3417 Catheterization

The board authorizes that qualified staff provide for clean, intermittent bladder catheterization (CIC) of students or assisted self-catheterization in conformance to rules adopted by the state board of nursing.


Employees who are not licensed nurses and whose job descriptions do not require performing catheterizations may file a written statement of refusal to perform catheterizations.  Refusal will not adversely affect the employee’s job status or be grounds for dismissal.


Catheterization is permitted under the following conditions:


A.  Parent, legal guardian or other person having legal control over the student file a

written, current and unexpired request that the district provide for the catheterization

of the student;


B.  Licensed physician of the student file a written, current and unexpired request that

catheterization of the student be provided for during the hours when school is in session or the hours when the student is under the supervision of school officials;


C.  A registered nurse provide written, current and unexpired instructions regarding

catheterization which states which staff members are designated to provide for catheterization and a description of the nature and extent of any supervision that is required;


D.  A staff member who is authorized to provide for catheterization must receive training

from a registered nurse consistent with the rules of the state board of nursing.  Licensed practical nurses are trained to provide catheterization as part of their professional preparation and are not subject to this training requirement.


The district and its staff and the staff member who provides for catheterization in substantial compliance with this policy and the rules of the state board of nursing shall not be liable in any criminal action or for civil damages arising from providing catheterization.  The district may discontinue catheterization service for a student without being liable so long as the affected parents/guardians are given advance oral/written notice.




Cross Reference:                     Board Policy 2161                  Education of Students with

Disabling Conditions


Legal References:                   RCW 28A.210.290                 Catheterization of School

Students – Immunity from


RCW 28A.210.255                 Provision of health services in

public and private schools –

Employee job description

RCW 28A.210.280                 Catheterization of public and

private school students

WAC 246-840-820                 Provision for clean, intermittent

catheterization in schools


Management Resources:         Policy News, June 2003          Catheterization Policy Update

Policy News, Dec 2003           Updated Legal References for

Catheterization, Facilities

Planning and Student

Records Policie


Adoption Date:  1.04

MethowValleySchool District                                                          WSSDA:  12.03