Seizure plan and PE swimming?

[chasinRT]

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?

[BeckyESRN]

For my school, we would need an RN on site if the student has emergency meds for seizure, as those cannot be delegated.

[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.

[NutmeggeRN, BSN]

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...

[kidzcare]

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.

[grammy1]

Midozalam is much less expensive than Diastat. If it works as well, I'd much rather have an intra-nasal than a rectal.

[Flare, ASN, BSN]

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.

[NutmeggeRN, BSN]

I read a study that concluded that there is no discernible difference. Points to ponder.

Ah, but SO less invasive!!

[OyWithThePoodles, RN]

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.

[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.

[OyWithThePoodles, RN]

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.

[meanmaryjean, DNP, RN]

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.