507 STUDENT HEALTH AND WELL-BEING

507.1 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 

281 I.A.C. 33.5.

641 I.A.C. 7.

 

 

Cross Reference:        

402.2   Child Abuse Reporting

501      Student Attendance

507      Student Health and Well-Being

 

 

Approved   July 1999                   

Reviewed March 2020

Revised                   

507.2 ADMINISTRATION OF MEDICATION TO STUDENTS

The board is committed to the inclusion of all students in the education program and recognizes that some students may need prescription and nonprescription medication to participate in their educational program. 

Medication shall be administered when the student's parent or guardian (hereafter "parent") provides a signed and dated written statement requesting medication administration and the medication is in the original, labeled container, either as dispensed or in the manufacturer's container. Administration of medication may also occur consistent with board policy 804.05 – Stock Prescription Medication Supply.

When administration of the medication requires ongoing professional health judgment, an individual health plan shall be developed by licensed health personnel working under the auspice of the school with collaboration from the parent or guardian, individual’s health care provider or education team pursuant to 281.14.2(256) .  Students who have demonstrated competence in administering their own medications may self-administer their medication. A written statement by the student's parent shall be on file requesting co-administration of medication, when competence has been demonstrated. By law, students with asthma, airway constricting diseases, respiratory distress or students at risk of anaphylaxis who use epinephrine auto-injectors may self-administer their medication upon the written approval of the student’s parents and prescribing licensed health care professional regardless of competency.   

Persons administering medication shall include authorized practitioners, such as licensed registered nurses and physician, and persons to whom authorized practitioners have delegated the administration of medication (who have successfully completed a medication administration course conducted by a registered nurse or pharmacist that is provided by the department of education). The medication administration course is completed every five years with an annual procedural skills check completed with a registered nurse or a pharmacist. A record of course completion shall be maintained by the school. 

A written medication administration record shall be on file including: 

  • date; 
  • student’s name; 
  • prescriber or person authorizing administration; 
  • medication; 
  • medication dosage;
  • administration time; 
  • administration method; 
  • signature and title of the person administering medication; and 
  • any unusual circumstances, actions, or omissions.

Medication shall be stored in a secured area unless an alternate provision is documented.  The development of emergency protocols for medication-related reactions is required. Medication information shall be confidential information as provided by law.

Disposal of unused, discontinued/recalled, or expired abandoned medication shall be in compliance with federal and state law. Prior to disposal school personnel shall make a reasonable attempt to return medication by providing written notification that expired, discontinued, or unused medications needs to be picked up. If medication is not picked up by the date specified, disposal shall be in accordance with the disposal procedures for the specific category of medication. 

 

 

                                                     

Legal Reference:         

Disposing on Behalf of Ultimate Users, 79 Fed. Reg. 53520, 53546 (Sept. 9, 2014).

Iowa Code §§124.101(1); 147.107152.1155A.4280.16280.23.

281 IAC §41.404(1)(f), (3)(f)

657 IAC §8.32(124); §8.32(155A).

655 IAC §6.2(152).

Cross Reference:        

603.3  Special Education

607.2  Student Health Services

804.5 Stock Prescription Medication Supply

 

 

 

Approved   July 1999   

Reviewed September 2023

Revised  September 2023

507.2E1 AUTHORIZATION- ASTHMA, AIRWAY CONSTRICTING, OR RESPIRATORY DISTRESS MEDICATION SELF-ADMINISTRATION CONSENT FORM

507.2E2 PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION OF PRESCRIPTION MEDICATION TO STUDENTS

Uploaded Files: 

507.2E3 PARENTAL AUTHORIZATION AND RELEASE FORM FOR INDEPENDENT SELF CARRY AND ADMINISTRATION OF PRESCRIBED MEDICATION OR INDEPENDENT DELIVERY OF HEALTH SERVICES BY THE STUDENT

Uploaded Files: 

507.3 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" will 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 is included in the school district's bloodborne pathogens exposure control plan.  The procedures will 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 is reviewed annually by the superintendent and school nurse.

 

The health risk to immunodepressed students is 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 is determined on a case-by-case basis by the student's personal physician, a physician chosen by the school district or public health officials.

 

It is the responsibility of the superintendent, in conjunction with the school nurse, to develop administrative regulations stating the procedures for dealing with students with a communicable disease.

 

For more information on communicable disease charts, and reporting forms, go to the Iowa Department of Public Health website:  http://www.idph.state.ia.us.

 

 

 

 

Legal Reference:      

School Board of Nassau County v. Arline, 480 U.S. 273 (1987).

29 U.S.C. §§ 701 et seq. (2012).

45 C.F.R. Pt. 84.3 (2012).

Iowa Code ch. 139 (2013).

641 I.A.C. 1.2-.5, 7.

 

Cross Reference:                    

403.3   Communicable Diseases - Employees

506      Student Records

507      Student Health and Well-Being

 

 

 

Approved   July 1999

Reviewed   March 2020      

Revised  

507.4 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 

 

Cross Reference:        

507      Student Health and Well-Being

 

 

Approved   July 1999          

Reviewed March 2020

Revised                   

507.5 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 reviewed with the 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 

281 I.A.C. 41.25(3).

 

Cross Reference:        

507      Student Health and Well-Being

711.10 School Bus Safety Instruction

804      Safety Program

 

 

Approved   July 1999                   

Reviewed March 2020

Revised 

507.6 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.

 

 

 

 

 

Legal Reference:         

Iowa Code § 279.8 

 

 

Cross Reference:        

504      Student Activities

507      Student Health and Well-Being

 

 

Approved   July 1999                   

Reviewed March 2020     

Revised March 2020

 

 

507.7 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.

441 I.A.C. 9.2; 155; 175.

 

 

Cross Reference:        

506      Student Records

507      Student Health and Well-Being

 

 

Approved   July 1999                   

Reviewed March 2020

Revised 

507.8 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. 

34 C.F.R. Pt. 300 et seq. 

Iowa Code §§ 256.11(7); 256B; 273.2, .5, .9(2)-(3); 280.8 

281 I.A.C. 41.404(1)(f); (3)(f); 41.405

 

 

Cross Reference:        

502      Student Rights and Responsibilities

506      Student Records

603.3   Special Education

 

 

Approved   July 1999                    

Reviewed March 2020     

Revised  

507.8R1 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 health plan.

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 in accordance with licensed practice 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 in the student's education record.

"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 , or as described in the Individuals with Disabilities Education Act or Section 504 of the Rehabilitation Act of 1973 .

"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, nursing diagnosis, outcomes, planning,interventions, evaluation, student goals, if applicable, and a plan for emergencies.  The plan is updated as needed and at least annually.  Licensed health personnel develop this written plan with with collaboration from the parent or guardian, individual’s health care provider or 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 under the auspices of the school.

"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 and qualifications of school personnel performing health services.
  • Review of the designated person's competency.
  • Determination of initial and ongoing level of supervision, monitoring and evaluation required to ensure quality services.

E. Licensed health personnel will supervise the special health services, define the level and frequency 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, written consent of personnel as required in Iowa Code 280.23 and periodic updates are on file at school.

G. Parents will provide the usual equipment, supplies and necessary maintenance for such, unless the school is required to provide the equipment, supplies, and maintenance under the Individuals with Disabilities Education Act or Section 504 of the Rehabilitation Act of .1973.  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.
 

 

I.C. Iowa Code
Description

Iowa Code § 256.11
DE - Educational Standards

Iowa Code § 256B
Special Education

Iowa Code § 273.2
AEA's Powers, Services, Programs

Iowa Code § 273.5
AEA's -Special Education

Iowa Code § 273.9
AEA's - Funding

Iowa Code § 280.8
Uniform School Requirements - Special Education

I.A.C. Iowa Administrative Code
Description

281 I.A.C. 14
Special Health Services

U.S.C. - United States Code
Description

20 U.S.C. §§ 1400
IDEA - General Provisions

U.S. Supreme Court
Description

480 U.S. 279
School Board of Nassau Cnty. V Arline (1987)

Case Law
Description

Board of Education v. Rowley
458 U.S. 176 (1982)

SE Warren CSD v. Dept. of Public Instruction
285 N.W.2d 173 (Iowa 1979)

Springdale SD #50 v. Grace
693 F.2d 41 (8th Cir. 1982)

Cross References

Code
Description

603.03
Special Education

711.01
Student School Transportation Eligibility

507.9 SCHOOL WELLNESS POLICY

The Winfield Mt. Union Board of Education is committed to the optimal development of every student. The board believes for students to have the opportunity to achieve personal, academic, developmental, and social success, there needs to be a positive, safe, and health-promoting learning environment at every level, in every setting.    

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. In accordance with law and this belief, the board commits to the following:

The school district will identify at least one goal in each of the following areas:

·         Nutrition Education and Promotion:  Schools will provide nutrition education and engage in nutrition promotion that helps students develop lifelong healthy eating behaviors.

·         Physical Activity: Schools will provide students with age and grade appropriate opportunities to engage in physical activity that meet the Iowa Healthy Kids Act.

·         Other School Based Activities that Promote Wellness: As appropriate, schools will support students, staff, and parents’ efforts to maintain a healthy lifestyle.

 

The following nutritional guidelines for food available on school campuses will be adhered to:

·         Meals served through the National School Lunch and School Breakfast Program will be appealing and meet, at a minimum, nutrition requirements established by state and federal law;

·         Schools providing access to healthy foods outside the reimbursable meal programs before school, during school and thirty minutes after school shall meet the United States Department of Agriculture (“USDA”) Smart Snacks in Schools nutrition standards, at a minimum.  This includes such items as those sold through a la carte lines, vending machines, student run stores, and fundraising activities;

·         Snacks provided to students during the school day without charge (e.g., class parties) will meet standards set by the district in accordance law. The district will provide parents a list of foods and beverages that meet nutrition standards for classroom snacks and celebrations; and

·         Schools will only allow marketing and advertising of foods and beverages that meet the Smart Snacks in school nutritional standards on campus during the school day.

 

The superintendent or superintendent’s designee shall implement and ensure compliance with the policy by:

·         Reviewing the policy at least every three years and recommending updates as appropriate for board approval;

·         Implementing a process for permitting parents, students, representatives of the school food authority, teachers of physical education, school health professionals, the school board, administrators and the public to participate in the development, implementation, and periodic review and update of the policy;

·         Making the policy and updated assessment of the implementation available to the public (e.g., posting on the website, newsletters, etc). This information shall include the extent to which the schools are in compliance with policy and a description of the progress being made in attaining the goals of the policy; and

·         Developing administrative regulations, which shall include specific wellness goals and indicators for measurement of progress consistent with law and district policy.  

 

Legal Reference:         

42 U.S.C. §§ 1751 et seq.

42 U.S.C. §§ 1771 et seq

Iowa Code §§ 256.7(29); 256.11(6).

281 I.A.C. 12.5; 58.11.

 

Cross Reference:     504.5   Student Fund Raising

                                  504.6   Student Activity Program

                                  710      School Food Services

 

 

 

 

 

Approved May 2006                       

Reviewed December 2022

Revised 

 

 

507.9 R1 WELLNESS REGULATION

To implement the Wellness Policy, the following district specific goals have been established:  

Goal 1 – Nutrition Education and Promotion:  Schools will provide nutrition education and engage in nutrition promotion that help students develop lifelong healthy eating behaviors. The goal(s) for addressing nutrition education and nutrition promotion include the following:

·           Provide students with the knowledge and skills necessary to promote and protect their health;

·          Promote fruits, vegetables, whole-grain products, low-fat and fat-free dairy products, and healthy foods

Goal 2 – Physical Activity: Schools will provide students and staff with age and grade appropriate opportunities to engage in physical activity that    

              meet federal and state guidelines, including the Iowa Healthy Kids Act. The goal(s) for addressing physical activity include the following:

Promote the benefits of a physically active lifestyle and help students develop skills to engage in lifelong healthy habits;

Afford elementary students with recess according to the following:

At least 20 minutes a day;

  • Outdoors as weather and time permits;
  • Encourages moderate to vigorous physical activity; and

 

Goal 3 – Other School-Based Activities that Promote Student Wellness: Schools will support student, staff, and parents’ efforts to maintain a healthy lifestyle, as appropriate. The goal(s) for addressing other school-based activities that promote student wellness include the following:

Provide parents a list of foods and beverages that meet  nutrition standards for classroom snacks and celebrations;

Develop a plan to promote staff health and wellness

Make drinking water available where school meals are served during meal times

 

Public Involvement: There is a process for permitting parents, students, representatives of the school food authority, teachers of physical education, school health professionals, the school board, administrators and the public to participate in the development, implementation, and periodic review and update of the policy.

The district has a local wellness policy committee to advise the district on the development, implementation, and improvement of the school wellness policy;

The superintendent or superintendent’s designee invites suggestions or comments concerning the development, implementation, and improvement of the school wellness policy. As such, interested persons are encouraged to contact the superintendent or superintendent’s designee.

Evaluation:  The wellness committee will meet at least once every three years to evaluate progress and recommend possible changes to the goals.  Goals will be evaluated by a yes/no response to each goal.