Wet Pants !!

psalm, RN · Nov 10, 2009

Ask the parents to pack an extra pair of underpants and outer pants/skirt. Ask for ALL the kids to have an extra set for accidents or mud puddle accidents. If you have to provide them, get them from a thrift store or rummage sale.

Does your school have a psychologist?

Does the child in question have a uti? Sexual abuse? Masturbating? (could cause uti)

Potty training? I wouldn't think that would be in your scope of practice. If the child

does have a known problem, frequent breaks between classes could help avoid accidents.

Keepstanding, ASN, RN · Nov 10, 2009

i keep donated clothing in the clinic for accidents and mud puddle falls ! i only keep clothes for the younger kids - k-2 though. all others will need to go to the office and call their parents.

yeah, sometimes i get really frustrated with the amount of kids that i have to deal with who have wet their pants.

i guess it goes along with the territory. but i always ask myself " what make's this a nurse's job" ???

praiser :heartbeat

psalm, RN · Nov 10, 2009

guess it goes along with the territory. But I always ask myself " what make's this a nurse's job" ???

Praiser

...I would think to rule out a uti; urinary or bladder problems or possible sexual abuse. Or even poor hygiene causing a uti.

meeka720 · Nov 11, 2009

We have a closet full of extra clothing for the students. It all has been donated by staff and parents. When lent out, sometimes we get it back and sometimes we do not. We have had a couple students who have frequent accidents. When this happens we usually get the teacher and guidance counselor in on it to work on the issue collectively to help resolve the issue. My least favorite time is when a student has a accident (BM) and they send the student to the clinic for us to clean up the mess. We do have a shower here and clothes, so I understand why they send them. But sometimes I think to myself.."I am not the poop police!" Then I take a deep breath and tell myself to quite whining...we are all in this together...be thankful I have a job..and help get this poor kid cleaned up and back to good.

SchoolNurseBSN · Nov 16, 2009

Yeah, part of the territory. The clothes we have fly off the shelfs and never get returned. I always just call the parent and then counsel them on keeping an extra set of clothes in back pack. If it happens more than once, I try to dig deeper. Is it a classrrom issue, medical or psychological cause???

Flare, ASN, BSN · Nov 16, 2009

It's probably beneficial for you to have a small supply of spare clothes ask your principal if you can send a notice out to parents requesting donations of clothing to fit the little ones - then don't keep too much around - a few pairs of pants, some underpants, maybe a few shirts incase of a milk spill. Reoccuring problems and students that don;t return my cloths get a call for the parent to bring in a change of clothes.

I do not help the students beyond providing them with the clothes. I have yet to see any of my kindergarteners have any issues beyond needing help with some of the snaps on pants.

tsansom · Nov 17, 2009

I start out the year with a lot of donated clothes. As the year goes on, my clothing supply dwindles since some students parents do not return them. This year, I am sending home a large plastic Ziplock bag with a letter inside suggesting that parents of preK, kinder, and 1st grade students send a complete change of clothes to school to be kept in the students classroom for emergency use. I have stuck a label on each Ziplock bag for the student's name. I bought the bags out of my clinic budget from our districts catalogue. I will let everyone know how this ends up working out. I don't sweat it if a kid wets his pants. It's just going to happen and it is definately the parents job to potty train. Any child that poops his pants has to wait for a parent to pick him up and take him home to clean him up. With so many lawsuits out there, I wouldn't dare take a chance on undressing a child. It's not our job anyway. It is our job to see that the child gets the care he needs.

pugmomrn · Nov 18, 2009

I've got 2 kids right now in the midst of potty issues. Medical reasons have been ruled out. One is in the middle of a large family and uses this as his way to get attention and to control his life. The other, the parents never potty trained. All disciplines are involved, but there's not a ton of info out there for potty training a 5-6 year old. Plus, you can't guarantee the follow-through on the homefront.