Seizure plan and PE swimming?

  1. This is the situation: we have two students with seizure care plans that specify they are to have 1:1 supervision while swimming. Our kids start their PE swimming after spring break. They are bussed to a school a short (half a mile or less) distance away. In your school, who is responsible to provide that supervision?
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  2. 17 Comments

  3. by   BeckyESRN
    For my school, we would need an RN on site if the student has emergency meds for seizure, as those cannot be delegated.
  4. by   kidzcare
    Just yesterday I attended my first field trip because of this! Two students in a life skills program (junior high) with a seizure disorder on the trip. They both have orders for rectal diazepam so I was in "monitoring mode" while they floated in the pool. IE: I sat and watched the whole class have a great time in the pool.
  5. by   NutmeggeRN
    Quote from kidzcare
    Just yesterday I attended my first field trip because of this! Two students in a life skills program (junior high) with a seizure disorder on the trip. They both have orders for rectal diazepam so I was in "monitoring mode" while they floated in the pool. IE: I sat and watched the whole class have a great time in the pool.
    Is there any chance they could get Midazolam? Nasal vs Rectal...
  6. by   kidzcare
    Quote from NutmeggeRN
    Is there any chance they could get Midazolam? Nasal vs Rectal...
    I read a study that concluded that there is no discernible difference. Points to ponder.
  7. by   grammy1
    Midozalam is much less expensive than Diastat. If it works as well, I'd much rather have an intra-nasal than a rectal.
  8. by   Flare
    i had a student on both. Neither actually seemed to help this student when the seizures were prolonged or coming one after another. But that was probably just that student - very complicated case.
  9. by   NutmeggeRN
    Quote from kidzcare
    I read a study that concluded that there is no discernible difference. Points to ponder.

    Ah, but SO less invasive!!
  10. by   OyWithThePoodles
    Interesting, in our district we can delegate Diastat. If your district can then I would think medication training the gym teacher would suffice. If not, you would probably have to go.
  11. by   chasinRT
    Actually, the issue isn't Diastat as there is an onsite RN at the school they swim at; the issue is the 1:1 supervision; someone to have eyes on that particular student 100% of the time ready to pull them out if they seize.
  12. by   OyWithThePoodles
    Quote from chasinRT
    Actually, the issue isn't Diastat as there is an onsite RN at the school they swim at; the issue is the 1:1 supervision; someone to have eyes on that particular student 100% of the time ready to pull them out if they seize.
    I would talk to admin about it, I wouldn't think that this person needs to be a nurse, so maybe they could provide an assistant for the short time he/she is in the pool. Or they could have you go, of course then they would be responsible for the nurse duties while you were out.
  13. by   meanmaryjean
    Flashback: When I was in high school (1970s) we had a glassed-in pool area and during lunch would routinely watch the poor freshmen in swim class. A girl DID have a seizure while in the water, in the deep end, and my math teacher and the PE teacher tried desperately to get her out of 12 feet of water. They finally got her, and she died.
  14. by   kidzcare
    Quote from meanmaryjean
    Flashback: When I was in high school (1970s) we had a glassed-in pool area and during lunch would routinely watch the poor freshmen in swim class. A girl DID have a seizure while in the water, in the deep end, and my math teacher and the PE teacher tried desperately to get her out of 12 feet of water. They finally got her, and she died.
    How awful

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