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  • 1.  Seizure policies

    Posted 10-14-2022 12:45
    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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  • 2.  RE: Seizure policies

    Posted 10-17-2022 09:18
    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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  • 3.  RE: Seizure policies

    Posted 10-18-2022 13:11
    Thank you! You touched on where I was going with this - "unless the doctor writes otherwise". I wanted to hear about policies where special needs students stay at school after administration and if that automatically requires 1:1 nursing care, or if even with a nurse, a student still needs to be sent home/call 911.

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    Dana Raye MSN, RN
    School Nurse
    South Carolina Association of School Nurses
    Chapin, SC United States
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