Guidelines for the Administration of Buccal Midazolam. Buccal Midazolam is a treatment for convulsions, and it is administered orally
Buccal Midazolam can only be administered by a member of the staff who has volunteered and has been designated as appropriate by the head teacher/provider and who has been assessed as competent by the named school nurse. Training of designated staff will be provided by an appropriate medical professional and a record of the training undertaken will be kept by the head teacher/provider. Training will be updated at least once annually.
The prescription and consent form should reflect the specific requirements of each case and advice should be sought from specialist nurses/Consultant/GP.
- Buccal Midazolam can only be administered in accordance with an up-to-date written prescription sheet from a medical practitioner and the signed consent form. It is the responsibility of the parent/carer if the dose changes, to also obtain a new prescription sheet from the GP. The old prescription sheet should then be filed in the child’s records.
- The prescription sheet and Care Plan should be renewed yearly. The school nurse/health visitor will check with the parent/carer that the dose remains the same.
- The consent form, prescription sheet and Care Plan must be available each time the Buccal Midazolam is administered; if practical it should be kept with the Buccal Midazolam.
- Buccal Midazolam can only be administered by designated staff who have received training from an appropriate medical professional . A list of appropriately trained staff will be kept.
- The consent form, prescription sheet and Care Plan must always be checked before the Buccal Midazolam is administered.
- It is recommended that the administration is witnessed by a second adult.
- The child should not be left alone until fully conscious.
- The amount of Buccal Midazolam that is administered must be recorded on the child’s Buccal Midazolam record card. The record card must be signed with a full signature of the person who has administered the Buccal Midazolam, dated and parents/carers informed if the dose has been given in an emergency situation.
- Each dose of Buccal Midazolam must be labelled with the individual child’s name and stored in a locked cupboard, yet readily available. The keys should be readily available to all designated staff.
- School/setting staff must check expiry dates of Buccal Midazolam each term. In special schools the school nurse / doctor may carry out this responsibility. It should be replaced by the parent/carer at the request of school/setting or health staff.
- All staff who are designated to administer Buccal Midazolam should have access to a list of children who may require emergency Buccal Midazolam. The list should be updated at least yearly, and amended at other times as necessary.