ICNC Abstracts, ICNC 2018

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An Exploration of Prescribing Practice and Parental Use of Emergency Rescue Medication to Prevent Status Epilepticus in Children
Celia Brand, Ailsa McLellan

Last modified: 2018-09-09

Abstract


Introduction - A review of current clinical practice around the prescribing of emergency medications(EM) for prolonged seizures and whether parents, who have been trained, give and use it correctly.

Method - Data was collected prospectively for 6 months from a nurse led clinic in a paediatric tertiary care centre in South East Scotland. Using an audit questionnaire each patient attending the clinic had their EM prescription reviewed and assessed against the in-house EM prescribing pathway. Families were asked if they had used EM and were assessed on demontrating administration techniques.

Results - 49 patients were prescribed EM for prolonged seizures. 47(96%) patients were admitted to hospital for prolonged seizures prior to prescription of EM and only 23(47%) patients were admitted following prescription of EM. 48(98%) patients had been prescribed EM appropriately for prolonged seizures with 1 innapropriately prescribed and only 34(71%) had careplans completed. All parents had been taught administration technique, only 39(79%)were able to demonstrate the correct technique to deliver the child's prescribed EM. 29(59%) parents reported using it when required, where they would have otherwise called an ambulance, with 4 choosing not to use it and 16 unknown as it had not yet been required.

Conclusion - Emergency medication for prolonged seizures is generally prescribed appropriately, reduces the number of calls for an ambulance but not all parents can correctly demonstrate the technique of administering emergency medication.

 

 


Keywords


PROLONGED SEIZURES

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