GA Level 4 Award in Epilepsy and Buccal Midazolam Instructor Programme (EBMI) - Epilepsy and Buccal Midazolam Train-the-Trainer

Develop the specialist knowledge, practical competence and teaching skills required to deliver safe, engaging and properly assessed epilepsy and buccal midazolam training.

The GA Level 4 Award in Epilepsy and Buccal (Oromucosal) Midazolam Instruction, also known as the EBMI Instructor Programme or Epilepsy and Buccal Midazolam Train-the-Trainer , combines preparatory e-learning, live virtual tuition, independent study, portfolio assessment and supported face-to-face teaching practice.

This is not an attendance-only train-the-trainer course. Candidates must demonstrate accurate subject knowledge, safe practical skills, effective teaching practice and the ability to make appropriate assessment decisions.

Course level: Level 4
Number of units: Four
Total Qualification Time: 80 hours
Delivery: Supported blended learning
Assessment: Portfolio, knowledge assessment, practical demonstration and observed training delivery
Trainer revalidation: Every two years, supported by continuing professional development and quality assurance

Due to the nature of the programme, applicants and organisations need to apply rather than directly book, therefore, to enquire about the EBMI Instructor Programme email hello@guardianangelstraining.co.uk.

Overview:

Buccal Midazolam
Buccal midazolam is an emergency seizure medicine that may be prescribed for certain prolonged or cluster seizures. Safe administration depends on staff being able to recognise the person’s seizure presentation, follow their individual emergency care plan, administer the prescribed medicine correctly, monitor their response and escalate appropriately.

NICE Guideline NG217
NICE guideline NG217 identifies buccal midazolam as a first-line benzodiazepine option for prolonged convulsive seizures in community settings when an individualised emergency management plan is not immediately available.

ESNA 2026 Best Practice Guidelines
The 2026 Epilepsy Specialist Nurses Association best-practice guidelines strengthen expectations concerning trainer competence, practical skills assessment, clinical oversight, quality assurance, continuing professional development and two-yearly revalidation.

Our EBMI Programme
The EBMI Instructor Programme has been designed around these contemporary clinical, educational and governance expectations. It prepares suitable candidates to:

  • Explain epilepsy, seizures and seizure risk accurately.
  • Teach evidence-informed seizure first aid.
  • Demonstrate the simulated administration of buccal midazolam.
  • Use individual emergency care plans within training.
  • Plan and deliver inclusive, learner-centred education.
  • Assess learners’ knowledge and practical skills.
  • Provide constructive feedback and maintain appropriate records.
  • Recognise the difference between training, workplace competence and employer authorisation.
  • Work within an agreed delivery scope, professional boundaries and clinical governance arrangements.
Four Part Programme
The programme comprises four mandatory units:

Epilepsy, covering causes, diagnosis, seizure classification and recognition, treatment, care planning, risk reduction, SUDEP, dignity and recording;

Seizure First Aid, including prolonged and cluster seizures, status epilepticus, safe first aid, timing, recovery, emergency escalation, care plans, SBAR and reporting;

Buccal (Oromucosal) Midazolam, covering its purpose, Schedule 3 status, licensed pre-filled preparations, prescribed doses, safe simulated administration, monitoring, adverse effects, escalation, storage, recording and disposal; and

Teaching and Learning, developing the skills to plan inclusive training, teach practical content, assess knowledge and competence, provide feedback, maintain records and work within approved governance arrangements.

Course Delivery: 

The programme uses a supported blended-learning model, combining preparatory e-learning followed by four live virtual workshops covering teaching skills, epilepsy awareness and seizure recognition, seizure first aid, and buccal (oromucosal) midazolam. The interactive workshops include tutor-led discussion, clinical scenarios, demonstrations, questioning and preparation for assessment.

Candidates then complete independent study and a portfolio of evidence across all four units, demonstrating how they will plan, deliver and assess safe, inclusive and clinically accurate training. This learning is applied during face-to-face co-delivery study sessions, when each candidate helps deliver an epilepsy and buccal midazolam course to members of their organisation’s workforce.

A Guardian Angels Training Practice Development Educator observes and assesses subject knowledge, practical demonstration, learner engagement, questioning, assessment practice, feedback and professional conduct.

All mandatory learning, attendance and assessment requirements must be completed successfully, with the portfolio assessed, quality assured and moderated, before certification is issued.

Entry and eligibility requirements

Applicants must normally be able to demonstrate:

  • Relevant professional experience.
  • Experience of supporting people with epilepsy.
  • Basic life support and medication competence.
  • Suitable teaching experience or an appropriate teaching qualification.

Every application is reviewed individually before a place is confirmed.

Target Audience:

The Level 4 Epilepsy and Buccal Midazolam Train-the-Trainer course is intended for experienced professionals who will have responsibility for delivering and assessing epilepsy and emergency seizure medication training.

It may be suitable for:

  • Registered nurses, doctors and other eligible healthcare professionals.
  • Epilepsy, neurology and learning-disability practitioners.
  • Clinical educators and practice development professionals.
  • Medication leads and workforce-development staff.
  • Experienced organisational trainers.
  • Experienced care or support professionals being developed as internal trainers.


Eligible healthcare trainers seeking approval to deliver training across organisations.
NHS services, care providers, supported-living services, hospices, education providers and specialist community services developing internal training capacity.

This programme is not intended for inexperienced staff who only need to administer buccal midazolam. These staff require appropriate epilepsy and medication-administration training, practical assessment and employer authorisation.

Guardian Angels Training also offers the Level 3 Award in Epilepsy and Buccal Midazolam RQF for staff and medication administrators.
Upon completion

Candidates who successfully complete all learning and assessment requirements will receive the:

  • GA Level 4 Award in Epilepsy and Buccal (Oromucosal) Midazolam Instruction

Successful candidates will also receive:

  1. Confirmation of their approved training-delivery scope.
  2. Licensed electronic teaching and assessment resources for the approved period.
  3. Guidance on training records, assessment and quality assurance.
  4. Ongoing support and monitoring from a Guardian Angels Training Practice Development Educator.
  5. Information about continuing professional development and two-yearly trainer revalidation.
Why choose Guardian Angels Training?

Guardian Angels Training provides a structured instructor-development programme rather than a short attendance-based train-the-trainer course.

Candidates benefit from:

  • Support from experienced healthcare educators.
  • Assessment by Registered Nurse Educators.
  • Directly observed teaching practice.
  • Practical, knowledge and teaching assessment.
  • Individual feedback and portfolio support.
  • Current clinical and educational resources.
  • Continuing quality assurance and revalidation.


A programme informed by NICE guidance and the 2026 ESNA best-practice standards.

Guardian Angels Training holds the Skills for Health Quality Mark and is a Skills for Care Quality Assured Learning Service.

Our aim is to develop trainers who can teach clearly, assess fairly and support safe, person-centred epilepsy care while working within their competence and professional boundaries.
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