Dana
We call EMS for a seizure lasting longer than 3-5 minutes. Generally speaking, if we have used Valtocco, Diastat, or Nayzilam that meant the seizure has lasted more than 3-5 minutes based on the order. We never know if the medication will abate the seizure or if it will continue. Our EMS reponse times vary in Richland County and we want them on the way.
Parents may refuse EMS transport, but we then have the parent take their child home. Since the medications are sedating, I would send the student home unless you have a physician order stating otherwise.
Feel free to call me if you have further questions 803-738-8459.
Have a great day.--Dawn
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Dawn MacAdams, MSN, RN, NCSN
President-Elect- South Carolina Association of School Nurses
Coordinator of Health Services
Richland School District Two
Columbia, SC USA
803-738-8459
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Original Message:
Sent: 10-14-2022 11:43
From: Dana Raye
Subject: Seizure policies
Can anyone talk me through your policies regarding students with Epilepsy staying in school after administration of Diastat/Valtoco/Nayzilam? Do your district policies automatically read that it's 911 or calling parent to go home, or is there gray area for being able to stay depending on the student's condition and response, doctor order, etc. I know this is a complex topic, but would like to hear how district policies compare and thoughts from those who work with the medically fragile.
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Dana Raye MSN, RN
School Nurse
South Carolina Association of School Nurses
Chapin, SC United States
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