CG: Neurological / Neurovascular Nursing
CG-02: Seizures
No.
Competency Item
NAC
DEV
COM
DTE
EXC
Demonstrate knowledge and ability to protect client from injury during seizure:
CG-02-01
removal of obstacles from immediate surroundings
CG-02-02
maintain open airway
CG-02-03
protect from injury
CG-02-04
remain with client
CG-02-05
call for assistance
CG-02-06
use appropriate measures to protect self.
Demonstrate knowledge and ability to assess seizure activity:
CG-02-07
time and duration of the seizure
CG-02-08
character of movements
CG-02-09
observe for level of consciousness and physical changes
CG-02-10
identify factors which precipitated the seizure
CG-02-11
observe for Medical Alert bracelet.
Demonstrate knowledge and ability to provide care following seizure:
CG-02-12
turn client on side to ensure airway patency
CG-02-13
suction client as required
CG-02-14
monitor vital signs and level of consciousness
CG-02-15
note any injury sustained during seizure
CG-02-16
note presence of lethargy, confusion, headache, speech impairment, muscle soreness
CG-02-17
provide hygienic measures.
CG-02-18
Demonstrate ability to report and document the event, client status, and nursing interventions according to protocol. e