3417 - Catheterization
The District will provide for clean, intermittent bladder catheterization (CIC) of students or assisted self-catheterization of students in substantial compliance with the rules adopted by the State Nursing Care Quality Assurance Commission, the instructions of a licensed registered nurse or advanced registered nurse practitioner, and this Regulation and Procedure 3417P.
Catheterization is authorized under the following conditions and those set forth in 3417P:
- Parent, legal guardian or other person having legal control over the student provides the District with a written, current and unexpired request that the District provide for the catheterization of the student and written permission for the performance of the catheterization procedure by a non-licensed school employee;
- Licensed physician of the student provides 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 and written instructions for the procedure;
- An advanced registered nurse practitioner or licensed registered nurse provide written, current and unexpired instructions regarding catheterization that include 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 unlicensed staff member who is authorized to provide for catheterization must receive training from a registered nurse consistent with WAC 246-840-820(9).
If the District provides clean, intermittent bladder catheterization of any students, it will document the training given to the employees who perform the services.
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 of students. The employee’s written letter of refusal may not serve as grounds for discharge, nonrenewal or any other action adversely affecting the employee’s contract status.
If a District employee provides for catheterization of any student in substantial compliance with this policy, and the rules of the State Nursing Care Quality Assurance Commission, and the instructions of a licensed registered nurse or advanced registered nurse practitioner, then the employee, the District, the Superintendent, and the Board shall not be liable in any criminal action or for civil damages as a result of providing for the catheterization.
The District may discontinue the provision of catheterization of any student, as long as the District has provided the parents/guardians with actual oral/written notice in advance of the date of discontinuance, and the District otherwise provides for the catheterization of the student to the extent required by federal or state law. If that occurs, the District, its employees, the Superintendent, and the Board will not be liable in any criminal action or for civil damages as a result of the discontinuance.
- RCW 28A.210.290 Catheterization of School Students — Immunity from liability
- RCW 28A.210.255 Provision of health services in public and private schools — Employee job description
- RCW 28A.210.280 Catheterization of public and private school students
- RCW 18.79.290 Catheterization of students - Rules
- WAC 246-840-820 Provision for clean, Intermittent Catheterization in schools
- Policy News, June 2003 Catheterization Policy Update
- Policy News, December 2003 Updated Legal References for Catheterization, Facilities Planning and Student Records Policies