Get Seizure Action Plan.pdf

Filling out the Seizure Action Plan is an essential step in ensuring the safety and well-being of students who experience seizures. This guide provides clear, step-by-step instructions to help you complete the form accurately and effectively online.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the Seizure Action Plan and open it in your preferred online editor.
2. Begin by filling in the student's name and birthdate at the top of the form. This information is crucial for identifying the individual requiring a seizure action plan.
3. Next, provide contact information for the mother or guardian, including home, cell, and work telephone numbers. This ensures that the appropriate adult can be reached in case of an emergency.
4. Similarly, enter the father's or guardian’s contact details in the designated fields, maintaining the same information format.
5. Identify the treating physician by entering their name and telephone number. This allows for quick contact if medical assistance is needed.
6. In the significant medical history section, summarize any relevant medical information that may impact emergency response.
7. List any current medications the student is taking, ensuring clarity on dosages and schedules.
8. Record any known allergies in the specified area to inform emergency responders.
9. Complete the seizure emergency protocol by indicating the prescribed dosage of rectal gel and under what circumstances it should be administered, along with any other instructions.
10. Include triggers or warning signs that may precede a seizure, which can aid in prevention strategies.
11. Specify any circumstances under which parents should be called, ensuring clear communication on when they need to be notified.
12. Finally, sign and date the form where indicated, ensuring that the parent or guardian’s signature is present to validate the action plan.
13. After completing the form, make sure to save your changes. You can also download, print, or share the Seizure Action Plan as needed.

Take the time to fill out and manage your SEIZURE ACTION PLAN.pdf online today for your child's safety.