Policy Approve By
Dr. Dean O. Stenehjem, Superintendent
Policy Date (original policy date)
Policy Prepared By
Hans Michielsen, Director of Education
Policy Category

SUBJECT: Catheterization



Qualified staff may provide or assist in the clean, intermittent bladder catheterization of students or assisted self-catheterization by staff in conformance to rules adopted by the State Department of Health (DOH).

WSSB, 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 (SBN) shall be held harmless by the agency from any claim against him/her arising from providing catheterization services. This agency may discontinue catheterization service for a student without being liable so long as the affected parent(s)/guardian(s) are given advance oral/written notice.

The State Department of Health (DOH) has established the following rules:

1.      The student's file shall contain the following:

1.1    A written request from the parent(s)/guardian(s) for the clean, intermittent catheterization of the student;

1.2    Written permission from the parent(s)/guardian(s) for the performance of the clean, intermittent catheterization procedure; and

1.3    A current written order for clean, intermittent catheterization from the student's physician which shall include written instruction for the procedure. The order shall be reviewed and/or revised each school year.

2.   This service shall be offered to all students, at the discretion of the agency.

3.   The agency procedure shall be the following:

3.1      The school nurse shall develop instructions specific for the needs of the student.

3.2.     The supervision of the self-catheterizing student shall be based on the needs of the student.

3.3      The school nurse shall be responsible for arranging contractual services to perform clean, intermittent catheterization of the student. Licensed practical nurses may provide catheterization as part of their professional preparation; however, they are not able to train others.

Cross Reference:

(cf.: 2161 – Education of Students with Disabilities and Special Education Students)

Legal Reference:

RCW 18.88 Registered Nurses

RCW 28A.210.290 Catheterization of School Students-Immunity from Liability

WAC 246-840-820 Provision for Clean, Intermittent Catheterization in Schools

20 U.S.C. § 1232g Family Education Rights and Privacy Act

CFR 45, Part 99 Family Education Rights and Privacy Act Regulations

Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) of 1966