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:
  1. A parent, legal guardian, or other person having legal control over the student files a written, current, and unexpired request that the district provide for the catheterization of the student;
  2. The licensed physician of the student files 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;
  3. A registered nurse provides written, current, and unexpired instructions regarding catheterization that 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
  4. 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 (excepting 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, 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 shall 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.
Legal References:
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 28A.210.290 Catheterization of public and private school students - Liability
WAC 246-840-820 Provision for clean, Intermittent Catheterization in schools
Adoption Date: 10/22/91
Franklin Pierce Schools
Revised: 4/10/07; 11/18/08; 9/26/23
Classification: Essential