HEARO Thermal Monitoring — Stark County DODD Contract #2558727
⚠ Required: This plan must be completed before HEARO monitoring begins for any individual with documented seizure history or post-seizure complication risk.
⚠ Thermal Is a Proxy for Seizure Monitoring
The HEARO system detects movement consequences of seizures (falls, thrashing, prolonged immobility) — not seizure electrical activity itself. This is a moderate confidence proxy for tonic-clonic seizures. It cannot detect absence seizures, focal seizures without significant motor involvement, or breathing changes during/after a seizure. The care team must understand and acknowledge these limitations.
What typically happens after a seizure (confusion, fatigue, aggression, wandering, sleep)?
3. Post-Seizure Risk Assessment
Risk Factor
Present?
Details / Mitigation
Aspiration risk
History of status epilepticus
Seizure-related fall / TBI history
Post-ictal wandering
Post-ictal aggression
Breathing difficulty post-seizure
SUDEP risk factors
4. Current Seizure Medications
Medication
Dose
Frequency
Notes
Rescue Medication
5. Response Protocol
During a Suspected Seizure
Note the time the seizure begins
Do NOT restrain the person
Clear the area of hazards
If possible, gently turn person on their side (recovery position)
Do NOT put anything in the person’s mouth
Stay with the person until fully alert
If rescue medication is prescribed, administer per protocol above
Call 911 Immediately If
Seizure lasts longer than 5 minutes (or per neurologist instructions: ___ minutes)
Person does not regain consciousness
Breathing difficulty or lips turning blue
Seizure occurs in water
Second seizure follows closely
Person is injured during the seizure
This is the person’s first known seizure
Airway Management (High-Acuity Participants)
Aspiration Risk Protocol: If this individual has documented aspiration risk, the following positioning steps are mandatory after any seizure event:
Place in recovery position (left lateral decubitus) immediately post-seizure
Suction available and staff trained on use: Yes / No
Monitor breathing rate and quality for minimum 15 minutes post-seizure
Do NOT give food or liquid until fully alert and swallow reflex confirmed
Document any vomiting, choking, or breathing changes
6. Emergency Contacts
Role
Name
Phone
Relationship / Notes
Primary on-site responder
Backup responder
Family / Guardian
Remote Support (if applicable)
Neurologist
7. HEARO Monitoring Configuration
Reminder: This system supports the people keeping your loved one safe — it does not replace them. Notifications go to awake, on-duty staff only. No existing supports are removed until the team has real data showing the system is reliable for this person. This is a gradual shift, not an overnight switch.
8. Team Acknowledgment
By signing below, all parties confirm they have reviewed this Seizure Action Plan, understand the capabilities and limitations of thermal monitoring as a seizure proxy, and agree to the response protocol described above.