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Epilepsy
Awareness
Epilepsy
Awareness and Buccal and Nasal Midazolam Administration
Buccal
and Nasal Midazolam Administration
Epilepsy
Awareness and Diazepam Rectal Tube Administration and Buccal and Nasal
Midazolam Administration
Epilepsy
Awareness and Diazepam Rectal Tube Administration
Epilepsy
Awareness and Diazepam Rectal Tube Administration Refresher
Diazepam
Rectal Tube Administration
Current
Trends in Epilepsy
Course Director
John Foley RMN, RGN, RNMH, Dip Comm H, Member of
ESNA, Member of the Epilepsy Task
Force, Founder Member of Scottish Professionals Epilepsy Network. John
is Nurse Specialist for people who have epilepsy and a learning
disability in the Lothian Health Area. He played a leading part in the
development of the Lothian Health training standards in the
administration of rectal diazepam and and remains closely involved
in developing training programmes for all staff involved in the care of
people with epilepsy.
Guidelines and Statutory Requirements
Midazolam
Midazolam is not
licensed specifically for the treatment of epilepsy but the drug is
included in the NICE (National Institute for Clinical Excellence) and
SIGN (Scottish Intercollegiate Guideline Network) Guidelines and the
Lothian Formulary, and is being prescribed widely for the control of
prolonged and serial seizures. This has many benefits for patients and
carers and is a much more socially acceptable method of controlling
seizures than rectally administered medication.
Many care
organisations now have clients who are prescribed the medication on a
"Named Patient Basis" and Training for Care provides training in the
procedure. This allows carers to administer the medication to specified
clients in their care, but is not transferable between organisations.
Diazepam
There are no
specific statutory requirements for the provision of this training, but
the Joint Epilepsy Council’s "Guideline on Training Standards in
the Administration of Rectal Diazepam" is the most authoritative source
of national advice.
For service providers in
Edinburgh and the Lothians, Lothian Health’s "Training Standards for
the Administration of Rectal Diazepam" provides core guidance.
"This document is intended as a guideline for those purchasing as well
as those delivering training in the administration of rectal diazepam in
epilepsy. It establishes the minimum standards of training necessary for
administration of rectal diazepam by carers in all settings". The
standards set out requirements for content of the training, course
length, group sizes, training materials, retraining and trainer
competence.
Certification
TfC attendance certificate. Courses including formal training in DRTA
certificate the knowledge acquired through satisfactory completion of
the course, and state compliance with the JEC and Lothian Health standards.
EPILEPSY AWARENESS
For staff working with clients with epilepsy but not required to
administer rectal diazepam.
Please note this course can be adapted to suit specific
client groups; for example, to address the increasing incidence of
epilepsy in older people.
Content: definition of epilepsy - prevalence - classification
of seizures - principles of managing seizures - impact of epilepsy on
lifestyle - difference between status epilepticus and serial seizures
Length: 3 hours
Participants: Maximum 12
Fees: Group £350 (12); Individual £47.50
Epilepsy
Awareness and Buccal and Nasal Midazolam Administration
For staff working with clients who are prescribed buccal
and nasal midazolam.
Content:
Awareness: definition of epilepsy - prevalence -
classification of seizures - principles of managing seizures - impact of epilepsy
on lifestyle - differences between status epilepticus and serial
seizures.
Midazolam: organisational policies -
epilepsy care plans and risk assessment - procedures for
buccal and nasal administration - potential difficulties - legal
and ethical considerations - local and national resources for
the support of people with epilepsy
Length:
6.5 hours
Participants:
Maximum 12
Fees:
Group £595 (12); Individual £70
BUCCAL AND NASAL MIDAZOLAM ADMINISTRATION
Stand alone training for social care staff who have received
epilepsy awareness training within the last 12 months.
Content: organisational policies - epilepsy care plans and
risk assessment - procedures
for buccal and nasal administration - potential difficulties -
legal and ethical considerations - local and national resources
for the support of people with epilepsy
Length: 2 hours
Participants: Maximum 12
Fees: Group £290 (12); Individual £40.50
EPILEPSY AWARENESS and
Diazepam Rectal Tube and Buccal and Nasal Midazolam Administration
For staff working with clients
who are prescribed rectal tube diazepam or buccal/nasal midazolam.
Content:
Day 1
Awareness:
definition of epilepsy - prevalence - classification
of seizures - principles of managing seizures
- impact of epilepsy on lifestyle - differences between status
epilepticus and serial seizures
- introduction to practice
Day
2
Diazepam
and Midazolam:
organisational policies - epilepsy care plans and risk assessment
- procedures (including
rectal tube insertion
with practice on a model) - potential difficulties - legal and ethical
considerations - local and national resources for the support of people
with epilepsy
Length:
2 x 4
hours*
*
both sessions cannot
be run on the
same day
Participants:
Maximum 12
Fees:
Group £695
(12); Individual £85
EPILEPSY AWARENESS AND DIAZEPAM RECTAL TUBE
ADMINISTRATION
For staff working with clients who are prescribed rectal tube
diazepam.
Content: Awareness: definition of epilepsy - prevalence
- classification of seizures - principles of managing seizures - impact
of epilepsy on lifestyle - differences between status epilepticus and
serial seizures
Diazepam: organisational policies -
epilepsy care plans and risk assessment - procedures
for rectal tube insertion (includes practice on a model) - potential
difficulties - legal and ethical considerations - local and national
resources for the support of people with epilepsy
Length: 7 hours
Participants: Maximum 12
Fees: Group £610 (12); Individual £70
EPILEPSY AWARENESS/DRTA - REFRESHER TRAINING
Update course for staff who have previously received full training
(Lothian Health Standards: annual updating required).
Content: recap of previous learning on epilepsy -
organisational policies - epilepsy care plans
and risk assessment - course participants’ experiences of managing
epilepsy - demonstration and practice of administration of rectal
diazepam (includes practice on a model) - information on new
developments in the management of epilepsy
Length: 4 hours
Participants: Maximum 12
Fees: Group £367.50 (12); Individual £50
Diazepam Rectal Tube
administration
Stand alone training for social care staff who can evidence
appropriate epilepsy awareness training within the last 12 months.
Content: organisational policies - epilepsy care plans and risk assessment - demonstration and practice of administration of rectal diazepam (includes practice on a model) - legal and ethical considerations - local and national resources for the support of people with epilepsy
Length: 3 hours
Participants:
Maximum 12
Fees:
Group
£350 (12); Individual £47.50
CURRENT TRENDS IN EPILEPSY
Designed for experienced, qualified nursing staff and professionals
allied to medicine. It is particularly appropriate for senior
carers with responsibility for supporting staff working with clients
with epilepsy.
Content: topics selected according to participant requirements from
the following: what is epilepsy? - differential diagnosis -
psychosocial impact - available treatments - concerns regarding effects
and side effects of medication - recording and observation - dangers -
first aid and appropriate intervention - education - risk taking and
risk assessment - drta - specialist services and the role of the
epilepsy specialist nurse
Length: 6 hours
Participants: Maximum 15
Fees: £57.50 p.p. (Open course offered subject to demand. Group fee:
p.o.a)
CONSULTANCY
Initial
advice by phone: no charge
Formal
advice: £47.50 per hour.
Please
note that John Foley's epilepsy related consultancy for TfC does not apply to
clients within his specialist nurse practice.
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