You need a care plan and an emergency plan to cover both a central line or a gastrostomy (or a baclofen pump and other such devices) . To write a care plan, you need to interview the parents and obtain a HIPAA compliant release to talk to the prescribing health care provider. Depending on the accomodations you may also need a Section 504 Plan.
If you are using the Gastrostomy tube for a feeding, you certainly need a procedure and a flushing schedule. They frequently leak and get infected and have foul odors. So - true you need a plan if it comes out, but there are other things to consider.
Central line, yes you need to know what to do it it comes out, if it slips and infiltrates into the sub Q (how will a aide or teacher recognize that), what to do if it starts leaking, if they exhibit shortness of breath, recognizing infection and sepsis and how it is to be redressed if the dressing falls off. Does the catheter placement indicate restrictions on activity? The University of Cincinnati Childrens Hospital Medical Center states: "A child with a C-line is not allowed to participate in contact sports such as baseball, football, soccer, volleyball, wrestling or basketball. A direct blow to the chest can damage the C-line. Because of the risk of infection, swimming is not allowed". I am aware of students who were allowed to participate in sports with central lines, but this should be clarified with the health care provider . If the line is to be clamped in the event of a leak, where are the clamps, how are they to be applied?
Quote from suzanne4
I agree with the above poster. There are people that actually go to work with central lines on a daily basis, without any problems. Children should not be restricted from school because of this. The school nurse should have nothing to do with the catheter other than know that it is there. It is the responsibility of the parents over medications, etc.
Same as when a student has a gastrostomy tube. The school nurse has nothing to do with the tube other than make a phone call if it comes out.