3417 Catheterization
-
The board authorizes that qualified staff provide for clean, intermittent bladder catheterization (CIC) of students or assisted self-catheterization in conformance to rules adopted by the state board of nursing.
Catheterization is authorized under the following conditions:- A parent, legal guardian or other person having legal control over the student file a written, current and unexpired request that the district provide for the catheterization of the student;
- A licensed physician of the student file a written, current and unexpired request that catheterization of the student be provided for during the hours when school is in session or the hours when the student is under the supervision of school officials;
- A registered nurse provide written, current and unexpired instructions regarding catheterization which states which staff members are designated to provide for catheterization and a description of the nature and extent of any supervision that is required; and
- Any staff member who is authorized to provide for catheterization must receive training from a registered nurse consistent with the rules of the state board of nursing. Licensed practical nurses (LPNs) are trained to provide catheterization as part of their professional preparation and are not subject to this training requirement.
Employees (except licensed nurses) who have not previously agreed in writing to perform clean, intermittent bladder catheterization as a specific part of their job description may file a written letter of refusal to perform catheterization. The employee’s refusal may not serve as grounds for discharge, nonrenewal or any other action adversely affecting the employee’s contract status.
The district and its staff and the staff member who provides for catheterization in substantial compliance with this policy and the rules of the state board of nursing will not be liable in any criminal action or for civil damages arising from providing catheterization. The district may discontinue catheterization service for a student without being liable so long as the affected parents/guardians are given advance oral/written notice.
Cross References:
Board Policy 2161 Special Education and Related Services for Eligible Students
Legal References:
RCW 28A.210.255 Provision of health services in public and private schools – Employee job description
28A.210.280 Catheterization of public and private school students
28A.210.290 Catheterization of Public and Private School Students – Immunity from liability
WAC 246-840-820 Provision for clean, Intermittent catheterization in schools
Management Resources:
Policy & Legal News December 2003
Policy & Legal News June 2003
Policy & Legal News December 2014
ADOPTED: 09/24/1992
REVISED: 02/23/95; 6/25/02; 11/25/03; 2/26/04; 3/26/15
Procedure No. 3417P Catheterization- The State Department of Health has established the following rules:
1. The student's medical file shall contain a written request from the parent(s) or guardian for the clean, intermittent catheterization of the student.
2. The student's medical file shall contain written permission from the parent(s) or guardian for the performance of the clean, intermittent catheterization procedure by the nonlicensed school employee.
3. The student's medical file shall contain a current written order for clean, intermittent catheterization from the student's physician and shall include written instruction for the procedure. The order shall be reviewed and/or revised each school year.
4. The service shall be offered to all disabled students and may be offered to the nondisabled students, at the discretion of the school Board.
5. A licensed registered nurse shall develop instructions specific for the needs of the student. These shall be made available to the nonlicensed school employee and shall be updated each school year.
6. The supervision of the self-catheterizing student shall be based on the needs of the student and the skill of the nonlicensed school employee.
7. A licensed registered nurse, designated by the school Board, shall be responsible for the training of the nonlicensed school employees who are assigned to perform clean, intermittent catheterization of the students.
8. The training of the nonlicensed school employee shall include but not be limited to:
a. An initial inservice training, of a length to be determined by the licensed registered nurse.
b. An update of the instructions and a review of the procedure each school year.
c. Anatomy, physiology and pathophysiology of the urinary system including common anomalies for the age group served by the employee.
d. Techniques common to the urinary catheterization procedure.
e. Identification and care of the required equipment.
f. Common signs and symptoms of infection and recommended procedures to prevent the development of infections.
g. Identification of the psychosocial needs of the parent/guardian and the students with emphasis on the needs for privacy and confidentiality.
h. Documentation requirements.
i. Communication skills including the requirements for reporting to the registered nurse or the physician.
j. Medications commonly prescribed for the clean, intermittent catheterization patient and their side effects.
k. Contraindications for clean, intermittent catheterization and the procedure to be followed if the nonlicensed school employee is unable to catheterize the student.
l. Training in catheterization specific to the student's needs.
m. Developmental growth patterns of the age group served by the employee.
n. Utilization of a teaching model to demonstrate catheterization techniques with return demonstration performed by the nonlicensed school employee, if a model is available.
o. The training of the nonlicensed school employee shall be documented in the employee's permanent file. - The district will record the names of individuals receiving the catheterization training and the training dates. These records shall be kept available for audits.
ADOPTED: 09/24/1992
REVISED: 11/25/03 - A parent, legal guardian or other person having legal control over the student file a written, current and unexpired request that the district provide for the catheterization of the student;
3000 Policies
-
QUALIFICATIONS OF ATTENDANCE AND PLACEMENT
3110 Admission and Attendance
3114 Part-time, Home-based, or Off-Campus Students
3115 Students Experiencing Homelessness: Enrollment Rights and Services
3116 Students in Foster Care
3120 Enrollment
3122 Excused and Unexcused Absences
3123 Withdrawal Prior to Graduation
3124 Removal of Student during School Hours
3125 Release of Student during School Day
3126 Child Custody
3131 District Attendance Area Transfers
3140 Release of Resident Students
3141 Nonresident Students
3142 International Exchange Students
3143 District Notification of Juvenile Offenders
STUDENT RIGHTS AND RESPONSIBILITIES
3200 Student Rights and Responsibilities
3205 Sexual Harassment of Students Prohibited
3207 Prohibition of Harassment, Intimidation and Bullying
3210 Nondiscrimination
3211 Gender-Inclusive Schools
3220 Freedom of Expression
3223 Freedom of Assembly
3224 Student Dress
3225 School-Based Threat Assessment
3226 Interviews and Interrogations of Students on School Premises
3230 Student Privacy and Searches
3231 Students Records
3232 Parent and Student Rights in Administration of Surveys Analysis or Evaluations
3235 Protection of Student Personal Information
3240 Student Conduct Expectations and Reasonable Sanctions
3241 Student Discipline
3242 Closed Campus
3243 Student Driving
3244 Prohibition of Corporal Punishment
3245 Students and Telecommunication Devices
3246 Use of Isolation, Restraint and Other Uses of Reasonable Force
STUDENT WELFARE
3410 Student Health
3412 Automated External Defibrillators (AED)
3413 Student Immunization and Life Threatening Conditions
3414 Infectious Diseases
3415 Accommodating Students with Diabetes
3416 Medication at School
3417 Catheterization
3418 Response to Student Injury or Illness
3419 Self-Administration of Asthma and Anaphylaxis Medications
3420 Anaphylaxis Prevention and Response
3421 Child Abuse, Neglect and Exploitation Prevention
3422 Student Sports – Concussion, Head Injury and Sudden Cardiac Arrest
3424 Opioid-Related Overdose Reversal
3432 Emergencies
STUDENT ACTIVITIES
3510 Associated Student Bodies
3515 Student Incentives
3520 Student Fees, Fines, Charges
3530 Student Fund Raising Activities Involving Students