Student Returning To School After Seizure

JenTheSchoolRN, BSN, RN · Sep 9, 2019

Any diagnosis at this stage? Any instructions from ED re: plan until student can be further evaluated? (i.e. medication, call 911, etc)

I'll start there and see when student's follow is. I have a general seizure action plan I use and have posted in all classrooms.

As for "policy" re: return - mine is just okay from doctor to be cleared for school officially, than I'd refer to my seizure plan above (and let parent know I'm doing so) until a more detailed plan is in place.

AdobeRN · Sep 10, 2019

We don't have a policy for returning. with the few I have had like this I just let the teachers know and give them some basic first aid instructions and I let parents know if it happens at school it is an automatic 911 call until I have a physician signed Seizure action plan in place.

Even though I live in a large city with 2 major Children's hospitals nearby it usually takes a good 6 weeks before these kids can get an appointment with a Neuro doc and I can get an Action plan.

ruby_jane, BSN, RN · Sep 10, 2019

New onset seizure or big one but a known disorder?

Neurological or psychological?

I am not much help. How's the kid acting? If the behavior is WNL for this student....let it ride?

rn1965, ADN · Sep 13, 2019

On 9/9/2019 at 1:31 PM, Melmel75 said:
We had a student that had a major seizure last night that had her end up in the ER. She was dismissed at 11 p.m., but was at school today.

Aside from what everyone else is saying, who sends their kid back to school with a discharge from ER at 2300? I am sure by the time family got home, got pj's on and in bed, it had to be midnight...why not let kiddo sleep in the next day?

k1p1ssk, BSN, RN · Sep 25, 2019

A 6th grader at my school had his first ever seizure on Saturday evening, not sure what type. He was on his hand-held video console and all of a sudden woke up in the back of an ambulance. He was aware but not oriented during some of it, as he sat up at one point and asked his father for a trashcan to vomit in, and proceeded to.

He was sent home from the ED with the only instructions being follow up with his PCP and Neurology (ha, good luck getting in there within 6weeks...), no video games/strobing videos, and constant supervision with play activities. No other restrictions.

He's supposed to go on a CAVING TRIP which requires crawling (yes crawling, hands and knees, through a very wet cave) deep into a cave using headlamps... on Monday... WOW!.

The kid's PCP follow up is today, and I gave the dad a written list of everything I need to know, including the PCP's thoughts on him attending the caving trip. It can be modified so that he doesn't have to go that deep into the cave, but most kids choose to and I think his fear of being left out will outweigh his fear of having a seizure deep in the deep.

NutmeggeRN, BSN · Sep 26, 2019

21 hours ago, k1p1ssk said:
A 6th grader at my school had his first ever seizure on Saturday evening, not sure what type....
He's supposed to go on a CAVING TRIP which requires crawling (yes crawling, hands and knees, through a very wet cave) deep into a cave using headlamps... on Monday... WOW!.
The kid's PCP follow up is today, and I gave the dad a written list of everything I need to know, including the PCP's thoughts on him attending the caving trip. It can be modified so that he doesn't have to go that deep into the cave, but most kids choose to and I think his fear of being left out will outweigh his fear of having a seizure deep in the deep.

Any parent who sends their kid on a caving trip with a brand new, not yet diagnosed seizure disorder, needs to have their parent card revoked. There is no telling what may happen...egads!!!

k1p1ssk, BSN, RN · Sep 26, 2019

1 hour ago, NutmeggeRN said:
Any parent who sends their kid on a caving trip with a brand new, not yet diagnosed seizure disorder, needs to have their parent card revoked. There is no telling what may happen...egads!!!

I am SO SO HAPPY the PCP gave me a letter discouraging the caving trip, which the parents are definitely abiding by. Kiddo is PO'd, but what can you do? We need him SAFE. Last thing we need is him deep in the cave (I've heard there is a portion of it where you can only get through by having one arm, then head, then other arm). I honestly am not a fan of the trip to begin with, but the teacher has been doing it for eons and it will be a great disappointment to the school when he retires.

k1p1ssk, BSN, RN · Sep 27, 2019

I am now SO SO FRUSTRATED. This child's teacher uses a lot of videos to supplement lessons and every time the class watches a video, the kid now shows up in my office asking if he can watch it or not. TGIF.

BrisketRN, BSN, RN · Oct 8, 2019

I had a little one have seizure-like activity (I'd bet $10,000 it was a seizure) during pick up. Parent refused ems & called the pediatrician on speaker phone right near me after the activity stopped. Parent said this is the THIRD occurrence (called ped every time it happened) and pediatrician just said "keep monitoring at home and let me know if it happens again." My face was ?. It's a well respected pediatrician in our area but to not even want the kid to come in for an exam is baffling. Our teachers are trained in seizure first aid but they're still on edge because we don't have any answers.