Guardian Angels as one of the national leading providers of epilepsy and buccal midazolam training has designed, developed and accredited the only nationally regulated qualification in Epilepsy and Buccal Midazolam.

The Level 3 Award in Epilepsy and Buccal Midazolam RQF, which is regulated by Ofqual, is the most comprehensive recognised qualification in epilepsy, seizure first aid and buccal midazolam.

The qualification contains 3 mandatory units to ensure health and social care professionals have the necessary knowledge, understanding and skills to safely care and support individuals having a prolonged or cluster seizure and to safely and confidently administer Buccal Midazolam in line with the individuals seizure management plan and UK best practices. 


6 hours


Unit 1 - Understand Epilepsy:

  • Myths and facts of epilepsy
  • Definition of epilepsy
  • Differences between seizures and convulsions
  • Causes of epilepsy
  • Triggers of seizures
  • Seizure classification (ILAE)
  • Diagnosis and management of epilepsy
  • Sudden unexpected deaths in epilepsy (SUDEP) - risk and protective factors
  • Case discussions relevant to the individuals being supported including epilepsy and children / brain injuries / learning disabilities

Unit 2 - Understand Epilepsy Seizure First Aid:

  • Differences between the types of seizures (prolonged, repeated etc.)
  • Status epilepticus
  • What to do and not do
  • Recovery position
  • When to call for an Ambulance

Unit 3 - Demonstrate Simulated Administration of Buccal Midazolam to individuals with epilepsy

  • NICE Guidelines on managing prolonged and repeated seizures in the community
  • Rescue medication and the types available
  • Buccal midazolam, the preparations and dosages available in the UK
  • Risks (adverse reactions and side effects) and benefits (efficacy, speed, safe, ease of use, dignity)
  • Safe administration
  • Monitoring, aftercare and recovery
  • Ineffective and repeat dosages
  • Storage and record keeping
  • Individualised seizure management protocols
  • Practical simulation

All our Epilepsy training courses comply with the Epilepsy Nurses Association (ESNA) training guidelines and standards for rescue medication administration.


Our Buccal Midazolam and Rescue Medication Administration course is open to practising healthcare professionals and support workers. It has been designed to help those looking after people with epilepsy who have prolonged or cluster seizures, to provide the best quality care. 

Our course helps to ensure those who attend have the necessary skills to safely administer rescue medication, whether this be at home, within a care home setting or a hospital.

Please note, that the course is not open to individuals. We operate on an organisational basis, providing training to groups of employees from a specific place of work. 

We operate in this way so that we can offer course content and training that is fully bespoke to the needs of your employees, patients / service users as well as in line with local policies and procedures on the management of prolonged and clustered seizures in epilepsy. 


If you require advice on which epilepsy course option will meet the unique individual and service requirements of your organisation, get in touch with a member of our expert team. They will be able to talk through your options with you and provide specialist recommendations. 

We will also provide the necessary competency proformas required to ensure safe and evidenced-based clinical practice following completion of our training courses. This will then allow the Registered Provider to ensure mandatory competency assessments are completed within the workplace by a nominated mentor/supervisor.

If you need further advice regarding competency assessments or if you would like our Registered Nurse Trainers to provide onsite competency assessments, then please do not hesitate to contact us.

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