This requirement for training has been included in the protocol agreement for the protection of both the child and the staff. In instances where teachers elect to carry out Level II procedures, they are subject to the same training requirements. The Ministry of Health is solely responsible for providing or arranging for the necessary training and supervision for Level II procedures. These are procedures which are very specialized, including, but not limited to, tracheostomy care, ventilator care, suctioning and catheterization. These may only be carried out by a nurse holding an active licence to practise in British Columbia, or by rehabilitation personnel, working under written instructions from the child's physician.
Catheterization refers to a situation where a sterile procedure is required.
In some instances, these procedures are currently being carried out by teacher assistants. Where school boards have staff carrying out these Level III procedures, they are advised to discuss this with the local Health Unit or Health Department, as these procedures are the sole responsibility of the Ministry of Health, which includes Health Units and Health Departments.