 Assess for level of consciousness  Assess seizure activity  Length of time  Assess for incontinence (bladder/bowel)  Assess for post seizure behavior (LOC, memory loss, lethargy)

 Include time  Include focus of seizure  Identify change in respirations  Define progression of movement through body  Identify changes in neurological status  Describe post-ictal activity (duration, status, behavior)

 Gently lower the person down  Turn the head to the side and maintain patent airway  Have oxygen and suction available (when patient has a history of seizures!)  PLACE NOTHING IN THE MOUTH!

 Do not restrain the person  Safe environment  Loosen tight or restrictive clothing

 Saline lock may be necessary.  Bed: siderails should be UP lowest position  Padded siderail (agency protocol)  Cyanosis is generally self-limiting; no treatment is needed