A. 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 non-licensed 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.
- The service shall be offered to all disabled students and may be offered to the nondisabled students at the discretion of the school board.
- A licensed registered nurse shall develop instructions specific for the needs of the student. These shall be made available to the non-licensed school employee 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 non-licensed school employee.
- A licensed registered nurse, designated by the school board, shall be responsible for the training of the non-licensed school employees who are assigned to perform clean, intermittent catheterization of the students.
- The training of the non-licensed school employees shall include but not be limited to:
- an initial inservice training, of a length to be determined by the licensed 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 of 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 of a patient and their side effects;
- contraindications for clean, intermittent catheterization and the procedure to be followed if the non-licensed 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; and
- utilization of a teaching model to demonstrate catheterization techniques with return demonstration performed by the non-licensed school employee if a model is available.
B. The district will record the names of individuals receiving the catheterization training and the training dates. These records shall be kept available for audits.
Initially Adopted: November 10, 2003
Adopted: February 22, 2010