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University of Reno Universal Precaution Discussion Board Responses

 

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For this discussion question, I want you to consider your own educational situation whether you are in a school setting or providing services in a home setting. Please respond to each student discussion board:

1. This is an interesting topic and got me thinking. I am going to discuss option B: a time when universal precautions are being partially implemented (e.g., not fully implemented or done a bit incorrectly). The district I am in requires Special Education teachers to be CPR/AED certified. Due to this, myself and other SpEd resource teachers are on our schools code blue. It has worked well, since we are typically in co-teaching settings where other teachers are present and are able to leave and have less class periods than our general education teachers. When responding to our code blue events. One of the things that I have noticed is that we often do not glove up or use any type of PPE if there is not visible bodily fluids. There are times, when members of this team will put on PPE, but there is often movement and physical assessment of students without any PPE. In the past, I have requested a kit from our nurse with gloves, mask, etc. but many members do not have any PPE and respond to calls. As a team who can be responding to various unknown situations, we need to ensure that we are following guidelines and each have these items with us at all times. In the future, I would like all members of our team to have the appropriate materials and to be able to respond to events with those materials. I have seen in the past keychain type bags with gloves and barriers for CPR so I am thinking something along those lines would be effective since staff is required to have keys and ID at all times.

2. I will share about this past year as there has been a heightened awareness of the use of universal precautions due to covid, focusing on option B. In my classroom, we have taken the steps for cleaning and disinfecting seriously, which has been beneficial. That being said, each student has their own materials that they are not allowed to share with each other (their own workbooks/textbooks, lego sets, drinking glasses, etc.). One way though that we will do a better job this next school year will sure that we teach students how to put on and take off gloves properly. Prior to covid, my class had this skill down and were able to do this without any reminders, however that class has all moved on to high school and I have a younger group now. So now that we can re-open our coffee bar for teachers, it is an important part of running our coffee business sanitarily. So we will be re-teaching or teaching students about glove wearing and why it is important to do so. I will teach how to not only wash before they put on the gloves and after, as well as how to take the gloves off and dispose of them properly, but also they they are not allowed to touch their faces or clothes or anything else when they have them on and making the drinks. They also will learn that they need to take the gloves off and throw away in-between delivering the drinks to the different teachers. The idea is to teach the students proper food handling techniques in connection to a coffee shop setting.

3. You guys are quick!!

I am going to pick part a to respond to. We do not have a specific procedure we follow when we are toileting our severe high school students. We do what we think is best by putting on gloves, changing the individual, throwing waste into a trash bin and then cleaning up the table we use for changing. However after tonight’s class we need to be more specific and have a checklist of things to do before, during, and after toileting a student. It needs to be present in the location we toilet so that if at any time the teachers are not available our aides or nurse have the same procedure and we stay consistent and safer! I also think we need to have a better plan for a waste area. Right now it’s just a trash can in the bathroom we use. But there needs to be a better system. Me and Paula were conversing throughout class tonight thinking we have some work to do in regards to universal precautions and making sure all staff is aware of our procedures. Do any of you have a procedure lined out and posted?

4. I will focus on hygiene instruction with my students like teeth brushing, grooming, cleanliness of bodies, and of course that all time concern of woman’s monthly menstruation. I must admit that for the teeth brushing at first when I started teaching Special Ed in 2002, I did not have a separate toothpaste tube for everyone as I was buying the supplies and was very poor. I did buy those cheap toothbrushes or asked the parents to supply that in which I kept each student’s toothbrush in a ziplock bag which you know probably has germs all over it after extensive uses. For grooming, I am also guilty of having them brush their hair and probably not cleaning the sink area as good as we are now doing because of COVID. Don’t even get me started on the issues of clean clothes and of course dirty, filthy bodies in which some days, I personally cannot stand the odor and feel like vomiting all over the student. Well, I have always had shower facilities in which I have the discussion/instruction of the need for clean bodies but every year I have taught CLS classes I always have 1 or 2 students who either do not have the facilities at home to clean their bodies or they choose not to do so. Leaving all who are around them with the issue of smelling their body aromas that are just not so great smelling. The problem is, when they shower I did not think about cleaning everything utilizing Universal precautions. Even this year, it might take the maintenance man a while to get to the shower to clean it thoroughly with bleach or proper chemicals to clean all the bacteria. Someone could be exposed. And the dirty clothes which I am quite sure are filled with God knows what could get us all sick. I did not have the time I needed to ensure those were properly stored away in containers or bags which would not cross contaminate us all. I was even afraid of cross contaminating the washer in our Culinary class with those clothes. I knew I should have utilized a better storage system to get those dirty clothes home but instruction, academics, student meltdowns, etc. Well, you must admit it all gets away from you at times. Lastly, when it comes to personal hygiene, I find the monthly menstruation to be the most problematic as our district does not have the correct disposal container in the bathroom in which I do toileting. So we will be working on that to get that proper container to dispose of the used pads and gloves. I must admit, Texas school districts have universal procedures that are posted and have the necessary equipment needed to ensure the safety of all. Our rural district here in Nevada needs some procedures in place and the necessary equipment for the special Ed population, specifically the CLS program. Since Covid, administration is more aware of what to do. Money has been spent on new cleaning equipment and gloves have been more readily available unlike the past years I have experienced in our district. Overall, when it comes to teaching personal hygiene, I need to have our district establish guidelines and of course I need not get so busy to neglect the Universal Precaution Guidelines.