Care Of The Child Requiring Buccal Midazolam For Prolonged Siezures Workbook For Carers

Care Of The Child Requiring Buccal Midazolam For Prolonged Siezures
Workbook For Carers

C/YPs Name ……………………………………………………..

Carers Name ……………………………………………………..

Job Title ……………………………………………………..

Employer ……………………………………………………..

Line Manager ……………………………………………………..

Date …………………………………………………......
Section 1
C/YP Specific Information

• 
  Why does he/she have a prescription for Buccal Midazolam?
  

• 
  Where is his/her Buccal Midazolam stored?
  

• 
  What types of seizures does this child have? Where can you find this information?
  

• 
  When will you give him/her Buccal Midazolam? Where can you find this information?
  

• 
  How much will you give him/her? Where can you find this information?
  

• 
  What action will you take when he/she is having a seizure?
  

• 
  What action will you take after he/she has had a seizure?
  

Section 2
Generic Questions

• 
  What is epilepsy?
  

Electrical activity is happening in the brain all the time

A seizure happens when there is a sudden burst of intense electrical activity
This intense electrical activity causes a temporary disruption to the way the brain normally works, meaning that the brain’s messages become mixed up
The result is an epileptic seizure.

• 
  Name some different types of seizures.
  

Partial: 2 types

Simple partial seizure, fully conscious throughout

Complex partial seizure, loose sense of awareness and cannot remember what happened after the seizure has passed

Generalised: 6 types

Absences

Myoclonic jerks

Clonic

Atonic

Tonic

Tonic clonic

Usually unconscious

throughout

• 
  Why do you need to know about Buccal Midazolam?
  

Managing prolonged siezures

• 
  List the side effects of Buccal Midazolam?
  

Severe drowsiness

Loss of short term memory

Hallucinations (rare)

Shallow/stopping breathing

• 
  What are the benefits of using Buccal Midazolam?
  

Easily administered in a wheel chair

It does not need to be swallowed

Excreted in the body faster than when administered rectally

20% less likely to cause respiratory complications

• 
  Buccal Midazolam is a prescribed drug. When preparing a prescribed medication, what checks do you need to make?
  

Right child Right medicine

Right dose Right route

Right time Right strength

• 
  In addition to a prescription, what other information resource will you require when administering Buccal Midazolam?
  

Child specific care plan/emergency protocol

Training

• 
  What information should be included within child specific care plan/emergency protocol?
  

Childs details

Parent/carers contact details

Information about child’s seizure pattern

What is considered an emergency

How much and when to administer

Seizure triggers

• 
  Where is the child specific care plan/emergency protocol kept?
  

Child’s notes

In emergency box with emergency medication

• 
  How long does it take for Buccal Midazolam to work?
  

5mins Starts to control seizure

10mins 80% of seizures will have started to end

5- 10mins Peak action

• 
  What will you need to observe for following the administration of Buccal Midazolam?
  

Seizure activity Time

Breathing

• 
  What action will you take following the administration of Buccal Midazolam?
  

Documentation Communication

Disposal of equipment Recovery position
Questionnaire assessed by
……………………………………………………………………………………………………………………..Assessor Print Name
I certify I am currently registered with the NMC
………………………………………………………………………………………………………………...Assessor Sign and Date
Review Date……………………………………………………………………………………………………………………………….
NB: Your response to the questions in this document are used to assist in the assessment of your competency to undertake the particular procedures detailed in the accompanying competency document, and satisfactory completion of this document is only part of the overall competency assessment.

You may NOT administer Buccal Midazolam care for a child until the competency document has been signed off by your assessor and yourself.