UAP doing CIC and tube feeding in school

[RN-DC, BSN]

Does anyone have any info on UAPs assisting with clean intermittent caths in schools? I am a school nurse, but am only part time for a school that includes children with medical and special needs. We have a child with spina bifida who requires a CIC once per day at school (he's only here 5 hours). Because our mission is inclusion and we take the ADA act and IDEA act very seriously, our protocol is anything a parent can do at home, a teacher or administrator can be trained to do here. I have watched the teachers (who have a certification of medication training) perform the CIC with no problem, and I continue to educate on issues regarding CIC. However, I want to make sure this is acceptable, as the nurse practice act is vague. I contacted the DOH regarding whether or not I could train the teachers on this procedure, and was told I should stay out of the training for liability reasons, and let the parent train. They did state that it was still not recommended for UAPs to do, but not necessarily against any rules.

We also allow teachers to administer tube feeds with proper training (again, initial training has to be by parents). Any other schools allow this? If so, what are your protocols?

[grammy1]

In our district all training is done by the RN who then signs off on the competency skills sheet. This is actually mandated by our county health department, which is our supervising body.

[KKEGS, MSN, RN]

In our district the RNs are also the ones who do all the training. I do a CIC once a day for one of my students as well. We've spoken with the student's mother in the past about training our health aide to do it since I travel between buildings but she was not comfortable with that so the RN does it. If I have to be out for the day I have another RN do it.

[RN-DC, BSN]

What if there isn't an HHA or CNA. Are you allowed to train teachers?

[iggywench, BSN, RN]

My assistant, or anyone I designate, is able to be trained on any non-sterile procedures. Tube feedings are done in the classroom by the Life Skills teachers (after I train them and sign off on it), and my aide is trained to cath my student with spina bifida, as well as administer water via G-button to another student.