SEIZURE ACTION PLAN (SAP)

Seizure Information

	Seizure Type	How Long It Lasts	How Often	What Happens

How to respond to a seizure (check all that apply)

First aid- Stay. safe. sideGive rescue therapy according to SAPNotify emergency contactcall 911Other
First Aid for any seizure

Stay calm, begin timing seizureKeep safe, remove harmful objects, don't restrain, protect headTuen on side if not awake, keep airway clearStay with student until recovered from seizureOther
FRepeated seizures longer than 10 minutes, no recovery between

them, not responding to rescue med if available
WHEN TO CALL 911

Seizure with loss of consciousness longer than 5 min, not responding to meds availableRepeated seizures longe than 10 min, not recovery between them, not responding to rescue meds if availableDifficulty breathing after seizureSerious injury occurs
When to call Provider Fist:

Change of seizure type or patternPerson does not return to usual behavior ( confused)First time seizure that stops on ownOther medical problems
When rescue therapy may be needed:
If seizure (cluster, # or length)
Name of Med/Rx
How much to give (dose)
How to give
If seizure (cluster, # or length)
Name of Med/Rx
How much to give (dose)
How to give
How much to give (dose)
What type of help is needed? (describe)
Care after seizure
When is person able to resume usual activity?

Daily seizure medicine

	Medicine Name	Total Daily Amount	Amount of Tab/Liquid	How Taken (time of each dose and how much)

Care after seizure