Policy Details Page
The State Department of Health has established the following rules:
- The student's medical file shall contain a written request from the parent(s) or guardian for the clean, intermittent catheterization of the student.
- 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.
- 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.
- A staff member shall agree in writing to perform clean, intermittent bladder catheterization.
- A letter of refusal to perform clean, intermittent bladder catheterization may not serve as grounds for discharge, non-renewal, or other action adversely affecting the employees employment contract.
- A registered nurse shall develop instructions specific for the needs of the student. These shall be made available to the nonlicensed school employee(s) and shall be updated each school year.
- The supervision of the self-catheterizing student shall be based on the needs of the student and the skill of the nonlicensed school employee.
- Health Services shall make documentation of the catheterization training given to employees and make it available for auditing purposes.
- A registered nurse shall be responsible for the training of the nonlicensed school employees who are assigned to perform clean, intermittent catheterization of the students.
- The training of the nonlicensed school employee shall include but not be limited to:
- An initial in-service training, of a length to be determined by the registered nurse;
- An update of the instructions and a review of the procedure each school year;
- Anatomy, physiology, and pathophysiology of the urinary system including common anomalies for the age group served by the employee;
- Techniques common to the urinary catheterization procedure;
- Identification and care of the required equipment;
- Common signs and symptoms of infection and recommended procedures to prevent the development of infections;
- Identification of the psychosocial needs of the parent/guardian and the students with emphasis on the needs for privacy and confidentiality;
- Documentation requirements.
- Communication skills including the requirements for reporting to the registered nurse or the physician.
- Medications commonly prescribed for the clean, intermittent catheterization patient and their side effects.
- Contraindications for clean, intermittent catheterization and the procedure to be followed if the nonlicensed school employee is unable to catheterize the student.
- Training in catheterization specific to the student's needs.
- Developmental growth patterns of the age group served by the employee.
- Utilization of a teaching model to demonstrate catheterization techniques with return demonstration performed by the nonlicensed school employee, if a model is available.
- The training of the nonlicensed school employee shall be documented.
- policy handbook
- policy manual