Appendix B
School Emergency Action Plan Template
Written and medically reviewed by
Prof. Dr. Burak TatlıSpecialist in Pediatric Neurology & Developmental Pediatrics
İstanbul University-Cerrahpaşa Faculty of Medicine · Nörogender Association
Last reviewed:
Fill out this form and give it to your child's school, teacher, and guidance counselor. Keep a copy in the school nurse's office as well.
- Information
- Please fill in
- Student's full name
- Date of birth / Grade
- Diagnosis
- How do the seizures look?
- Typical seizure duration
- WHAT TO DO during a seizure
Stay calm · Time it · Make it safe · Turn on the side · Stay with them
- WHAT NOT TO DO during a seizure
- Do not put anything in the mouth · Do not hold down/restrain · Do not give water or food
- Is there a rescue medication? How is it given?
- When should emergency services be called?
- If it lasts more than 5 minutes · Repeated seizures · Breathing problem · Injury
- Parent contact number
- Physician / hospital contact
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