solved   This is a method used to empty the

 
 
This is a method used to empty the bladder especially in a paralyzed bladder.  Place your hands flat on the abdomen just below the belly button. Have the person bend forward and then firmly stroke downward toward the bladder about six times to stimulate the voiding reflex.  Some individuals are able to do this procedure independently and therefore my role as a school based practitioner would be limited.  However, if the student cannot do this independently because of muscle control or otherwise, then this procedure can be delegated by a school nurse and I may be called upon to assist.

According to the Nurse’s Act, the nurse can perform this procedure but can also delegate.  Therefore they are not REQUIRED to perform it
& 4. It seems if the student requires assistance with this procedure, then a health care plan would be required.  I am unclear if this can just be part of the IEP or if it has to be separate.  This procedure is not life threatening but may cause embarrassment if not done timely and correctly.  Does it only require a formal health plan if life threatening?  Perhaps because it may be delegated, then a health plan is necessary to identify those it may be delegated to.  I’m confused on the if formal plans are required by the act for all healthcare procedures and assistance at school.  If a plan is required, the steps of the procedure and who is delegated to assist with the procedure should be listed.  Perhaps also if there is a timed scheduled that crede’ occurs each day.

emptying a colostomy bag
1.  The steps for emptying a colostomy bag are 

Sit on or next to the toilet. …
Pull your clothes away from the pouch.
Hold the bottom of the pouch up. …
Slowly unroll the tail, or spout, over the toilet.
Bend over the toilet to help prevent splashing.
Slide your fingers down the pouch to push out all the stool.  

If the student requires assistance with this task, as a school based practitioner, I would be expected and allowed to assist.
2.  According to the Nurse’s Act, the nurse is not REQUIRED to perform the emptying of the bag, but would be required if care was needed.  Emptying the bag can be delegated.
3. & 4.  The student would have a health care plan if they had a colostomy bag.  The steps to empty would be included, the times to empty, and who was delegated to assist if needed.