Epilepsy and Buccal Midazolam Administration training
This annual refresher covers how we support residents with epilepsy at the care setting, including recognising seizures, keeping people safe during episodes, and the knowledge requirements for buccal midazolam administration. This training covers the knowledge component only. Practical competency assessment must be completed separately before you can administer buccal midazolam in real situations.

What This Training Covers
A clear, practical grounding in epilepsy and buccal midazolam administration.
This annual refresher covers how we support residents with epilepsy at the care setting, including recognising seizures, keeping people safe during episodes, and the knowledge requirements for buccal midazolam administration. This training covers the knowledge component only. Practical competency assessment must be completed separately before you can administer buccal midazolam in real situations.
Learning Outcomes
By the end, your staff will be able to:
What Your Team Will Learn
A closer look at the epilepsy and buccal midazolam administration module.
The module is built in short, practical sections. Each one teaches a part of the topic, then applies it to a real care scenario and checks understanding before moving on.
Understanding Epilepsy and How It Affects Our Residents
Epilepsy is a neurological condition where nerve cells in the brain sometimes communicate abnormally. This causes seizures, which can look very different depending on which part of the brain is affected. Some residents may have convulsions and lose consciousness. Others may have brief episodes where they stare blankly, make unusual movements, or experience strange sensations. Most residents with epilepsy control their condition with daily medication. the care setting recognises that epilepsy affects each person differently in terms of how often seizures happen, how long they last, and what triggers them.

Person Centred Care and Resident Control
the care setting's policy states that residents with epilepsy must be treated with dignity and respect in a person centred way. Many residents have lived with epilepsy for years and know how to manage their condition, recognise their triggers, and keep themselves safe. We must always seek their consent over any aspect of care and treatment. Residents should retain control over managing their epilepsy wherever this is clinically safe, including taking their own medication if they are able. We support residents to live as independently as possible while managing risks appropriately.

Recognising Triggers and Managing Risks
Seizures can be triggered by different things. Common triggers include flashing lights, lack of sleep, stress, missed medication, alcohol, and illness. Each resident may have their own specific triggers. the care setting assesses the risks of residents coming to harm from their epilepsy, considering their environment, lifestyle, and the nature of their condition. We apply risk control measures based on these assessments. This might include using protective aids, adjusting the environment, ensuring the person carries epilepsy information cards, and supporting good sleep and medication routines. All risk assessments and control measures are recorded in the care plan.

What to Do During a Seizure
If a resident has a seizure, the care setting's policy requires you to follow specific steps to keep them safe. Move the person away from anything that could cause injury. Cushion their head with something soft like a pillow or folded clothing. Loosen any tight clothing around their neck to help them breathe. Do not try to restrict their movements during the seizure. When the seizure stops, turn them on their side into the recovery position. Stay with them and talk to them calmly while they recover. Time the seizure. Most seizures last less than five minutes and the person recovers without needing emergency medical help.

When to Get Emergency Medical Help
Most seizures stop by themselves within five minutes and the person recovers. However, you must get emergency medical help in certain situations. Call for medical help if the seizure lasts longer than five minutes, if the person does not recover in the expected time, if there is an escalation of symptoms, if they have a second seizure without recovering from the first, or if the person has sustained an injury during the seizure. For some residents, their care plan will specify when emergency medication such as buccal midazolam should be given and when to call 999. Always follow the individual care plan instructions.

Buccal Midazolam: Knowledge Requirements
Buccal midazolam is an emergency medication used to stop prolonged seizures. It is given into the side of the mouth between the gum and cheek where it is absorbed quickly. It must only be given when prescribed for a specific resident and only by staff who have completed both knowledge training and practical competency assessment. This training module covers the knowledge component only. You are not competent to administer buccal midazolam until you have also completed practical observed assessment in real life. The medication works by calming the abnormal electrical activity in the brain. Each resident who may need it will have clear instructions in their care plan about when to give it, the exact dose, and what to do afterwards.

Key Points Covered
The things your team must remember.
- Epilepsy affects each resident differently. Seizures can range from brief staring episodes to convulsions with loss of consciousness.
- During a seizure, move objects away, cushion the head, loosen tight clothing, do not restrict movements, turn them on their side when it stops, and stay with them.
- Get emergency medical help if a seizure lasts longer than five minutes, the person does not recover as expected, or they are injured.
- Residents should retain control over managing their epilepsy wherever safe. Always seek consent and follow person centred care principles.
- This training covers knowledge only. You must complete practical competency assessment before administering buccal midazolam in real situations.
Who and how often
Epilepsy and Buccal Midazolam Administration is refreshed every year, for the staff in your care setting whose roles require it. It includes a practical sign-off.
CQC and standards
Supports the training evidence CQC expects to see for a well-run, safe care setting.
How CareStream Delivers It
Not a slideshow once a year. Training that sticks.
CareStream delivers epilepsy and buccal midazolam administration training in the hub your team already uses, grounded in best practice and your own policies, so it fits your care setting and not a generic template.
Teach, then assess
Short teaching sections and a real care scenario, then an assessment that checks understanding.
In any language
Staff complete it in over 60 languages, while your records stay in English.
Learn and retry
A wrong answer triggers a short follow-up lesson and a fresh question, so the gap is closed.
Renewals handled
Automatic reminders at 90, 30 and 7 days, with a live compliance dashboard.
FAQs
Frequently asked questions.
Give your team epilepsy and buccal midazolam administration training that actually sticks.
See how CareStream delivers your mandatory training in the hub, in any language.
