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Changing students when they have urine/BM accidents?

Posted

Has 14 years experience.

Do you assist students with personal hygiene issues from urine or BM accident? I am not talking about students with medical issues or special needs. I am curious how other school nurses handle this.

Purple_Scrubs, BSN, RN

Specializes in School Nursing. Has 8 years experience.

Our policy does not allow staff, including the nurse, to disrobe a student (obvious exceptions for things like caths, etc.) So, for urine I will hand the student clothing if I have it and direct them to the bathroom. I also gave a bag to put soiled clothing in. For a BM the parent has to come get them and bring them home for a shower/bath. They can return later if the parent chooses.

For special ed students, the teacher's assistant handles toileting (other than for the ones that I cath).

Supernrse01

Specializes in Telemetry, Gastroenterology, School Nrs. Has 18 years experience.

I assist them to get clean clothes and a bag to put their soiled clothes in but I do not go into the bathroom with them.

Flare, ASN, BSN

Specializes in school nursing, ortho, trauma.

I don't help either save for helping a less dexterous kindergartner with a stiff button or belt. Even this I do only with another adult employee in the room.

mustlovepoodles, RN

Specializes in OB/GYN, Peds, School Nurse, DD.

I don't change pants, period! If they have an accident I direct the student to the front office, where they might find some extra clothes. If there are no clothes, the secretary will call a parent(if it's warrented.) Only one time have had *had* to get in there and change a student. She was a first grader who had a GI bug, explosive at both ends. The entire bathroom stall was covered in liquid poop. This poor little girl was just a mess. So I called the secretary over to be my back up and together we got this girl cleaned up and re-dressed.

Purple_Scrubs, BSN, RN

Specializes in School Nursing. Has 8 years experience.

I had something similar happen while I was at lunch one day (I am still shocked they did not call me to deal with it, guess I have them trained pretty well, LOL!) Anyway, this student had explosive diarrhea and the office staff put him literally inside a large plastic trash bag and called his parent to come for him.

Imagine my surprise when I come into my office from lunch and there is a student sitting in a trash bag with only his head and arms sticking out!!! I left him that way because they said mom was right around the corner. I just KNEW she would be livid about it, but amazingly she was appreciative that her car interior would not be ruined. Chalk one up for my office staff for the ingenuity of that one!

mustlovepoodles, RN

Specializes in OB/GYN, Peds, School Nurse, DD.

I had something similar happen while I was at lunch one day (I am still shocked they did not call me to deal with it, guess I have them trained pretty well, LOL!) Anyway, this student had explosive diarrhea and the office staff put him literally inside a large plastic trash bag and called his parent to come for him.

Imagine my surprise when I come into my office from lunch and there is a student sitting in a trash bag with only his head and arms sticking out!!! I left him that way because they said mom was right around the corner. I just KNEW she would be livid about it, but amazingly she was appreciative that her car interior would not be ruined. Chalk one up for my office staff for the ingenuity of that one!

:lol2: Yeah, I woulda laughed about that one, too. Sometimes you have to think outside the box.

Neveranurseagain, RN

Has 26 years experience.

I had something similar happen while I was at lunch one day (I am still shocked they did not call me to deal with it, guess I have them trained pretty well, LOL!) Anyway, this student had explosive diarrhea and the office staff put him literally inside a large plastic trash bag and called his parent to come for him.

Imagine my surprise when I come into my office from lunch and there is a student sitting in a trash bag with only his head and arms sticking out!!! I left him that way because they said mom was right around the corner. I just KNEW she would be livid about it, but amazingly she was appreciative that her car interior would not be ruined. Chalk one up for my office staff for the ingenuity of that one!

Reminds me of the time there was a woman who ODed on drugs while camping....when we arrived the cops somehow got her into her sleeping bag, zipped it up and then rolled duct taped around the sleeping bag so she couldn't be combative! Now that was thinking outside the box!

2ndgenschoolnurse

Specializes in emergency room, TBI.

I have helped on occasion for some of my younger Ks when it is explosive! This has been a horrible year for BMs though! I have one Kindergartener who has 1-2 BM accident's daily. I was sending him home, then he learned if he did it he was going to "get to go home" and would come in and say, I have to change, but I will just sit and color until daddy gets here....so I now have a shelf for him where he gets his own (mom sends them in) unders and 3 wipes....goes into the bathroom and cleans himself up, and heads back to class. Mom swears this doesn't happen at home, and I tend to beleive her because he went 2 weeks without an accident! I do make them come in and get him if I don't have a change for him though. If a child needs help, I will have an adult in the room and leave the door cracked, I also tell the parent up front when I call to have the child picked up, that I assisted the child in cleaning up as much as possible. I have always gotten a big thank you and sigh of releife...however, I have struggled with this quite often. Although if it were a patient of mine in the hospital and they needed assistance, I would help with out hesitation, even in a private room.