Chronic Bathroom Accidents

  • 20 Sep 2019 10:10 AM
    Reply # 7891084 on 7889828

    I had my fair share of this in the past and would like other nurses input on this.  There certainly has been a rise in this issue. 

  • 20 Sep 2019 7:18 AM
    Reply # 7890897 on 7889828

    I would love some wisdom in this area, also. I have been a school nurse for 20 years and in the last 5 years this has become an increasing problem, and I work in a 4-8 school! We have tried bathroom plans of making the student try every hour, 2 hours or whatever. We've had students use my bathroom to avoid the embarrassment in student bathrooms. I have made countless parent phone calls, encouraged counseling, GI workups, etc., and currently I have clothing bags for 5 students for 'accidents.' Do parents not teach their children toileting anymore, along with many other skills that they come to school lacking? Is there a 'window' for teaching this skill in toddlerhood, that if ignored, it becomes far more difficult to master? I am at a loss. And how do we address this and be successful so students are not pooping their pants when they graduate?? Help!

  • 19 Sep 2019 3:29 PM
    Message # 7889828
    Dear School Nurses,

       I need help with the increased numbers of students who are coming to school and having chronic bathroom accidents. I have seven children, who are not identified as special needs and they are having stool accidents daily. I have done nothing but change student's since school started in August. If a student is not identified as needing this kind of help there is no one else to do this. I need help knowing what I can say or do. I have contacted all of these parents and some are referring their children for testing, but some parents just state that these children refuse to toilet train and they don't know what to do. My administrators see how serious this is but seem conflicted over the schools role in this area. They are asking me if it's medical, behavioral etc? They don't feel this falls in the special ed area but they don't know how to either hold the school or the parent responsible. I am struggling to get any of my real nursing job done and I feel defeated. I have always had my share of "accidents" working with primary school (K-2), but never the amount of chronic daily accidents.Please let me know how this has been dealt with in your school.

    Code Brown will be the reason I leave school nursing!!!


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