STUDENT HEALTH AND IMMUNIZATION CERTIFICATES
Students desiring to participate in athletic activities or enrolling in kindergarten or first grade in the school district will have a physical examination by a licensed physician and provide proof of such an examination to the school district. A physical examination and proof of such an examination may be required by the administration for students in other grades enrolling for the first time in the school district.
A certificate of health stating the results of a physical examination and signed by the physician is on file at the attendance center. Each student will submit an up-to-date certificate of health upon the request of the superintendent. Failure to provide this information may be grounds for disciplinary action.
Students enrolling for the first time in the school district will also submit a certificate of immunization against diphtheria, pertussis, tetanus, poliomyelitis, rubeola, rubella, and other immunizations required by law. The student may be admitted conditionally to the attendance center if the student has not yet completed the immunization process but is in the process of doing so. Failure to meet the immunization requirement will be grounds for suspension, expulsion or denial of admission. Upon recommendation of the Iowa Department of Education and Iowa Department of Public Health, students entering the district for the first time may be required to pass a TB test prior to admission. The district may conduct TB tests of current students.
Exemptions from the immunization requirement in this policy will be allowed only for medical or religious reasons recognized under the law. The student must provide a valid Iowa State Department of Health Certificate of Immunization Exemption to be exempt from this policy.
Legal Reference: Iowa Code §§ 139.9; 280.13 (2001).
281 I.A.C. 33.5.
641 I.A.C. 7.
Cross Reference: 405.7 Child Abuse Reporting by Certified Personnel
501 Student Attendance
507 Student Health and Well-Being
Adopted: January 12, 1987
Reviewed: March 1998
September 2006
December 17, 2012
Revised: February 17, 2003
ADMINISTRATION OF MEDICATION TO STUDENTS
Students may be required to take medication during the school day. Medication is administered by the school secretary, or in the secretary's absence, by a person who has successfully completed an administration of medication course reviewed by the Board of Pharmacy Examiners. The course is conducted by a registered nurse or licensed pharmacist. A record of course completion will be maintained by the school district. Students who have demonstrated competence in administering their own medication may self-administer their medication.
Medication will not be administered without written authorization that is signed and dated from the parent, and the medication must be in the original container which is labeled by the pharmacy or the manufacturer with the name of the child, name of the medication, the time of the day which it is to be given, the dosage and the duration. Written authorization will also be secured when the parent requests student co-administration of medication when competency is demonstrated. When administration of the medication requires ongoing professional health judgment, an individual health plan will be developed by the licensed health personnel with the student and the student's parents. A written record of the administration of medication procedure must be kept for each child receiving medication including the date; student's name; prescriber or person authorizing the administration; the medication and its dosage; the name, signature and title of the person administering the medication; and the time and method of administration and any unusual circumstances, actions or omissions. Administration of medication records are kept confidential.
The school secretary, or in the secretary's absence, the person who has successfully completed an administration of medication course reviewed by the Iowa Board of Pharmacy Examiners will have access to the medication which will be kept in a secured area. Students may carry medication only with the approval of the parents and building principal of the student's attendance center. Emergency protocol for medication-related reactions will be in place.
The superintendent is responsible, in conjunction with the principal, for developing rules and regulations governing the administration of medication, prescription and nonprescription, including emergency protocols, to students and for ensuring persons administering medication have taken the prescribed course and periodically review the prescribed course. Annually, each student is provided with the requirements for administration of medication at school.
Legal Reference: Iowa Code ch. 124, 152, 155A (2001).
281 I.A.C. 41.12(6)(f), (11).
657 I.A.C. 1.1(3), 10.61(1).
Cross Reference: 506 Student Records
507 Student Health and Well-Being
602.6 Special Education
604.2 Health Services
Adopted: February 17, 2003
Reviewed: September 2006
December 17, 2012
See attachment.
See attachment.
COMMUNICABLE DISEASES - STUDENTS
Students with a communicable disease will be allowed to attend school provided their presence does not create a substantial risk of illness or transmission to other students or employees. The term "communicable disease" shall mean an infectious or contagious disease spread from person to person, or animal to person, or as defined by law.
Prevention and control of communicable diseases shall be included in the school district's bloodborne pathogens exposure control plan. The procedures shall include scope and application, definitions, exposure control, methods of compliance, universal precautions, vaccination, post-exposure evaluation, follow-up, communication of hazards to employees and record keeping. This plan shall be reviewed annually by the superintendent.
The health risk to immunodepressed students shall be determined by their personal physician. The health risk to others in the school district environment from the presence of a student with a communicable disease shall be determined on a case-by-case basis by the student's personal physician, a physician chosen by the school district or public health officials.
A student shall notify the superintendent when the student learns the student has a communicable disease. It shall be the responsibility of the superintendent, when the superintendent, upon investigation, has knowledge that a reportable communicable disease is present, to notify the Iowa Department of Public Health. Health data of a student is confidential and it shall not be disclosed to third parties.
A student who is at school and who has a communicable disease which creates a substantial risk of harm to other students, employees, or others at school shall report the condition to the Superintendent any time the student is aware that the disease actively creates such risk.
It shall be the responsibility of the superintendent to develop administrative regulations stating the procedures for dealing with students with a communicable disease.
Legal References: School Board of Nassau County v. Arline, 480 U.S. 273 (1987)
29 U.S.C. §§ 701 et seq. (1988)
45 C.F.R. Pt. 84.3 (1993)
Iowa Code ch. 139 (1997)
641 I.A.C. 1.2-.5, 7
Cross References: 402.11 Communicable Diseases - Employees
506 Student Records
507 Student Health and Well-Being
Previously Code No. 504.2
Adopted: January12, 1987
Reviewed: March 1998
January 20, 2003
September 2006
December 17, 2012
Revised: November 16, 1998
See attachment.
See attachment.
STUDENT ILLNESS OR INJURY AT SCHOOL
When a student becomes ill or is injured at school, the school district will attempt to notify the student's parents as soon as possible.
The school district, while not responsible for medical treatment of an ill or injured student, will have employees present administer emergency or minor first aid if possible. An ill or injured child will be turned over to the care of the parents or qualified medical employees as quickly as possible.
It is the responsibility of the principal to file an accident report with the superintendent within twenty-four hours after the student is injured.
Annually, parents are required to complete a medical emergency authorization form indicating the procedures to be followed, if possible, in an emergency involving their child. The authorization form will also include the phone numbers of the parents and alternative numbers to call in case of an injury or illness.
The superintendent is responsible, in conjunction with the school nurse, to develop rules and regulations governing the procedure in the event a student should become ill or be injured at school.
Legal Reference: Iowa Code § 613.17 (2001).
Cross Reference: 507 Student Health and Well-Being
Adopted: November 11, 1985
Reviewed: March 1998
September 2006
December 17, 2012
Revised: February 17, 2003
EMERGENCY PLANS AND DRILLS
Students will be informed of the appropriate action to take in an emergency. Emergency drills for fire, weather, and other disasters are conducted each school year. Fire and tornado drills are each conducted regularly during the academic school year with a minimum of two before December 31 and two after January 1.
Each attendance center will develop and maintain a written plan containing emergency and disaster procedures. The plan will be communicated to and review with employees. Employees will participate in emergency drills. Licensed employees are responsible for instructing the proper techniques to be followed in the drill.
Legal Reference: Iowa Code § 100.31 (2001).
281 I.A.C. 41.25(3).
Cross Reference: 507 Student Health and Well-Being
Adopted: November 11, 1985
Reviewed: March 1998
September 2006
December 17, 2012
Revised: February 17, 2003
STUDENT INSURANCE
Students will have the opportunity to participate in the health and accident insurance plan selected by the school district. The cost of the health and accident insurance program is borne by the student. Participation in the insurance health and accident plan is not a contract with the school district, but rather, a contract between the insurance company and the student.
Students participating in intramural or extracurricular athletics are required to have health and accident insurance. The student will bring written proof of insurance or participate in the health and accident insurance program selected by the school district.
Legal Reference: Iowa Code § 279.8 (2001).
Cross Reference: 504 Student Activities
507 Student Health and Well-Being
Adopted: November 11, 1985
Reviewed: March 1998
September 2006
December 17, 2012
Revised: February 17, 2003
CUSTODY AND PARENTAL RIGHTS
Disagreements between family members are not the responsibility of the school district. The school district will not take the "side" of one family member over another in a disagreement about custody or parental rights. Court orders that have been issued are followed by the school district. It is the responsibility of the person requesting an action by the school district to inform and provide the school district the court order allowing such action.
This policy does not prohibit an employee from listening to a student's problems and concerns.
It is the responsibility of the superintendent to ensure employees remain neutral in a disagreement about custody and parental rights.
Legal Reference: Iowa Code §§ 232.67, .70, .73, .75; 235A; 279.8; 710.6 (2001).
441 I.A.C. 9.2; 155; 175.
Cross Reference: 506 Student Records
507 Student Health and Well-Being
Approved: November 11, 1985
Reviewed: March 1998
September 2006
December 17, 2012
Revised: February 17, 2003
STUDENT SPECIAL HEALTH SERVICES
The board recognizes that some special education students need special health services during the school day. These students will receive special health services in conjunction with their individualized education program.
The superintendent, in conjunction with licensed health personnel, will establish administrative regulations for the implementation of this policy.
Legal Reference: Board of Education v. Rowley, 458 U.S. 176 (1982).
Springdale School District #50 v. Grace, 693 F.2d 41 (8th Cir. 1982).
Southeast Warren Comm. School District v. Dept. of Public Instruction, 285 N.W.2d 173 (Iowa 1979).
20 U.S.C. §§ 1400 et seq. (1994).
34 C.F.R. Pt. 300 et seq. (1996).
Iowa Code §§ 256.11(7); 256B; 273.2, .5, .9(2)-(3); 280.8 (2001).
281 I.A.C. 12.3(7), 41.96
Cross Reference: 502 Student Rights and Responsibilities
506 Student Records
602.6 Special Education
Adopted: February 17, 2003
Reviewed: September 2006
December 17, 2012
SPECIAL HEALTH SERVICES REGULATION
Some students who require special education need special health services in order to participate in the educational program. These students will receive special health services in accordance with their individualized educational program.
A. Definitions
"Assignment and delegation" - occurs when licensed health personnel, in collaboration with the education team, determine the special health services to be provided and the qualifications of individuals performing the health services. Primary consideration is given to the recommendation of the licensed health personnel. Each designation considers the student's special health service. The rationale for the designation is documented. If the designation decision of the team differs from the licensed health professional, team members may file a dissenting opinion.
"Co-administration" - the eligible student's participation in the planning, management and implementation of the student's special health service and demonstration of proficiency to licensed health personnel.
"Educational program" - includes all school curricular programs and activities both on and off school grounds.
"Education team" - may include the eligible student, the student's parent, administrator, teacher, licensed health personnel, and others involved in the student's educational program.
"Health assessment" - health data collection, observation, analysis, and interpretation relating to the eligible student's educational program.
"Health instruction" - education by licensed health personnel to prepare qualified designated personnel to deliver and perform special health services contained in the eligible student's health plan. Documentation of education and periodic updates are on file at school.
"Individual health plan" - the confidential, written, preplanned and ongoing special health service in the educational program. It includes assessment, planning, implementation, documentation, evaluation and a plan for emergencies. The plan is updated as needed and at least annually. Licensed health personnel develop this written plan with the education team.
"Licensed health personnel" - includes licensed registered nurse, licensed physician, and other licensed health personnel legally authorized to provide special health services and medications.
"Prescriber" - licensed health personnel legally authorized to prescribe special health services and medications.
"Qualified designated personnel" - persons instructed, supervised and competent in implementing the eligible student's health plan.
"Special health services" - includes, but is not limited to, services for eligible students whose health status (stable or unstable) requires:
· Interpretation or intervention,
· Administration of health procedures and health care, or
· Use of a health device to compensate for the reduction or loss of a body function.
"Supervision" - the assessment, delegation, evaluation and documentation of special health services by licensed health personnel. Levels of supervision include situations in which licensed health personnel are:
· physically present.
· available at the same site.
· available on call.
B. Licensed health personnel will provide special health services under the auspices of the school. Duties of the licensed personnel include the duty to:
· Participate as a member of the education team.
· Provide the health assessment.
· Plan, implement and evaluate the written individual health plan.
· Plan, implement and evaluate special emergency health services.
· Serve as liaison and encourage participation and communication with health service agencies and individuals providing health care.
· Provide health consultation, counseling and instruction with the eligible student, the student's parent and the staff in cooperation and conjunction with the prescriber.
· Maintain a record of special health services. The documentation includes the eligible student's name, special health service, prescriber or person authorizing, date and time, signature and title of the person providing the special health service and any unusual circumstances in the provision of such services.
· Report unusual circumstances to the parent, school administration, and prescriber.
· Assign and delegate to, instruct, provide technical assistance and supervise qualified designated personnel.
· Update knowledge and skills to meet special health service needs.
C. Prior to the provision of special health services the following will be on file:
· Written statement by the prescriber detailing the specific method and schedule of the special health service, when indicated.
· Written statement by the student's parent requesting the provision of the special health service.
· Written report of the preplanning staffing or meeting of the education team.
· Written individual health plan available in the health record and integrated into the IEP or IFSP.
D. Licensed health personnel, in collaboration with the education team, will determine the special health services to be provided and the qualifications of individuals performing the special health services. The documented rationale will include the following:
· Analysis and interpretation of the special health service needs, health status stability, complexity of the service, predictability of the service outcome and risk of improperly performed service.
· Determination that the special health service, task, procedure or function is part of the person's job description.
· Determination of the assignment and delegation based on the student's needs.
· Review of the designated person's competency.
· Determination of initial and ongoing level of supervision required to ensure quality services.
E. Licensed health personnel will supervise the special health services, define the level of supervision and document the supervision.
F. Licensed health personnel will instruct qualified designated personnel to deliver and perform special health services contained in the eligible individual health plan. Documentation of instruction and periodic updates are on file at school.
G. Parents will provide the usual equipment, supplies and necessary maintenance for such. The equipment is stored in a secure area. The personnel responsible for the equipment are designated in the individual health plan. The individual health plan will designate the role of the school, parents, and others in the provision, supply, storage and maintenance of necessary equipment.
EMERGENCY SCHOOL CLOSINGS
The superintendent has the authority to close schools, dismiss early, or keep school open beyond the regular school day in case of extreme weather or other emergency conditions. As soon as possible after the decision has been made, the superintendent shall arrange to announce the closing via the news media.
Make-up days will be scheduled so that students will attend school for the minimum number of school days per year prescribed by statute, Iowa Department of Public Instruction rules, and Board policy. On any day when the school is forced to close early, the portion of that day that school was in session shall be defined as a day of school, except in the case of a false bomb report. In such cases each missed day shall be made up.
Transportation in Poor Weather Conditions
Buses will not operate when weather conditions (fog, rain, snow, storm) make it unsafe to do so. Because weather conditions may vary around the district and may change quickly, the best judgment will be used that is possible with the information available.
The final decision in declaring conditions "unsafe" will be made by the superintendent or his/her designee.
Legal Reference: Iowa Code Sections 279.8; 279.10; 321.372(1)
Cross Reference: 702.8 Special Convenience Bus Stops
Previously Code No. 504.7
Adopted: November 11, 1985
Reviewed: January 20, 2003
September 2006
December 17, 2012
The board promotes healthy students by supporting wellness, good nutrition and regular physical activity as a part of the total learning environment. The school district supports a healthy environment where students learn and participate in positive dietary and lifestyle practices. By facilitating learning through the support and promotion of good nutrition and physical activity, schools contribute to the basic health status of students. Improved health optimizes student performance potential.
The school district provides a comprehensive learning environment for developing and practicing lifelong wellness behaviors. The entire school environment, not just the classroom, shall be aligned with healthy school district goals to positively influence a student's understanding, beliefs and habits as they relate to good nutrition and regular physical activity.
The school district supports and promotes proper dietary habits contributing to students' health status and academic performance. All foods available on school grounds and at school-sponsored activities during the instructional day should meet or exceed the school district nutrition standards and in compliance with state and federal law. Foods should be served with consideration toward nutritional integrity, variety, appeal, taste, safety and packaging to ensure high-quality meals.
The school district will make every effort to eliminate any social stigma attached to, and prevent the overt identification of, students who are eligible for free and reduced-price meals. Toward this end, the school district may utilize electronic identification and payment systems; provide meals at no charge to all children, regardless of income; promote the availability of meals to all students; and/or use nontraditional methods for serving meals, such as "grab-and-go" or classroom breakfast.
The school district will develop a local wellness policy committee comprised of parents, students, and representatives of the school food authority, the school board, school administrators, and the public, physical education teachers, and school health professionals. The local wellness policy committee will develop a plan to implement the local wellness policy and periodically review and update the policy. The committee will designate an individual to monitor implementation and evaluation the implementation of the policy. The committee will report annually to the board and community regarding the content and effectiveness of this policy and recommend updates if needed. When monitoring implementation, schools will be evaluated individually with reports prepared by each school and the school district as a whole. The report will include which schools are in compliance with this policy, the extent to which this policy compares to model Wellness policies and describe the progress made in achieving the goals of this policy.
Specific Wellness Goals
The nutrition guidelines for all foods available will focus on promoting student health and reducing childhood obesity in the school district;
The board will monitor and evaluate this policy through a method developed and implemented by the wellness policy committee, administered by the committees designee with results reported annually to the school board.
Legal Reference: Richard B. Russell National School Lunch Act, 42 U.S.C. 1751 et seq. (2005)
Child Nutrition Act of 1966, 42 U.S.C. 1771 et seq.,
Iowa Code 256.7(29), 256.11(6)
281 IAC 12.5(19), 12.5(20), 58.11
Cross Reference: 504.5 Student Fund Raising
504.6 Student Activity Program
710 School Food Services
Approved: June 19, 2006
Reviewed: September, 2006
December 17, 2012
February 13, 2017
March 13, 2017
Revised: June 18, 2012
February 13, 2017
March 13, 2017
Appendix A
Nutrition Education and Promotion
The school district will provide nutrition education and engage in nutrition promotion that:
Appendix B
Physical Activity
Physical Activity
The district will provide at least thirty (30) minutes of physical activity per day for students in kindergarten through fourth grade. The district will provide at least one hundred twenty (120) minutes of physical activity per week for students in fifth through twelfth grade.
Daily Physical Education
The school district will provide physical education that:
(The Centers for Disease Control and Prevention recommends at least 150 minutes a week for elementary students and 225 minutes a week for middle and high school students);
Daily Recess
Elementary schools should provide recess for students that:
When activities, such as mandatory school-wide testing, make it necessary for students to remain indoors for long periods of time, schools should give students periodic breaks during which they are encouraged to stand and be moderately active.
Appendix C
Other School-Based Activities that Promote Student Wellness
Integrating Physical Activity into Classroom Settings
For students to receive the nationally recommended amount of daily physical activity and for students to fully embrace regular physical activity as a personal behavior, students need opportunities for physical activity beyond the physical education class. Toward that end, the school district will:
Optional Issues
Communication with Parents
The school district will support parents’ efforts to provide a healthy diet and daily physical activity for their children. The school district will:
Food Marketing in Schools
School-based marketing will be consistent with nutrition education and health promotion. The school district will:
Other School-Based Activities that Promote Student Wellness
Examples: Marketing techniques include the following: logos and brand names on/in vending machines, books or curricula, textbook covers, school supplies, scoreboards, school structures, and sports equipment; educational incentive programs that provide food as a reward; programs that provide schools with supplies when families buy low-nutrition food products; in-school television, such as Channel One; free samples or coupons; and food sales through fundraising activities.
Staff Wellness
The school district values the health and well-being of every staff member and will plan and implement activities and policies that support personal efforts by staff to maintain a healthy lifestyle.
Appendix D
Nutrition Guidelines for All Foods Available on Campus
School Meals
Meals served through the National School Lunch and Breakfast Programs will:
Schools should:
Breakfast
To ensure that all children have breakfast, either at home or at school, in order to meet their nutritional needs and enhance their ability to learn, schools will:
Free and Reduced-Priced Meals
The school district will make every effort to eliminate any social stigma attached to, and prevent the overt identification of, students who are eligible for free and reduced-price meals. Toward this end, the school district may:
Meal Times and Scheduling
The school district:
Nutrition Guidelines for All Foods Available on Campus
Qualification of Food Service Staff
Qualified nutrition professionals will administer the meal programs. As part of the school district’s responsibility to operate a food service program, the school district will:
Sharing of Foods
The school district discourages students from sharing their foods or beverages with one another during meal or snack times, given concerns about allergies and other restrictions on some children’s diets.
Foods Sold Outside the Meal (e.g. vending, a la carte, sales)
All foods and beverages sold individually outside the reimbursable meal programs (including those sold through a la carte lines, vending machines, student stores or fundraising activities) during the school day, or through programs for students after the school day will meet nutrition standards as required by state or federal law. .
Fundraising Activities
There are two types of fundraising – regulated and other. Regulated fundraisers are those that offer the sale of foods or beverages on school property and that are targeted primarily to PK-12 students by or through other PK-12 students, student groups, school organizations, or through on-campus school stores. Regulated fundraising activities must comply with the state nutrition guidelines. All other fundraising activities are encouraged, but not required, to comply with the state nutrition guidelines if the activities involve foods and beverages.
The school district encourages fundraising activities that promote physical activity. The school district will make available a list of ideas for acceptable fundraising activities.
Snacks
Snacks served during the school day or in after-school care or enrichment programs will make a positive contribution to children’s diets and health, with an emphasis on serving fruits and vegetables as the primary snacks and water as the primary beverage. Schools will assess if and when to offer snacks based on timing of meals, children’s nutritional needs, children’s ages and other considerations. The school district will disseminate a list of healthful snack items to teachers, after-school program personnel and parents.
If eligible, schools that provide snacks through after-school programs will pursue receiving reimbursements through the National School Lunch Program.
Rewards
The school district will not use foods or beverages, especially those that do not meet the nutrition standards for foods and beverages sold individually, as rewards for academic performance or good behavior, and will not withhold food or beverages (including food served through meals) as a punishment.
Nutrition Guidelines for All Foods Available on Campus
Celebrations
Schools should evaluate their celebrations practices that involve food during the school day. The school district will disseminate a list of healthy party ideas to parents and teachers.
School-Sponsored Events
Foods and beverages offered or sold at school-sponsored events outside the school day are encouraged to meet the nutrition standards for meals or for foods and beverages sold individually.
Food Safety
All foods made available on campus adhere to food safety and security guidelines.
Appendix E
Plan for Measuring Implementation
Monitoring
The superintendent, the principal at each school, and the committee and/or designee will ensure compliance with established school district-wide nutrition and physical activity wellness policies.
In each school:
In the school district:
Policy Review
To help with the initial development of the school district’s wellness policies, each school in the school district will conduct a baseline assessment of the school’s existing nutrition and physical activity environments and practices. The results of those school-by-school assessments will be compiled at the school district level to identify and prioritize needs.
Assessments will be repeated every 3 years to help review policy compliance, assess progress and determine areas in need of improvement. As part of that review, the school district will review the nutrition and physical activity policies and practices and the provision of an environment that supports healthy eating and physical activity. The school district, and individual schools within the school district will, revise the wellness policies and develop work plans to facilitate their implementation.