STUDENT HEALTH AND IMMUNIZATION CERTIFICATES
Students desiring to participate in athletic activities or enrolling in kindergarten or first grade in the school district shall 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 shall be on file at the attendance center. Each student shall 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 shall 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 (1995).
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: 4/14/97 Reviewed: 12/99
7/06
10/16
Code No. 507.10
Page 1 of 3
WELLNESS POLICY
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. Foods available on school grounds and at school-sponsored activities during the instructional day should meet or exceed the school district, state, and the USDA Smart Snacks in School nutritional standards. 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; promote the availability of meals to all students regardless of income; and/or use nontraditional methods for serving meals.
The school district has developed a local wellness policy that included parents, students, representatives of the school food authority, the school board, school administrators, and the public in its development. The wellness policy includes a plan to implement, measure, and monitor the effectiveness of the policy. The policy designates that all of the Building Principals will monitor implementation and report to the Superintendent and Food Service Director. The Superintendent shall report annually to the board of education for evaluation of the policy.
Specific Wellness Goals:
Nutrition Education and Promotion:
The school district will provide nutrition education and engage in nutrition promotion. Health education curriculum will be provided at each grade level. The curriculum will provide knowledge and skills necessary to promote and protect their health.
Physical Activity requirements by the State of Iowa according to the Healthy Kids Act took effect July 1, 2009.
Physical Activity:
Grades K- 5 will receive 30 minutes per day of physical activity
Grades 6-12 will receive 120 minutes per week of physical activity in which there are at least 5 days that week
Every pupil who is physically able to do so will complete a certification course for cardiopulmonary resuscitation by the end of grade 12.
Recess is preferably outdoors
Encourage moderate to vigorous physical activity
Discourage extended periods of inactivity
“Physical activity” means any movement, manipulation, or exertion of the body that can lead to
improved levels of physical fitness and quality of life.
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:
offer classroom health education that complements physical education
reinforce the knowledge and self-management needed to maintain a physically active lifestyle
reduce time spent on sedentary activities
The school district values the health and well-being of every staff member and will plan and implement activities that support personal efforts by staff to maintain a healthy lifestyle. Staff members are encouraged to model healthy lifestyle habits. The district will provide helpful tools as needed to staff, parents, and students as provided by the Iowa Department of Education Healthy Kids Act in their Training Toolkit. More information can be found at https://www.educateiowa.gov/pk-12/learner-supports/healthy-kids-act
The USDA Smart Snacks for Schools requires that all foods/beverages sold on campus from midnight through 30 minutes after the last bell of the school day must follow these requirements. To determine qualification enter each food item into the nutritional calculator (see link below) provided by the Iowa Department of Education/USDA and print out the reported results.
https://schools.healthiergeneration.org/focus_areas/snacks_and_beverages/smart_snacks/alliance_product_calculator/
This report shall be submitted to the Food Service Director before the items are sold. These nutritional reports are being monitored by the Iowa Department of Education.
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, the school will:
operate the breakfast program according to USDA guidelines
notify parents and students of the availability of the School Breakfast Program
encourage parents to provide a healthy breakfast for their children
As an amendment of the Healthy Kids Act Section 273.2, Code 2007 of Section 143, the board of an area education agency or a consortium of two or more area education agencies shall contract with one or more licensed dieticians for the support of nutritional provisions in individual education plans developed in accordance with chapter 256B and to provide information to support school nutrition coordinators as needed. As part of the school district’s responsibility to operate a food service program, the school district will:
provide continuing professional development for all nutrition professionals
encourage parents to include healthy foods and snacks in lunches brought from home(An addition to the handbook will include a policy for no pop, energy drinks, and other non-nutritional beverages.Only clear water bottles will be allowed.)
encourage staff to model healthy eating habits by choosing healthy foods and beverages
At the high school level there will be a variety of healthy choices of foods and beverages for foods sold individually via A la carte outside the reimbursable meal programs. These choices, along with all foods/beverages sold to students, including fundraisers, will follow the nutritional requirements of the Healthy Kids Act that took effect July 1, 2010 and the USDA Smart Snacks in School that is effective July 1, 2014 following their chart below:
Nutrition Standards for All Foods Sold in Schools
Food/Nutrient |
Standard |
Exemptions to the Standards |
General Standard for Competitive Food |
To be allowable, a competitive FOOD item must:
*If water is the first ingredient, the second ingredient must be one of items 2, 3, or 4 above. |
|
NSLP/SBP Entrée Items Sold A la Carte |
Any entrée item offered as part of the lunch program or the breakfast program is exempt from all competitive food standards if it is sold as a competitive food on the day of service or the day after service in the lunch or breakfast program. |
|
Sugar-Free Chewing Gum |
Sugar-free chewing gum is exempt from all competitive food standards. |
|
Grain Items |
Acceptable grain items must include 50% or more whole grains by weight, or have whole grains as the first ingredient. |
|
Total Fats |
Acceptable food items must have ≤35% calories from total fat as served. |
|
Food Nutrient |
Standard |
Exemptions to the Standard |
|
|
Combination products are not exempt and must meet all the nutrient standards.
|
Saturated Fats |
Acceptable food items must have <10% calories from saturated fat as served. |
Combination products are not exempt and must meet all the nutrient standards. |
Trans Fats
|
Zero grams of trans fat as served (≤0.5 g per portion). |
|
Sugar |
Acceptable food items must have ≤35% of weight from total sugar as served. |
|
Food/Nutrient |
Standard |
Exemptions to the Standard |
|
|
Products consisting of only exempt dried fruit with nuts and/or seeds with no added nutritive sweeteners or fats are exempt from the sugar standard |
Sodium |
Snack items and side dishes sold a la carte: ≤ 230 mg sodium per item as served. Effective July 1, 2016 snack items and side dishes sold a la carte must be: ≤ 200 mg sodium per item as served, including any added accompaniments.
Entrée items sold a la carte: ≤ 480 mg sodium per item as served, including any added accompaniments. |
|
Calories |
Snack items and side dishes sold a la carte: ≤ 200 calories per item as served, including any added accompaniments.
Entrée items sold a la carte: ≤ 350 calories per item as served including any added accompaniments. |
Entrée items served as an NSLP or SBP entrée are exempt on the day of or day after service in the program meal. |
Accompaniments |
Use of accompaniments is limited when competitive food is sold to students in school. The accompaniment must be included in the nutrient profile as part of the food item served and meet all proposed standards. |
|
Caffeine |
Elementary and Middle School: foods and beverages must be caffeine-free with the exception of trace amounts of naturally occurring caffeine substances.
High School: foods and beverages may contain caffeine. |
|
Beverages Standard
Beverages |
Elementary School
|
|
Middle School
|
|
High School
|
The Principal in each building will ensure compliance with these policies in their school building and will report in writing using the form provided by the food service director on the school’s compliance annually to the Superintendent and Food Service Director.
The Superintendent or his/her designee will ensure compliance with established school district-wide nutrition and physical activity wellness policies and goals.
The school district has conducted a baseline assessment of the school’s existing nutrition and physical activity environments and practices. The results of those school-by-school assessments have been compiled.
The Superintendent or his/her designee will report annually to the board and publish the report to the public regarding the effectiveness and compliance of this policy.
Approved: 6/06 Reviewed: 6/08 Revised:9/10
6/14 6/14
4/17
10/20
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.,
Senate File 2425:
https://www.educateiowa.gov/sites/files/ed/documents/SenateFile2425.pdf
Iowa Code section 256.7(5)
Cross Reference: 504.6 Student Activity Program
710 School Food Services
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.
When the administration of the medication requires ongoing professional health judgment, an individual health plan shall be developed by the licensed health practitioner with the student and the student’s parent. 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 (student administration) of medication, when competence has been demonstrated. By law, students with asthma or other airway constricting diseases 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 the licensed registered nurse, parent, physician, and persons who have successfully completed a medication administration course reviewed by the Board of Pharmacy Examiners. A medication administration course and periodic update shall be conducted by a registered nurse or licensed pharmacist and record of course completion kept on file at the agency.
A written medication administration record shall be on file including:
Medication shall be stored in a secured area unless an alternate provision is documented. Emergency protocols for medication-related reactions shall be posted. Medication information shall be confidential information as provided by law.
Disposal of unused, discontinued/recalled, or expired 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 medication needs to be picked up. If medication is not picked up by the date specified, disposal shall be in accordance with disposal procedures for specific category of medication.
NOTE: Iowa law requires school districts to allow students with asthma or other airway constricting disease to carry and self-administer their medication as long as the parents and prescribing physician report and approve in writing. Students do not have to prove competency to the school district. The consent form, see 507.2E1 is all that is required. School districts that determine students are abusing their self-administration may either withdraw the self-administration if medically advisable or discipline the student, or both.
Approved: 4/14/97 Revised: 12/99
7/06
10/16
Legal Reference: §§ 155A.4(2)”c”, Iowa Code (1999)
Education[281] - §41.12(11)
Pharmacy[657] - 10.16(204), IAC
Nursing Board [655] - §6.2(152), IAC
§124.101, Code of Iowa (1999)
§147.107, Code of Iowa (1999)
§152.1, Code of Iowa (1999)
Emergency Protocol for Medication-Related Reaction
B. Symptoms mat include any change in behavior and are not limited to:
C. Procedure:
Example: call 911 in extreme reaction.
D. Follow-up:
Reviewed: 10/16
Code No. 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" 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 and school nurse.
The health risk to immuno-depressed 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.
Since there may be greater risks of transmission of a communicable disease for some persons with certain conditions than for other persons infected with the same disease, these special conditions: the risk of transmission of the disease, the effect upon the education program, the effect upon the student, and other factors deemed relevant by public health officials or the superintendent shall be considered in assessing the student's’ continued attendance at school. The superintendent may require medical evidence that students with a communicable disease are able to attend school.
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.
Health data of a student is confidential and it shall not be disseminated. In compliance with FERPA, health data shall be shared with staff on a “need to know” basis as described in FERPA regulations.
It shall be 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.
Legal Reference: 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 (1995).
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: 8/7/89 Revised: 9/14/92 Reviewed: 7/06
Revised: 4/14/97
Revised: 1/99
Revised: 2/17
Code No. 507.3E2
REPORTABLE INFECTIOUS DISEASES
1-800-362-2736
While the school district is not responsible for reporting, the following infectious diseases are required to be reported to the state and local public health offices:
AIDS (report on AIDS form) Fifth’s Disease
Amebiasis Pertussis (whooping cough)
Anthrax Plague *
Botulism * Poliomyelitis *
Brucellosis Psittacosis
Campylobacter Rabies (Animal)
Chlamydia (report on STD card) Rabies (Human) *
Cholera * Reye’s Syndrome
Cryptosporidiosis Rheumatic Fever
Diptheria * Rocky Mountain Spotted Fever
E. coli O157:H7 Rubella (German Measles)
Encephalitis, Arboviral Salmonella (includes typhoid fever)
Giardia Shigella
Hansen’s Disease Tetanus
Hepatitis A, B, C, D, E Toxic Shock Syndrome
Histoplasmosis Trichinosis
HIV infection other than AIDS Tuberculosis
H. Influenzae Invasive Disease Tularemia
Influenza Venereal Disease
Legionellosis Chancroid
Leprosy Gonorrhea (report on STD card)
Leptospirosis Granuloma Inguinale
Lyme Disease Lymphogranuloma Venereum
Malaria Syphilis (report on STD card)
Measles * Yellow Fever
Meningitis (bacterial or viral)
Meningoccal Invasive Disease
Mumps
* IMMEDIATELY REPORT BY TELEPHONE (NUMBER ABOVE)
Any other disease which is unusual in incidence, occurs in unusual numbers of circumstances, or appears to be of public health concern, e.g., epidemic diarrhea, food or waterborne outbreaks, acute respiratory illness.
Appropriate copies must be mailed to both the state and local public health offices. School Districts must submit a report weekly if there are cases of mumps, chicken pox, erythema infectiosum, gastroenteritis, influenza-like illnesses and if the number is greater than 10 percent of the school district’s enrollment.
Revised (02/2017)
Code No. 507.3E3
REPORTING FORM
Source: Iowa Department of Public Health (1997)
REPORT THE FOLLOWING DISEASES IMMEDIATELY BY TELEPHONE (1.800.362.2736)
Botulism Poliomyelitis Yellow Fever
Cholera Rabies Disease outbreaks of any public Diphtheria Rubella health concern
Plague Rubeola (Measles)
REPORT ALL OTHER DISEASES BELOW. WEEK ENDING________________
See 507.3E2 for a list of reportable infectious diseases.
Disease _______________________________________
Patient _______________________________________
County or City _______________________________________
Date of Birth _______________________________________
Gender _______________________________________
Name of Parent _______________________________________
Address _______________________________________
Attending Physician _______________________________________
Reporting Physician, Hospital, or Other Authorized Person
Name _______________________________________
Address _______________________________________
Remarks ____________________________________________________________________________
____________________________________________________________________________
_____________________________________________________________________________________________
Revised (02/2017)
STUDENT ILLNESS OR INJURY AT SCHOOL
When a student becomes ill or is injured at school, the school district shall 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 shall be the responsibility of the principal to file an accident report with the superintendent within twenty-four hours after the student is injured.
Annually, parents shall be 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 shall be 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 (1995).
Cross Reference: 507 Student Health and Well-Being
Approved: 4/14/97 Reviewed: 12/99
7/06
2/17
Code No. 507.4E
PARTS OF BODY INJURED
HEAD/NECK UPPER EXTREMITIES LOWER EXTREMITIES TRUNK
__Skull __Shoulders R/L __Hips R/L __Upper Back
__Face __Upper Arms R/L __Thighs R/L __Lower Back
__Neck __Elbow R/L __Knee R/L __Collarbone
__Ear(s) R/L __Forearm(s) R/L __Lower Leg(s) R/L __Chest
__Eye(s) R/L __Wrist(s) R/L __Ankle(s) R/L __Lung(s)
__Nose __Hand(s) R/L __Foot R/L __Ribs
__Teeth __Finger(s) R/L __Toe(s) __Pelvis
__Mouth __Internal
SPECIFIC TYPE OF INJURY
__Amputation __Concussion __Inflammation __Puncture
__Asphyxiation __Cut/Laceration/Abrasion __Ligaments/Cartilage __Shock(Elec)
__Bite __Dislocation __Overheated __Sprain/Strain
__Bruise __Fracture __Paralysis __Sting
__Burn __Frostbite __Poisoning __Teeth Injury
__Chest Pain __Hearing Loss (solid, liquid, gas, vapor) __Vision Loss
__Other (Specify)
MARK INJURED AREAS OF BODY
EMERGENCY DRILLS
Students will be informed of the action to take in an emergency. Emergency drills for fire, weather, and other disasters shall be conducted each school year. Fire and tornado drills shall be each conducted regularly during the academic school year with a minimum of two before December 31 and two after January 1.
Employees shall participate in emergency drills. Licensed employees shall be responsible for instructing the proper techniques to be followed in the drill.
Legal Reference: Iowa Code § 100.31 (1995).
281 I.A.C. 41.27(3).
Cross Reference: 507 Student Health and Well-Being
711.7 School Bus Safety Instruction
804 Safety Program
Approved: 4/14/97 Reviewed: 12/99
7/06
4/17
STUDENT INSURANCE
Students shall 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 shall be 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 extracurricular athletics shall be required to have health and accident insurance. The student shall 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 (1995).
Cross Reference: 504 Student Activities
507 Student Health and Well-Being
Approved: 4/14/97 Reviewed: 12/99
7/06
4/17
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 shall be followed by the school district. It shall be 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 shall be 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 (1995).
441 I.A.C. 9.2; 155; 175.
Cross Reference: 506 Student Records
507 Student Health and Well-Being
Approved: 4/14/97 Reviewed: 12/99
7/06
4/17
STUDENT SPECIAL HEALTH SERVICES
The Board recognizes that there are some special education students who are in need of special health services during the school day. These students shall receive confidential special health services in conjunction with their education program.
The superintendent, in conjunction with licensed health personnel, shall draft 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. (1988).
34 C.F.R. Pt. 300 et seq. (1993).
Iowa Code §§ 256.11(7); 256B; 273.2, .5, .9(2)-(3); 280.8 (1995).
281 I.A.C. 41.
Cross Reference: 502 Student Rights and Responsibilities
506 Student Records
603.3 Special Education
Approved: 4/14/97 Reviewed: 12/99
7/06
4/17
CRISIS PREVENTION/INTERVENTION/AWARENESS
The Estherville Lincoln Central Board of Education recognizes that violence, suicide, accidents, and tragedies are part of our society.
As such, the Board desires a comprehensive management program which includes a plan that is proactive and includes prevention, intervention, response, aftermath, and recovery components that address potential and materialized problems.
The Board supports the following activities:
(1) Establishment of procedures for dealing with trauma, tragedy and loss of life within our schools.
(2) Provision of materials and other resources to increase awareness of relevant issues.
(3) Provision of appropriate staff development especially for intervention methods and procedures.
(4) Development of appropriate curriculum that educates students in health and sociological issues and encourages greater self-esteem and self-responsibility.
(5) Establishment of Crisis Management Response Teams at the school level supported by a central Crisis Management Advisory Team.
Cross Reference: 502.6 Weapon
502.10 Harassment
603.5 Health Education
Approved: 10/98 Reviewed: 7/06
4/17