
5. Choose whether the person was observed from the start to end of the seizure or only after it began. Mark the appropriate box.
6. Describe the person's activity prior to the seizure by checking the relevant option: walking, sitting, lying in bed, or indicate 'not known.' If 'other,' specify in the blank space provided.
7. In the description section for seizure activity, number each symptom in the order that occurred. Use the list provided to mark body movements, tonic and clonic symptoms, and any skin changes.
8. Indicate if the person became incontinent during the seizure. If yes, specify whether this was urination or defecation.
9. Document any other unusual behavior observed during or after the seizure.
10. Assess the person's level of consciousness during the seizure and check the appropriate option. If there was a change, note the duration in minutes and seconds.
11. Describe what happened after the seizure, including whether the person became alert, resumed prior activities, seemed confused, agitated, or drowsy.
12. Record any injuries received during the seizure and specify whether an incident report was completed and if the person required hospital care.
13. Finally, enter the name of the witness or person completing the seizure report in the designated field.
14. After completing the form, you can save your changes, download, print, or share the document as needed.

Start filling out the NOW Guidelines For Support Planning Form: Seizure Report online today.