L. Rectal Diazepam

Table of Contents

Steps

  1. Follow the EAP. Stay calm. Have someone notify the indicated personnel, obtain the medication, begin timing the seizure, wash your hands and check the 5 rights
  2. Position of student in the recovery position on a flat, safe surface on their side
  3. Provide privacy (if possible)
  4. Gather supplies
  5. Put on gloves
  6. Get the syringe and note that the seal pin is attached to the cap or green ready band is visible
  7. Check to ensure the correct dose is dialed and the time for when to administer the medication is met
  8. Check the 5 rights again
  9. Push with the thumb and pull to remove the cap from the syringe (Be sure the seal pin is removed from the cap)
  10. Lubricate the rectal tip with lubricating jelly
  11. Position yourself with the student facing you
  12. Expose the buttocks and move the student’s upper leg forward to expose the rectum. Provide privacy (if applicable)
  13. Separate the buttocks
  14. Gently insert the syringe tip into the rectum with the rim snug against the rectal opening
  15. Slowly count to three while gently pushing the plunger into the syringe until it stops
  16. Slowly count to three before removing the syringe from the rectum
  17. Slowly count to three while holding the buttocks together to prevent leakage
  18. Pull the student clothing back to cover the buttocks
  19. Keep the person on their side facing you and stay with the student
  20. Note the time when the medication was administered and continue to observe the student
  21. Follow the remaining steps as outlined by the student’s EAP and notify the school nurse, parents or Emergency Medical Services (EMS) Provide EMS with the used medication if indicated or dispose of the medication per the manufacturer’s label
  22. Remove gloves and wash hands
  23. Communicate with the school nurse
  24. Ensure school personnel complete the 6th right: documentation