Buccal (oromucosal) midazolam is widely recognised as a first-line emergency seizure rescue medication for prolonged convulsive seizures in community settings and plays a vital role in reducing the risks associated with prolonged seizures and status epilepticus, in line with NICE Guideline NG217 – Epilepsies in children, young people, and adults.
At Guardian Angels Training, we provide a Level 4 Award in Buccal Midazolam Train the Trainer Course that helps experienced healthcare and health and social care professionals to develop the knowledge, teaching skills, and governance understanding required to safely deliver epilepsy and emergency seizure rescue medication (Buccal Midazolam) training within their own organisations.
Our programme reflects the latest 2026 Epilepsy Specialist Nurses Association (ESNA) Best Practice Guidelines for emergency seizure medication training, including the new standards relating to:
Whenever new guidance or legislation is released, we always update our courses to accommodate it. This means that none of our training courses become outdated, and always contain the latest information and relevant resources; this is especially true for our Train the Trainer courses, which need to be on the cutting edge of the industry to provide the most value.
Buccal midazolam is administered into the buccal cavity (between the cheek and gum) during prolonged or cluster seizures. Although the technique itself appears straightforward, safe administration requires a wider understanding of:
The latest ESNA guidelines emphasise that safe administration depends not only on medication access but also on robust training, competent carers, reflective practice and effective clinical oversight.
Our instructor programme therefore goes beyond “how to administer midazolam” and focuses on how to safely teach others in line with current UK best practice, including the recommendations within NICE Guideline NG217 – Epilepsies in children, young people and adults and the updated ESNA Best Practice Guidelines.
Our Buccal Midazolam Instructor Programme typically includes:
Unit 3 – Administration of Buccal Oromuscosal Midazolam
Our programme has been reviewed to ensure it exceeds the new 2026 ESNA standards, including recommendations relating to:
Our trainer programmes introduces stronger emphasis on:
We believe that these factors are overlooked by similar training courses, so give plenty of time to ensure that our course not only follows the latest guidance, but also provides optimal value for all delegates.
You can read the latest guidance here:
We offer flexible delivery options but typical delivery includes:
We can tailor our course to suit your organisation’s needs. For example, if you intend to train care professionals, we can provide relevant resources and case studies for that application.
All practical elements include supervised demonstration and competency assessment, aligning with current ESNA and NICE epilepsy guidance.
To successfully complete the course, delegates will typically be required to:
This supports the competency and governance expectations outlined within the latest ESNA standards.
This course is recommended for:
Because of the program’s specialised nature, applicants must have:
Optional accredited teaching qualifications are also available:
At Guardian Angels Training, experienced healthcare professionals with recognised post-graduate teaching and assessing qualifications deliver all training. Our epilepsy and emergency seizure rescue medication programmes are widely delivered across:
What sets us apart is our focus on:
We provide group training courses at a time/day that’s easiest for you, as we understand the busy schedules of you and your team. To make things even easier, we can visit your site to conduct the training there.
Get in touch today for more info.
This training course is a specialist Train the Trainer course which qualifies the delegate to teach a range of Infection Prevention and Control training courses to health and social care workers.
This course is meticulously crafted to equip participants with the comprehensive knowledge and skills needed to evaluate and assess the administration of Buccal (Oromucosal) Midazolam for the management of acute prolonged and repetitive seizures.
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