Seizure Observation Checklist
Target Audience: Nursing Staff, Trained Designated Caregivers
Subtle seizures can be missed if they are not observed and documented in real time. This page provides a structured tool to help staff record their observations before, during, and after a suspected seizure. Clear documentation supports clinical review, care planning, and regulatory compliance.
What You’ll Find Here
The checklist guides staff through:
- Recording what was seen before, during, and after an event
- Noting awareness, behaviors, movements, and recovery signs
- Documenting notification and communication steps
How to Use This Page
- Download the PDF version for printing and official documentation.
- Review the online preview for reference and training purposes.
Key Considerations for Using the Detailed Observation Checklist:
- Purpose: This checklist is a structured observation tool designed to help staff accurately document suspected seizure activity. It is not diagnostic, but it supports clinical teams with detailed, factual information.
- Timeliness: Complete the checklist as soon as possible after observing an event. Delayed documentation increases the risk of missing critical details.
- Objectivity & Specificity: Record only what was directly observed. Avoid assumptions, labels, or interpretations. Describe behaviors, movements, and timing in clear, factual terms.
- Knowledge of Resident Baseline: Understanding the resident’s usual behavior and communication patterns is essential. Subtle changes are easier to recognize when baseline behavior is well known.
- Comprehensive Documentation: Include details of what occurred before, during, and after the event, as well as any unusual behavior or physical signs.
- Communication & Record Keeping: Submit the completed checklist to the charge nurse or clinical lead per facility protocol. It should be included as part of the resident’s official record.
About This Checklist
The Seizure Observation Checklist was developed to assist frontline caregivers in documenting subtle seizure activity in residents with dementia. It is based on current research into seizure patterns, risk factors, and recognition strategies specific to cognitive decline.
This tool is designed for clarity, ease of use, and alignment with clinical best practices. It captures the most critical observations, what happened before, during, and after a suspected event, while avoiding overly technical language.
For those interested in the research and source material behind this tool, you can review the evidence and development notes here.
Download the Checklist
Next Steps
- Use the checklist during training sessions to familiarize staff with observation categories and documentation practices.
- Print copies for quick access at nursing stations or during care activities.
- Encourage staff to review the SeizureSafe Hub modules on recognition and response to strengthen observation skills.
Related Resources
For further support and related information, please explore these additional resources on the SeizureSafe™ Hub: