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The Journal of School Nursing
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Feature Article

Emergency Management of Seizures in the School Setting

Christine O’Dell, RN, MSN

Christine O’Dell, RN, MSN, is a neuroscience clinical nurse specialist at the Comprehensive Epilepsy Management Center, Montefiore Medical Center, Bronx, NY

Kathryn O’Hara, RN

Kathryn O’Hara, RN, is a pediatric neurology nurse at Virginia Commonwealth University, Richmond, VA

Sarah Kiel, MSN, CRNP

Sarah Kiel, MSN, CRNP, is a pediatric nurse practitioner at Children’s Hospital, Birmingham, AL

Kathleen McCullough, RN, MEd

Kathleen McCullough, RN, MEd, is a school nurse at Orchard School, Ridgewood, NJ

Effective seizure management in the school setting is a critical issue for students with seizures, as well as their parents, classmates, and school personnel. The unpredictable nature of seizures and the potential outcomes of experiencing a seizure in school are sources of anxiety for students with seizures. The ability to respond appropriately to a seizure is of concern to parents and school personnel. Implementation of a seizure emergency treatment plan empowers school personnel to quickly treat the child. Diazepam rectal gel is commonly used in seizure emergency treatment plans. It is safe and effective in terminating seizures and reduces the time to treatment and the need for emergency department visits when used in the school setting, and can be administered by medical and delegated to trained nonmedical personnel. School nurses should be aware of the laws and professional recommendations that pertain to rectal medication administration in schools for optimal emergency seizure management.

Key Words: emergency treatment plan • epilepsy • legal issues • medication administration • seizure

The Journal of School Nursing, Vol. 23, No. 3, 158-165 (2007)
DOI: 10.1177/10598405070230030601
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This article has been cited by other articles:


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M. R. Asato, R. Manjunath, R. D. Sheth, S. J. Phelps, J. W. Wheless, C. A. Hovinga, J. E. Pina-Garza, L. S. Haskins, and W. M. Zingaro
Adolescent and Caregiver Experiences With Epilepsy
J Child Neurol, May 1, 2009; 24(5): 562 - 571.
[Abstract] [PDF]