Seizures in the School Setting:

Information for New School Nurses

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During the 2025-2026 school year, I responded to two grand mal seizures just 24 hours apart.

Before I arrived, my staff had already begun implementing the student's Seizure Action Plan because they knew exactly what to do.

That's the goal. Good seizure preparedness isn't just about what the school nurse knows—it's about making sure everyone is prepared before an emergency happens. - Elisabeth The School Nurse LLC

Seizures can be one of the most intimidating emergencies school nurses encounter, especially when you're new to the role. The good news is that preparation makes all the difference.

By developing strong systems, educating school staff, reviewing Seizure Action Plans, and using evidence-based resources, you'll be well prepared to support students safely and confidently.

According to the Epilepsy Foundation:

"Epilepsy is not a rare disorder, 1 in 26 people will develop epilepsy during their lifetime. It can occur on its own or alongside other health conditions of the brain. What happens during a seizure may look different depending on who is experiencing them. However, seizures are usually stereotypic, which means the same things or behaviors tend to occur in a person each time they have a seizure."

Understanding Seizures and How They Affect Students

Students with seizure disorders may experience different types of seizures, from brief episodes to more complex situations. It’s important to recognize the signs and know how to provide support. When a seizure occurs, your calm, quick response will set the tone for the entire school community. Staff and students often mirror the school nurse’s reaction, so staying composed will help reassure everyone involved.

Know the Seizure Action Plan

Each student with a seizure disorder should have a Seizure Action Plan in place. This plan outlines what steps to take during a seizure, including emergency medications, whether emergency services should be contacted, and how to ensure the student’s safety. Review plans regularly.

Review each student's Seizure Action Plan before the school year begins and anytime changes are made. The more familiar you are with the plan before an emergency occurs, the more confidently you'll respond.

If a Seizure Action Plan is not in place, follow your school's policy and procedure guidelines to respond appropriately.

Educate School Staff

Teachers and staff may not have the same medical knowledge as you. As a school nurse, part of your role is to educate them on what to do during a seizure, how to keep the student safe, and how to call for additional help. Consider providing brief refresher training each school year—even for experienced staff.

General Seizure First Aid – Stay, Safe, Side

Stay with the student and time the seizure.
Safe – Keep the area clear of hazards.
Side – If possible, turn them on their side for safety.

(If a seizure lasts more than 5 minutes, follow the Seizure Action Plan or call emergency services.)

State-Specific Laws and Policies

It’s also important to be aware of state-specific laws and policies that may impact how schools manage seizure disorders. For example, in Illinois, the Seizure Smart School Act requires schools to have Seizure Action Plans for students with epilepsy. It also mandates that schools designate "Delegated Care Aides" who are trained to assist in implementing these plans, ensuring that students receive the appropriate care and support they need during a seizure. Be sure to review your state’s specific laws to ensure compliance and best practices.

Don't Reinvent the Wheel

When educating staff, there's no need to reinvent the wheel. Many districts already have seizure protocols in place. You can also use reliable online resources to save time while ensuring your school staff is well-prepared. Here are a few helpful options:

The School Nurse on Teachers Pay Teachers: Offers a set of "Teacher Tips" for educating staff on various seizure diagnoses.
The Epilepsy Foundation: Provides a FREE Seizure Action Plan template, nurse (with CEs) & school staff trainings and other super useful tools.
NASN (National Association of School Nurses): Offers resources specifically designed to help school nurses manage students with epilepsy.

You don't have to create every seizure resource yourself. Many excellent organizations have already developed evidence-based training materials, action plans, and staff education resources.

By using these resources, you’ll ensure staff are informed and prepared to support students with seizures in a timely and effective way.

Supporting Students Beyond the Seizure

A seizure lasts minutes—but supporting a student lasts all school year.

As school nurses, we help students succeed by:

• reviewing Seizure Action Plans

• educating school staff

• coordinating emergency medications

• communicating with families and healthcare providers

• promoting inclusion and reducing stigma

• helping students safely participate in school activities

That feels more like your current writing style.

Closing Thoughts

Every school nurse hopes they never have to respond to a seizure emergency—but every school nurse should be prepared.

Preparation begins before the first seizure occurs by building strong systems, educating staff, reviewing Seizure Action Plans, and using trusted resources.

The more prepared you are today, the more confidently you'll respond tomorrow.