Buccal Seizure Medication

Table of Contents

Steps

  1. Follow the EAP
  2. Stay calm (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)
  3. Gather supplies, put on gloves and ensure the child is in the recovery position
  4. Mark the syringe at the level that the medication needs to be drawn up (Draw up the correct amount of medication 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 if the vial requires the use of a needle
  10. With the needle and syringe 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 needle or syringe tip is in the medication. If it is not, adjust the needle or syringe tip 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. If the medication requires a needle, replace the needle cap by scooping the cap with the needle from a flat clean (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. Open the child’s lips gently and slowly insert the medication from the syringe into the inside of the child’s lower cheek along the gum line (There is no need to open the child’s jaw and the solution does not need to be swallowed)
  17. Note the time that the medication was administered and continue to observe the student
  18. 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
  19. Remove your gloves and wash your hands
  20. Communicate with the school nurse and ensure school personnel complete the 6th right: documentation