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IEP goals for seizure safety

By the IEP Atlas editorial teamLast updated

Short answer

Seizure IEP goals cover what the student can learn to do within their seizure action plan: telling an adult at a warning sign, moving to a safe spot, following the after-seizure routine the plan sets, logging events with family and explaining their needs. The plan from the health care provider, family and school nurse sets every medical step; the goal measures the student's own part.

A student with epilepsy or a seizure disorder should have a seizure action plan from their health care provider and family, carried out by the school nurse and trained staff.[4] The plan describes the student's seizure types, what staff do during and after a seizure, when to call for emergency help and any rescue medicine. None of that belongs in an IEP goal, and teachers should never change it.

IEP goals come in when the student can learn part of their own safety. Some students feel an aura and can learn to tell an adult and sit down. Others can learn the recovery routine their plan describes, keep a log with family or explain their condition to a coach. Classmates can learn when to get an adult. This page gives 24 goals with illustrative baselines, all written to sit inside the plan. The life skills IEP goals pillar covers the other health goals.

Before writing a goal

  • Read the current seizure action plan with the nurse. Use its exact words for warning signs and student steps.
  • Ask the family and student (when appropriate) what the student notices before and after seizures.
  • Decide who records data. The nurse usually logs seizures; the teacher may record practice and reporting.
  • Practice uses scenarios and role-play only, planned with the nurse.

School health services and school nurse services are related services when a student needs them to benefit from special education.[1] Some students with seizure disorders have a 504 plan rather than an IEP; see IEP vs 504. Many qualify for special education under other health impairment when the condition affects learning.

Choosing a seizure goal

Student profileSub-skillMeasureData sheet
Has warning signs (aura) and does not tell anyoneKnowing and reporting warning signsReports out of practice scenarios or real eventsOpportunity data sheet
Tells, but stays standing or keeps movingMoving to a safe spotSteps independentTask analysis data sheet
Confused or upset after seizuresAfter-seizure routineRoutine steps independentTask analysis data sheet
Plan includes daily safety habitsLogs and daily habitsEntries or checks out of plannedOpportunity data sheet
Older student, or a peerSelf-advocacy and classmate awarenessRubric score or correct choicesRubric scoring data sheet

Knowing and reporting warning signs

GoalBaseline (illustrative)MeasureTemplate
1. When the student feels a warning sign listed in their plan, the student will tell the nearest adult or press their alert button within 30 seconds on 5 of 5 practice scenarios and every real event.Does not tellOpportunitiesTemplate
2. Given 8 scenario cards, the student will pick the feelings their plan lists as warning signs with 8 of 8 correct on 3 probes.3 of 8AccuracyTemplate
3. Using a picture card or AAC page, the student will show "I feel a seizure coming" on 5 of 5 practice trials.No way to reportOpportunitiesTemplate
4. When a substitute or new adult is in the room, the student will tell or show their seizure card at the start of the period on 4 of 4 opportunities.Does not tellOpportunitiesTemplate
5. When the student feels unwell in a way not on the plan, the student will ask to see the nurse on 4 of 4 occasions.Lays head downOpportunitiesTemplate

Weak: "The student will recognize seizure warning signs."

Measurable: "When the student feels a warning sign listed in their plan, the student will tell the nearest adult or press their alert button within 30 seconds on 5 of 5 practice scenarios, measured on an opportunity data sheet."

Moving to a safe spot

GoalBaseline (illustrative)MeasureTemplate
6. After reporting a warning sign, the student will sit or lie down in the safe spot named in the plan (floor mat, bean bag) within 30 seconds, 3 of 3 steps, on 5 of 5 practice drills.Stays standingTask analysisTemplate
7. During practice in the hallway, cafeteria or gym, the student will move away from stairs, tables or equipment to an open area before sitting on 4 of 4 drills in each setting.Sits where standingTask analysisTemplate
8. When the student feels a warning sign while carrying something hot or sharp, the student will put it down first, then sit, on 4 of 4 practice drills.Keeps holding itemsTask analysisTemplate
9. In PE or on the playground, the student will step off equipment and signal the adult at a warning sign on 4 of 4 drills.Stays on equipmentOpportunitiesTemplate

Weak: "The student will get to safety before a seizure."

Measurable: "After reporting a warning sign, the student will sit or lie down in the safe spot named in the plan within 30 seconds, 3 of 3 steps, on 5 of 5 practice drills, measured by task analysis."

After-seizure routine

What happens after a seizure is set by the plan and staff. These goals cover the student's part once the nurse or trained staff say the student is ready.

GoalBaseline (illustrative)MeasureTemplate
10. After a seizure, when staff say it is time, the student will follow the recovery routine on their picture card (rest, then tell how they feel, as the plan describes), 2 of 2 steps, on 4 of 5 occasions.Needs full adult guidanceTask analysisTemplate
11. After rest, the student will rate how they feel on a 3-point scale for the nurse on 4 of 5 occasions.Does not answerOpportunitiesTemplate
12. When cleared by the nurse to return, the student will go back to class with a buddy and rejoin the activity, 4 of 4 steps, on 4 of 5 returns.Stays in the officeTask analysisTemplate
13. After a seizure day, the student will use a catch-up checklist to get missed work from the teacher on 3 of 3 occasions.Does not askTask analysisTemplate

Weak: "The student will recover from seizures."

Measurable: "After a seizure, when staff say it is time, the student will follow the recovery routine on their picture card, 2 of 2 steps, on 4 of 5 occasions, measured by task analysis."

Logs and daily safety habits

Use only the habits the student's plan or provider has named.

GoalBaseline (illustrative)MeasureTemplate
14. Each morning, the student will record bedtime and wake time in a sleep log on 4 of 5 school days.0 of 5OpportunitiesTemplate
15. With family, the student will add each seizure to a shared tracker with date, time and what they felt, on 4 of 5 events.Family logs allOpportunitiesTemplate
16. When the plan says to wear a helmet for a named activity, the student will put it on and fasten it before starting on 5 of 5 opportunities.2 of 5Task analysisTemplate
17. At a pool, the student will follow the water rules in their plan (for example, swim only with a named adult close by) on 3 of 3 visits.Swims away from adultIntervalTemplate
18. When a medicine time comes up at school, the student will go to the nurse as the plan states on 10 of 10 doses.6 of 10OpportunitiesTemplate
19. The student will carry a medical ID or seizure card and show it when asked on 5 of 5 checks.Not carriedOpportunitiesTemplate

Medication routines are covered on the medication goals page.

Weak: "The student will follow seizure precautions."

Measurable: "When the plan says to wear a helmet for a named activity, the student will put it on and fasten it before starting on 5 of 5 opportunities, measured by task analysis."

Self-advocacy and classmate awareness

GoalBaseline (illustrative)MeasureTemplate
20. The student will explain their seizure type, warning signs and what helps to a new teacher or coach, scored on a 3-point rubric, averaging 2.5 or higher on 3 probes.Average 1.0RubricTemplate
21. Before a job placement or club, the student will tell the supervisor or advisor the 3 facts on their seizure card on 2 of 2 new placements.Has never toldOpportunitiesTemplate
22. When asked about driving, sports or other limits, the student will say who decides (their doctor) and where to find their plan on 3 of 3 probes.UnsureAccuracyTemplate
23. For a classmate: given 8 picture cards of actions during a seizure, the student will choose the safe ones from the school's plan (get an adult, move objects away, stay calm) with 8 of 8 correct on 2 probes.4 of 8AccuracyTemplate
24. For a classmate: when a practice drill shows a peer having a seizure, the student will get the nearest adult and move chairs out of the way, as the school plan teaches, on 3 of 3 drills.Stands and watchesTask analysisTemplate

Goals 23 and 24 are written for a different student: one with an IEP who shares a classroom with a peer who has seizures, or who is learning workplace safety. They teach only what the school's training teaches students to do: get an adult and help keep the space clear. Adults handle everything else.

Weak: "The student will know seizure first aid."

Measurable: "When a practice drill shows a peer having a seizure, the student will get the nearest adult and move chairs out of the way, as the school plan teaches, on 3 of 3 drills, measured by task analysis."

How to measure seizure goals

Real seizures are unpredictable, so most data comes from practice drills and scenarios planned with the nurse. Record real events too, using the nurse's log. Use the opportunities method for reporting goals, task analysis for moving to safety and recovery routines, and rubric scoring for self-advocacy.

Run practice drills every 1 to 2 weeks in different rooms, then monthly once the criterion is met. Keep drills short and calm, and never simulate symptoms that could frighten the student or peers.

Adapting by age and support level

StudentFocusCriterion example
K-2Telling an adult, sitting down, picture card5 of 5 practice reports
Grades 3 to 5Safe spots in each room, recovery routine4 of 4 drills per setting
Middle schoolSubstitutes, PE, logs4 of 4 substitutes told
High school and transitionExplaining needs, work and clubs, adult careRubric average 2.5 on 3 probes

More templates are on the health self management goals and school nurse role pages. Related guides: reporting pain goals, what to do if lost goals and stranger safety goals. Check each draft in the goal checker.

The IEP describes how a student's condition affects participation in school and what the student needs.[2] Section 504 also requires schools to meet the needs of qualified students with disabilities.[3]

Frequently asked questions

Should seizure first aid be an IEP goal?

Seizure first aid is carried out by trained staff following the seizure action plan, not by the student. IEP goals cover what the student can learn, such as telling an adult at a warning sign, moving to a safe spot or explaining their needs.

How do you practice seizure safety without real seizures?

Use short, calm practice drills and scenario cards planned with the school nurse. Practice in different rooms. Record real events from the nurse's log too, but most progress data comes from drills.

Can a student with epilepsy qualify for an IEP?

Yes, if the condition affects learning and the student needs special education. Many qualify under other health impairment. Others have a 504 plan for health supports. The team decides from the evaluation.

Use it in IEP Atlas

Sources

  1. 34 CFR §300.34: Related services, Legal Information Institute, Cornell Law School
  2. 34 CFR §300.320: Definition of individualized education program, Legal Information Institute, Cornell Law School
  3. Parent and Educator Resource Guide to Section 504 in Public Elementary and Secondary Schools (2016), U.S. Department of Education, Office for Civil Rights
  4. Seizure Action Plans, Epilepsy Foundation

Written and checked by the IEP Atlas editorial team under our editorial policy. This guide describes general practice and federal rules. It is not legal advice; your state may add requirements, and the IEP team makes the decisions for each student.

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