Cna Cert Resident

Procedural Guideline #* – Seizures

*. Purpose: To prevent injury due to seizures.

2. Emergency Guidelines

A. Stay with the resident and call for help; note the time. Be sure the nurse is notified.

B. Wear gloves and follow Standard Precautions (Procedural Guideline

#7) if contact with blood or body fluids is likely. C. If the resident is in bed, raise side rails if present, turn head to side or place in side-lying position and remove pillow. D. If the resident is out of bed, gently lower the resident to floor, turn head to side or place in side-lying position to open airway and promote drainage of secretions, and protect head with pillow, padding or hold head in your lap.

E. Move hard objects out of the way as appropriate, or pad around the bed and/or objects that might cause injury during seizure. F. Provide privacy by asking onlookers to leave and closing doors and/or curtains.

G. Do not attempt to restrain the resident.

H. Do not attempt to place any object into the resident’s mouth during seizure.

I. When the seizure passes, leave the resident in a position of comfort and safety withcall signal within easy reach and lower bed.

J. If used, remove and discard gloves following facility policy. Wash hands.

3. Observe for and Report to Nurse:

A. Changes in the resident before seizure such as visual or auditory aura (feeling), confusion, staggering or behavioral changes.

B. Time the seizure started and stopped and duration of the seizure. C. Description of body parts involved and severity of convulsive movements.

D. Presence of an aura, incontinence, unconsciousness, eyes rolled upward, frothing of the mouth, biting of the tongue or injuries due to seizures.

E. Condition of the resident after seizure such as disorientation or sleepiness.

F. Other significant observations.

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