Wiping bottoms

Specialties School

Published

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?

Specializes in School Nursing.

I only change one student. She is a kiddo that is cathed every 3 hours. I only change her if she had a BM when it is cath time. Any other time, it a para's responsibility.

1 Votes
Specializes in School Nurse.
3 hours ago, Dimple58 said:

The AP said he will need bathroom assistance and help to wipe his butt.

How about guidance and then observe if done correctly - this kid needs to be empowered.

3 Votes
Specializes in OB.

How in the name of sweet baby Moses is a third grader not yet potty trained??? Do they have an accompanying medical diagnosis or are the parents just completely useless?

3 Votes
Specializes in school nursing, ortho, trauma.

oh my my my... that's a hard pass from me. I agree with the idea of helping a little kiddo with an illness related blow out, but you can bet there's going to be another adult in the room to vouch that everything was business.

I have a student with SB who parents are debating on self cathing (5th grade). There's resistance here (from student who is content to continue using depends) and I know I'm going to have to assist with that in the beginning, which is fine, it's medically necessary, but in other cases, I don't want to have contact with students in a bathroom.

3 Votes
Specializes in ICU/community health/school nursing.
21 hours ago, Dimple58 said:

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?

Whelp....since I have moved into a new semi-administrative gig, I will cast this wisdom: What does the DOCTOR say? I mean, mom can ask for whatever mom wants for sweet baby but is this medically necessary? I am finding a lot of parents believe that a SPED diagnosis or health condition in general entitles them to asking for things that are simply not probable in the given course of the school day. Although asking that question then makes it your circus and your monkey.

15 hours ago, LibraSunCNM said:

How in the name of sweet baby Moses is a third grader not yet potty trained??? Do they have an accompanying medical diagnosis or are the parents just completely useless?

Libra, I love you right now. Sweet baby Moses!!!

5 Votes
Specializes in School Nurse.

Thank you for all your input! I am definitely going to at least call the parent before I assist. I have insisted that my 3rd grader go to the doctor. He has an appointment on Thursday. He has a 504 for "elimination disorder". So apparently he has been to the doctor 3 years ago. I really the idea of having doctor's orders. That would require at least a yearly talk with the doctor. The counselor just said, "he has a 504, so we can't do anything!" That can't be right. He sat in here this morning for almost 2 hours waiting for his mom to bring more diapers. Middle school is looking better all the time!

1 Votes
+ Add a Comment