Seizure Action Plan and Medical Alert Information Form (SAP)
This form is a communication tool for use by parents/guardians and the student’s most responsible practitioner to document and share information with the school in order for school staff to provide seizure care at school. Please review and update this form yearly or sooner if the student has a seizure at school or if there have been any changes in the student’s condition and/or treatment.
Request for Seizure Intervention Training – Fillable
NSS offers training for non-medical school staff in how to provide physician/provider-ordered seizure rescue interventions to students in kindergarten through grade 12, as per the student’s Seizure Action Plan and Medical Alert Information Form (SAP). This physician/prescriber’s order for the rescue intervention must have been dated within the previous 12 months. Parents/guardians are responsible for completing and reviewing the SAP with the school and the school staff during the Parent Information Sharing Session with the school
School Checklist -Fillable
Each step/item in the checklist must be completed prior to a school staff being able to provide the seizure rescue intervention to the student in the school setting. The most appropriate person at the school must verify that all of the steps have been completed and that the school staff are ready to provide the student-specific seizure rescue intervention. Please note: for Step 4 review the LearningHub checklist to ensure easy sign-in/sign-up for non-VIHA staff
Epilepsy and Seizure Information for Schools Video (7 Minutes) – to be viewed by ALL staff
For more information visit the Nursing Support Services website and click on the middle tab called “RESOURCES” and scroll to the bottom Learn about seizure care in the school setting as indicated in the picture below.
