M. Intranasal Seizure Medication with an Atomizer

Table of Contents

Steps

  1. Stay calm and follow the EAP (Have someone notify the indicated personnel, obtain the medication, begin timing the seizure, wash your hands and check the 5 rights, check to ensure the medication is not expired)
  2. Position of student on a flat, safe surface on their side
  3. Gather supplies and put on gloves
  4. Mark the syringe at the level that the medication needs to be drawn up and draw up the correct amount of medication to account for the medication that will remain in the neck of the nasal atomizer as outlined by the healthcare provider or pharmacist
  5. Fill the syringe with air to the marked line by pulling the plunger back until the top of the plunger reaches the mark
  6. Check the 5 rights again
  7. Remove the protective plastic cap off the vial and wipe the top of the vial with an alcohol swab
  8. Connect the needle to the marked syringe and twist to secure it on to secure
  9. Remove the needle cap and stick the needle through the rubber stopper of the medication vial
  10. With the needle remaining in the vial, flip the bottle upside down
  11. While holding down the plunger with the vial turned up, visualize to make sure the needs tip is in the medication (If it is not, adjust the needle in the vial to ensure it is fully in the liquid medication)
  12. Pull back on the plunger and allow the syringe to fill with the medication to the marked level
  13. If there are no air bubbles and you have the correct amount in the syringe, remove the needle from the vial
  14. Replace the needle cap by scooping the cap with the needle from a flat clean surface (Never recap a needle by holding onto the needle cap)
  15. Gently twist the needle off of the syringe and dispose of the needle in a red sharps container
  16. Attach the nasal atomizer to the syringe and view the student’s nostril for obstruction
  17. Gently place one hand on the student’s forehead and place the tip of the atomizer in the student’s nostril snuggly facing up and outwards (or as indicated by the child’s healthcare provider)
  18. Inject the medication using the atomizer to administer the medication as a mist in the student’s nostril(s) per the healthcare provider’s instruction or as stated in the EAP
  19. Note the time that the medication was administered and continue to observe the student
  20. 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)
  21. Remove your gloves and wash your hands
  22. Communicate with the school nurse
  23. Ensure school personnel complete the 6th right: documentation