Care Of The Child Requiring Buccal Midazolam For Prolonged Siezures
Workbook For Carers
C/YPs Name
Carers Name
Job Title
Employer
Line Manager
Date
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Section 1
C/YP Specific Information

Why does he/she have a prescription for Buccal Midazolam?
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Where is his/her Buccal Midazolam stored?
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What types of seizures does this child have? Where can you find this information?

When will you give him/her Buccal Midazolam? Where can you find this information?
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How much will you give him/her? Where can you find this information?
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What action will you take when he/she is having a seizure?
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What action will you take after he/she has had a seizure?
Section 2
Generic Questions

What is epilepsy?
Electrical activity is happening in the brain all the time
A seizure happens when there is a sudden burst of intense electrical activity
This intense electrical activity causes a temporary disruption to the way the brain normally works, meaning that the brain’s
messages become mixed up
The result is an epileptic seizure.

Name some different types of seizures.
Partial: 2 types
Simple partial seizure, fully conscious throughout
Complex partial seizure, loose sense of awareness and cannot remember what happened after the seizure has passed
Generalised: 6 types
Absences
Myoclonic jerks
Clonic
Atonic
Tonic
Tonic clonic
Usually unconscious
throughout

Why do you need to know about Buccal Midazolam?
Managing prolonged siezures

List the side effects of Buccal Midazolam?
Severe drowsiness
Loss of short term memory
Hallucinations (rare)
Shallow/stopping breathing

What are the benefits of using Buccal Midazolam?
Easily administered in a wheel chair
It does not need to be swallowed
Excreted in the body faster than when administered rectally
20% less likely to cause respiratory complications

Buccal Midazolam is a prescribed drug. When preparing a prescribed medication, what checks do you need to
make?
Right child
Right dose
Right time

Right medicine
Right route
Right strength
In addition to a prescription, what other information resource will you require when administering Buccal
Midazolam?
Child specific care plan/emergency protocol
Training

What information should be included within child specific care plan/emergency protocol?
Childs details
Parent/carers contact details
Information about child’s seizure pattern
What is considered an emergency
How much and when to administer
Seizure triggers

Where is the child specific care plan/emergency protocol kept?
Child’s notes
In emergency box with emergency medication

How long does it take for Buccal Midazolam to work?
5mins
10mins
5- 10mins

Starts to control seizure
80% of seizures will have started to end
Peak action
What will you need to observe for following the administration of Buccal Midazolam?
Seizure activity
Breathing

Time
What action will you take following the administration of Buccal Midazolam?
Documentation
Disposal of equipment
Communication
Recovery position
Questionnaire assessed by
……………………………………………………………………………………………………………………..Assessor Print Name
I certify I am currently registered with the NMC
………………………………………………………………………………………………………………...Assessor Sign and Date
Review Date……………………………………………………………………………………………………………………………….
NB: Your response to the questions in this document are used to assist in the assessment of your competency to
undertake the particular procedures detailed in the accompanying competency document, and satisfactory
completion of this document is only part of the overall competency assessment.
You may NOT administer Buccal Midazolam care for a child until the competency document has been signed off by
your assessor and yourself.