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Roles & Responsibilities of Caregivers and Professionals

  • Seek information and support from the appropriate resources and professionals.

  • Purchase or arrange the purchase of the appropriate car safety seat, restraint system or wheelchair/stroller. 

  • Review the child car seat instructions and vehicle owner’s manual instructions. Install car safety seat or wheelchair accordingly. 

  • Request a referral to a therapist if their child needs postural support or has complex medical needs. 

  • Follow child-specific recommendations for transportation as determined by the inter-professional team.

  • Secure the child in their car safety seat or wheelchair seating 

  • Communicate their child’s transportation needs to everyone who transports the child.

  • Ensure that transportation equipment (car safety seat, restraint system or wheelchair) is properly secured within the vehicle according to manufacturer’s instructions.

  • Workshops are available to provide training for those wanting hands-on training and certification in child passenger safety. 
  • Completing the workshop will provide students with the ability to:
    • conduct child seat checks
    • deliver workshops to agencies who transport children
    • deliver workshops to staff who work with parents
    • deliver information sessions to parents and caregivers

For more information

  • Assist families of children (birth to 3 years) who have or may be at risk of a developmental delay.
  • Work in partnership with other professionals.
  • Connect families and caregivers to community resources (e.g. positioning and mobility therapists, child passenger safety programs etc).
  • Work in collaboration with therapists and family members to provide equipment.
  • Provide special-needs child car seats for demonstration.
  • Provide manufacturer information and demonstration to families on how to use special needs equipment when equipment is purchased.
  • Provide information and demonstrations regarding van modifications and equipment (specialized dealers with NMEDA certification).
  • Provide quotes for funding applications.
  • Provide certified maintenance and repair service and maintenance to vehicles and equipment.
  • Part of a team that assesses an infant’s ability to tolerate being positioned in a car seat, sometimes called a “car seat challenge.” 
  • May liaise with families, school districts and staff to identify issues and help develop an Individual Education Plan (IEP). 
  • May provide one-to-one nursing care of medically complex children, travelling with a child in a private vehicle, taxi or school bus. 
  • For discharge from hospital: 
    • Determine readiness for transportation in consultation with the team.
    • Assist in completing transportation plan prior to first outing requiring transportation.
    • If family unavailable, install and use car seat as per manufacturer’s instructions and BCAA Guidelines  A Guidelines  
  • In the community:
    • Knowledgeable about factors associated with the child’s diagnosis and the impact individual and family members’ participation in activities. 
    • Complete individualized physical, developmental and environmental assessments. 
    • Problem solve with caregivers and school staff regarding the child’s specific equipment needs. 
    • Advise parents/caregivers and other team members regarding individualized transportation strategies. 
    • Provide advice about postural and behavioural support in relation to transportation. 
    • Can prescribe and write letters of justification/medical necessity for specific equipment (i.e. special needs car seats, neck collars). 
  • For discharge from hospital:
    • Part of a team that assesses an infant’s ability to tolerate being positioned in a car seat, sometimes called a “car seat challenge.” 
    • Assist in completing transportation plan prior to first outing requiring transportation.
  • Educated as rehabilitation assistant and has additional training in child passenger safety 
  • Educate parents/caregivers and fit children for use of the special needs car seats at BC Children’s Hospital. 
  • Run the loaner program at BC Children's Hospital
  • Typically involved when child is admitted to hospital/rehabilitation facility.
  • Assess the medical stability of the infant or child in relation to transportation.
  • Consult with others who are knowledgeable about special-needs transportation to make final decisions.
  • Authorize the medical necessity of transportation. 
  • May write letters of medical necessity for specific situations.

All staff working with student

Case managers/support workers

  • Develop and carry out an individual education plan which may include the student’s transportation plan to get to and from school in collaboration with parents/caregivers
  • Where applicable, secure the student in and out of a taxi, school bus and/or public transit when a student is being transported to and from school, field trips and other outings.


  • Assist, advocate and support families with referrals to medical, community and financial resources.
  • Help families to navigate through the social and medical care systems.
  • May be the legal guardian if a child is in the care of the BC Ministry of Children and Family Development (MCFD).
SOURCE: Roles & Responsibilities of Caregivers and Professionals ( )
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