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Rectal Diazepam

Guidelines for the Administration of Rectal Diazepam. Rectal Diazepam is a treatment for convulsions, and it is administered via the rectum.

The prescription and consent form should reflect the specific requirements of each case and advice should be sought from specialist nurses/Consultant/GP.

Rectal Diazepam can only be administered by a member of the school/setting staff who has volunteered and has been designated as appropriate by the head teacher/setting lead or manager and who has been assessed as competent by the named school nurse. The school nurse/appropriate health professional will provide training of designated staff and the head teacher/setting lead or manager will keep a record of the training undertaken. Training will be updated at least once a year.

See local guidance on Developing Personal Care in Schools, Nov 2016.

  1. Rectal Diazepam 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 pupil’s records.
  2. The prescription sheet should be renewed yearly. The school nurse/health visitor will check with the parent/carer that the dose remains the same.
  3. The Consent Form and prescription sheet and Care Plan must be available each time the Rectal Diazepam is administered; if practical it should be kept with the Rectal Diazepam.
  4. Only designated staff who have received training from an appropriate medical profession can administer Rectal Diazepam. A list of appropriately trained staff will be kept.
  5. The Consent Form, the prescription sheet and Care Plan must always be checked before the Rectal Diazepam is administered.
  6. It is recommended that the administration be witnessed by a second adult.
  7. The child should not be left alone until fully conscious.
  8. Consideration should be given to the pupil’s privacy and dignity.
  9. The amount of Rectal Diazepam that is administered must be recorded on the pupil’s Rectal Diazepam Record Card. The record card must be signed with a full signature of the person who has administered the Rectal Diazepam, dated and parents/carers informed if the dose has been given in an emergency situation.
  10. Each dose of Rectal Diazepam must be labelled with the individual child’s name and stored in a locked cupboard. The keys should be readily available to all designated staff.
  11. Staff must check expiry dates of Rectal Diazepam each term. In special schools the school nurse / doctor may carry out this responsibility. The parent/carer should replace medication when requested by school/setting or health staff.
  12. All staff who are designated to administer Rectal Diazepam should have access to a list of pupils who may require emergency Rectal Diazepam. The list should be updated at least yearly, and amended at other times as necessary.