anything that is classed as invasive needs to be signed off by the insurance company before little ones start. We have paediatric specialist nurses who come in and train us and sign us off as having been trained. All paperwork etc then needs to be sent to the insurance company.
Most specialist needs can be dealt with well in the setting and the willingness of the nursery fills me with hope. At the start of their sessions staff tend to be over cautious but it really doesn't take too long before every thing settles down. We havent had any children with feeding tubes (though i have experienced with my daughters friend) we have dealt with a little one with severe cleft, (through hard and soft palate), stoma care, diabetes, and pan-hypo-thyroism (needing specialist care) amongst other things....All of these children have done really well in the setting and become a really important member of the group. The other children see any difficulties as just part of them, once explained they ask a few questions and then just accept the situation....β€οΈ
I would just make sure that a defined health care plan is in place to ensure everyone knows what to do if there is a problem.