Wiping bottoms

[Keeperofthebandaids, BSN, RN]

So, in my previous district, if a student had a bm in the pants they had to go home, get cleaned up and then they could be brought back to school. In my current district, nurses do the wiping and changing. I am all about the customer service, but I am finding myself currently potty training a 3rd grader who wears diapers to school. He is not being potty trained at home. In this day and age, I really don't feel comfortable spending this much time in the bathroom with a 10 year old boy. I would like to approach my boss about this, but I thought I should do my research. What is your district policy?

[cid1]

Nope, nope nope. I will not be behind closed doors with any student. We have aides in my district that get a diapering stipend. Those are who is responsible.

[MrNurse(x2), ADN]

Ahh, no. This is not in ANY way, shape or form nursing's lane. Do you have a counselor? This is behavioral all the way. Approach your Principal with this angle and see how fast this gets corrected. Nursing is given anything unpleasant, but taking this angle, they really can't argue this.

["nursy", RN]

Will not be behind closed with an exposed student, unless with doctor's orders.

[lifelearningrn, BSN, RN]

A third grader in regular education is not potty trained? At what point is this neglect/abuse?

[Cas1in72]

Absolutely NO WAY! I hope you can get admin on board and get this "fixed" real quick!

[tining, BSN, RN]

I had a 4th grader with encopresis last year. That adventure was nail in the coffin for elementary school nursing. Student got a kick out of waiting until someone smelled BM (in pull-ups) and then was sent to nurse. I had public restroom across the hall where I would watch what was going on (feet under stall) and direct from the other side. This was often 3 times a day. I think even negative attention was what this child was after. They moved districts and I went to middle school.

[SandIsMyGlitterRN, BSN, RN]

Nope here either! In my school we have PK to 5th grade and a high amount of children with special needs. The PK teachers and the sped teachers take care of those children's toileting needs. Any other student that has an accident must clean themselves up. At times we have parents angry that little Johnny put his soiled undies in his backpack but I am not taking chances being alone with a child that is unclothed.

[k1p1ssk, BSN, RN]

7 minutes ago, Nurse Jen said:

Nope here either! In my school we have PK to 5th grade and a high amount of children with special needs. The PK teachers and the sped teachers take care of those children's toileting needs. Any other student that has an accident must clean themselves up. At times we have parents angry that little Johnny put his soiled undies in his backpack but I am not taking chances being alone with a child that is unclothed.

I agree; I will supervise from outside my bathroom door, and make sure they have a clean change of clothes and wipes. If it were an illness related blow-out, I would help the clean up process, but only AFTER a phone call home to let parents know they need to come pick LD up and that I'm going to help them get cleaned up as best I can.

[SaltineQueen]

Is this a special needs child or no? Why are parents not doing anything at home?

[guest83140]

well, we were just informed here at the HS that a regular high school senior is on dialysis and is returning to school for half day three days a week. The AP said he will need bathroom assistance and help to wipe his butt. My office has no RR but a staff men RR near. She states skills male para or Sped male teacher can assist. Wow, the school has so many similarities to the hosp more and more but not the pay. Plus you don't want to be accused in this setting of touching unnecessary other parts. Where is the line drawn?

[ruby_jane, BSN, RN]

Oy. This is a hill I would die on, I think.... I second the "nope, nope, nope." Do we have a behavioral intervention in place?