Skip to main content

Medina ISD

Home of the Bobcats

Daily Living SOP

Daily Living SOP

Positive Instruction

  • Always maintain a positive non-punitive approach to toileting
  • Always treat students with respect and dignity
  • Negative or demeaning comments should not be made
  • Language should be age appropriate

Student/Staff Safety

  • If an assistant is in the stall, stall door remains unlatched
  • Rotate toileting staff
  • Administrators may periodically do unannounced visits to restrooms while students are being changed.
  • Students will be supervised as necessary depending on individual student needs for instruction, assistance or supervision

Additional Procedures

    • A student’s diaper should be changed when wet or soiled and checked prior to bussing/end-of-day pick up.
    • Staff shall check each student’s diaper at least once every two hours and change the diaper promptly if it is wet or soiled. 
    • All necessary equipment and supplies should be easily accessible in the changing area.
    • Bring the student to the changing area.
    • Wear appropriate Personal Protective Equipment (PPE)—gloves (sleeves and apron if necessary).
    • Prepare the changing area by wiping with a sanitized/disinfectant wipe and/or placing protective paper on the changing surface.
    • Transfer student to changing surface. The plan for doing this should be discussed with the parent prior to diapering the first time.
    • Remove soiled diaper and place in a covered waste receptacle.
    • Clean student using wipes or soap and water.
    • Dispose of soiled gloves and put on a clean pair of gloves.
    • Make sure the student’s clothing is clean and dry. If not, change the student’s clothing and send home soiled clothing in a plastic bag.
    • Place the clean diaper on the student.
    • Transfer the student from the changing area.
    • Supervise children in how to correctly wash their hands after using the bathroom.
    • Remove the changing paper and clean the surface with district-approved cleaner or wipes.
    • Use approved hand-washing techniques to clean your hands.
    • The soiled/wet diaper container should be cleaned and sanitized daily.
    • Cleaning supplies should be kept out of reach of students.
    • Document the time in which the diapering occurred.
    • Escort the student to the bathroom.
    • Put on PPE: gloves (protective sleeves or apron if necessary).
    • Prepare the toilet by wiping it with a sanitized/disinfectant wipe and/or placing protective paper.
    • Assist the student with clothing.
    • Transfer and/or assist the student to the toilet.
    • If required, stabilize the student on the toilet seat.
    • Clean the student when finished.
    • Make sure the student’s clothing is clean and dry. If not, change the student’s clothing and send home soiled clothing in a plastic bag.
    • Remove the gloves and dispose of the soiled gloves.
    • Transfer the student from the toilet.
    • Supervise children in how to correctly wash their hands after using the bathroom.
    • Clean your hands using approved hand-washing techniques.
    • Document the time in which the toileting occurred.
    • All information provided by the family must be adhered to. 
    • For students who require tube feeding, there must be a plan to monitor (ie: check g-tube each hour)
    • For students that do not consume meals in the cafeteria, designate a location within the classroom for meals.
    • Complete the feeding log after each meal or snack.

All staff members, including lead teachers and paraprofessionals, should assist students with activities of daily living. This includes assisting students in learning how to use the restroom properly (clothing on/off, wiping, and handwashing) and be prepared to assist with changing both wet or soiled clothing.