Regulation 2876 – Epilepsy/Seizure Disorder
Individualized Health Plans
Beginning July 1, 2023, such plans shall be updated by the school nurse before the beginning of each
school year. However, if there is a change in the student’s health status, the plan may be modified at
any time as directed by the student’s changed health issues.
Individualized Emergency Health Care Plan
An Individualized Emergency Health Care Plan is a document developed by a school nurse in
consultation with the student’s parent and health care providers. Such Plan will set out the procedural
guidelines that provide what to do in a particular emergency situation. The Plan will be signed by the
parent, school nurse or administrator in charge of the nurse.
Individualized Health Care Plan
This plan differs from the “Emergency Plan” only in that this plan describes the continuing care
provided to affected students. Individualized plans may include but will not be limited to the
following:
- Notice about the student’s condition for all school employees who interact with the student.
- Written orders from the student’s physician or advanced practice nurse describing the
epilepsy or seizure disorder care. - Symptoms of the epilepsy or seizure disorder and recommended care.
- Whether the student may participate in exercise, sports and any contraindications to exercise
or accommodation. - Accommodation for field trips, after-school activities, class parties, or other school-related
activities. - Information for school employees concerning recognition of and care for epilepsy and seizure
disorder. - First aid training, and directives about when to call for assistance, emergency and parent
contact information. - Medical and treatment issues that may affect the educational process of the student.
- The student’s ability to manage and the student’s level of understanding of their epilepsy or
seizure disorder. - How to maintain communication with the student, the student’s parents and health care team,
the school nurse or the administrator in absence of the nurse.
School Nurse Responsibilities
The school nurse or the administrator in absence of the school nurse will coordinate the provision of
epilepsy and seizure care at school. The school nurse will also ensure that all school employees are
trained every two (2) years in the care of students with epilepsy and seizure disorders. The school nurse shall obtain a release from the student’s parents to authorize the sharing of medical information
between the student’s physician or advanced practice nurse and other health care providers. The
release will include sharing this information with other school employees as necessary.
Staff Training
All school employees including employees working with school-sponsored programs outside of the
regular school day will be trained every two (2) years in the care of students with epilepsy and
seizure disorders. Such training will include an on-line or in-person course of instruction approved
by the Department of Health and Senior Services that is provided by a reputable, local, Missouri based
health care or non-profit organization that supports the welfare of individuals with epilepsy
and seizure disorders.
Immunity from Liability
School employees including but not limited to the school nurse, bus drivers, bus driver aides and any
officer or agent of a school will not be liable for any good faith acts or omissions consistent with the
provisions of this Regulation. School nurses will also be protected from the State Board of Nursing
for any action taken by a school employee trained in good faith by the school nurse. Good faith does
not include willful misconduct, gross negligence, or recklessness.