Is every bathroom issue the school nurse's responsibility?

[heynurselady]

We have a kindergartener that strips all his clothes off every time he uses the bathroom. He has always done this at home and is doing it at school now too. The parents are no help. Telling him to stop does nothing either. The teacher and paras have decided to send him to me now to "monitor him" while using the bathroom to get this behavior to stop. I did not accept the task and told them I would not be monitoring any child using the bathroom without specific orders to do so. I rarely say no, but felt that this was not the best solution to this problem and felt that it was just being passed off to me because no one else wants to deal with it. I suggested that he use a stall with the door closed instead of being allowed to use the urinal. Is it because it involves the bathroom that it is assumed the nurse should handle it? Have any of you been in a similar situation?

[scuba nurse, BSN, MSN, RN]

Nope not at all a nursing issue,  Every K class has a para here and they do all the bathroom stuff. I rarely get involved. 

[seedanurse]

Does he have an IEP? Or any cognitive delay? I am the go-to for students who need assistance in the restroom, due to developmental delays. I don't mind that part, but I do require a toileting plan to be in place, to protect both myself and the student. It also sets the stage for other staff to help, if I am not in the building. 

But babysitting in the bathroom?...Nope. Ain't nobody got time for that! ?

[lifelearningrn, BSN, RN]

That's why they have paras. I'd have respectfully declined. This is a behavior issue, not a nursing one.