3417P: Catheterization
- 3000: Students
3417P: Catheterization
Last Revised: Sept. 2013
- The State Department of Health has established the following rules:
- The student's medical file will contain a written request from the parent(s) or guardian for the clean, intermittent catheterization of the student.
- The student's medical file will 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 will contain a current written order for clean, intermittent catheterization from the student's physician and will include written instructions for the procedure. The order will be reviewed and/or revised each school year.
- The service will 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 will develop instructions specific for the needs of the student. These will be made available to the non-licensed school employee and will be updated each school year.
- The supervision of the self-catheterizing student will 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, will 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 employee will include but not be limited to:
- An initial in-service 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. g. 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 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.
- Utilization of a teaching model to demonstrate catheterization techniques with return demonstration performed by the non-licensed school employee, if a model is available.
- The training of the non-licensed school employee will be documented in the employee's permanent file.
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The district will record the names of individuals receiving the catheterization training and the training dates. These records will be kept available for audits.