507 - Student Health and Well-Being

507 - Student Health and Well-Being dawn.gibson.cm… Tue, 04/06/2021 - 10:52

507.01 - Student Health and Immunization Certificates

Students desiring to participate in athletic activities or enrolling in preschool, kindergarten or first grade in the school district shall have a physical examination by a licensed healthcare provider 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 a licensed healthcare provider 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 in preschool, kindergarten or for the first time in the school district shall also submit a certificate of immunization consisting of the state law requirements. 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.

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.

Mandatory lead screening is now required on incoming kindergarten students.

Mandatory school dental screening is now required for incoming kindergarten and freshman.

Legal Reference: Iowa Code §§ 139.9; 280.13 (2003).
                             281 I.A.C. 33.5.
                             641 I.A.C. 7.
                             641 I.A.C. 67.6(1)

Cross Reference: 402.02   Child Abuse Reporting
                              501      Student Attendance
                              507      Student Health and Well-Being

Approved: 11/01/2004

Reviewed: 04/15/2019, 09/16/2024, 09/16/2024

Revised: 01/18/2010, 07/21/2014

dawn.gibson.cm… Tue, 04/06/2021 - 10:52

507.02 - 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 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 804.8 Stock Medication for Life Threatening Incidents.

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 own inhalers and epinephrine auto-injectors. A written statement by the student's parent/guardian shall be on file requesting co-administration of medication, when this competence has been demonstrated. By law, students with asthma, airway constricting diseases, respiratory distress, or students with a risk of anaphylaxis who use epinephrine auto-injectors may self-administer their medication upon the written approval of the student’s parents/guardians and prescribing licensed health care professional regardless of competency.

Persons administering medication shall include authorized practitioners, such as, licensed registered nurses and physicians, 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

• 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), 147.107, 152.1, 155A.4(2); 280.16; 280.23.

281 IAC14.1

655 IAC §6.2(152).

281 IAC § 14.1, .2

Cross Reference: 506 Student Records

507 Student Health and Well-Being

603.02 Special Education

607.02 Student Health Services

Approved: 11/01/2004

Reviewed: 05/12/2014

Revised: 01/18/2010, 05/16/2016, 04/15/2019, 08/15/2022, 10/16/2023, 09/16/2024

dawn.gibson.cm… Tue, 04/06/2021 - 10:55

507.02E1 - Authorization- Asthma Airway Constricting or Respiratory Distress Medication Self-Administration Consent Form

____________________________________ ___/___/___ ________________________ ___/___/___
Student's Name (Last), (First), (Middle) Birthday School Date

In accordance with applicable laws, 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/guardians and prescribing licensed health care professional regardless of competency. The following must occur for a student to self-administer asthma medication, bronchodilator canisters or spacers, other airway constricting disease medication or to self-administer an epinephrine auto-injector:

Parent/guardian provides signed, dated authorization for student medication self-administration.
Parent/guardian provides a written statement from the student’s licensed health care professional (A person licensed under chapter 148 to practice medicine and surgery or osteopathic medicine and surgery, an advanced registered nurse practitioner licensed under chapter 152 or 152E and registered with the board of nursing, or a physician assistant licensed to practice under the supervision of a physician as authorized in chapters 147 and 148C) containing the following:
- Name and purpose of the medication or epinephrine auto-injector;
- Prescribed dosage: and
- Times or special circumstances under which the prescribed medication is to be administered.
The medication is in the original, labeled container as dispensed or the manufacturer's labeled container containing the student name, name of the medication, directions for use, and date.
Authorization is renewed annually. If any changes occur in the medication, dosage or time of administration, the parent is to notify school officials immediately. The authorization shall be reviewed as soon as practical.

Provided the above requirements are fulfilled, the school shall permit the self-administration of the prescribed medication by a student while in school, at school-sponsored activities, under the supervision of school personnel, and before or after normal school activities, such as while in before-school or after-school care on school-operated property. If the student abuses the self-administration policy, the ability to self-administer may be withdrawn by the school or discipline may be imposed, after notification is provided to the student’s parent.

Pursuant to state law, the school district and its employees are to incur no liability, except for gross negligence, as a result of any injury arising from self-administration of medication or use of an epinephrine auto-injector by the student. The parent or guardian of the student shall sign a statement acknowledging that the school district is to incur no liability, except for gross negligence, as a result of self-administration of medication or use of an epinephrine auto-injector by the student as provided by law.

Medication Dosage Route Time

Purpose of Medication & Administration /Instructions

/ /
Special Circumstances Discontinue/Re-Evaluate/Follow-up Date

/ /
Prescriber’s Signature Date

Prescriber’s Address Emergency Phone

I request the above named student possess and self-administer asthma medication, bronchodilator canisters or spacers, or other airway constricting disease medication(s), and/or an epinephrine auto-injector at school and in school activities according to the authorization and instructions.
I understand the school district and its employees acting reasonably and in good faith shall incur no liability for any improper use of medication or an epinephrine auto-injector or for supervising, monitoring, or interfering with a student's self-administration of medication or use of an epinephrine auto-injector. I acknowledge that the school district is to incur no liability, except for gross negligence, as a result of self-administration of medication or use of an epinephrine auto-injector by the student.
I agree to coordinate and work with school personnel and notify them when questions arise or relevant conditions change.
I agree to provide safe delivery of medication and equipment to and from school and to pick up remaining medication and equipment.
I agree the information is shared with school personnel in accordance with the Family Education Rights and Privacy Act (FERPA) and any other applicable laws.
I agree to provide the school with back-up medication approved in this form.
Student maintains self-administration record.

I authorize the Independence school nurses to contact the prescriber to obtain necessary signature(s).

/ /
Parent/Guardian Signature (agreed to above statements) Date

Parent/Guardian Address Home Phone Business Phone Emergency Phone

Self-Administration Authorization Additional Information

dawn.gibson.cm… Tue, 04/06/2021 - 11:19

507.02E2 - ParentalGuardian Authorization and Release Form for the Administration of Prescription Medication to Students

Independence Community School District
Parental/Guardian Permission for Administering Medication at School

Student Name ______________________________________ DOB ___________________________

Medication _________________________________________________________________________

Reason for Medication ________________________________________________________________

Dose ______________________________Time to be given ___________________________________

Physician/Prescriber name __________________________________Phone Number ______________

Give on Early Out Days: Yes _______ No ________ Give on Late Start Days: Yes _______ No _______

I request that the medication be administered by a qualified staff person according to the written directions given. I agree that school personnel may contact the prescriber as needed and that medication information may be shared with school personnel who need to know. I understand the law provides that there shall be no liability for damages as a result of the administration of medication where the person administering the medication acts as an ordinary reasonably prudent person would under the same circumstances and that the school district and the school nurse are to incur no liability, except for gross negligence, as a result of injury arising from the administration of medication. I will comply with the procedure listed on the back of this form related to the administration of medication at school.

Parent/Guardian name ________________________________________________________________

Signature ___________________________________________________________________________

Date__________________________________Home Phone___________________________________

Cell phone _________________________________ Email ____________________________________

MEDICATION WILL NOT BE GIVEN IF IT HAS EXPIRED OR IT HAS AN IMPROPER LABEL. PLEASE CHECK THE CONTAINER BEFORE SENDING IT TO SCHOOL

PERMISSION FOR DISPOSAL OF UNUSED MEDICATION AT THE END OF THE SCHOOL YEAR – Please check one

_____I will pick up any unused medication at the end of the school year.

_____Please send any unused medication home with my child. The school district will not be responsible for the medication once it is in the possession of my child.

Parent/Guardian signature _____________________________________Date ____________________

Independence Community School District
Request to Administer Medication in Schools
Information and Procedures

All medications should be taken before or after school hours whenever possible. However, it is understood that certain drugs may be required during the school day. These students should have medication available and administered in a manner which is compliant with school district policy.
Medication shall be administered when the student’s parent/guardian provides a signed and dated written statement requesting medication administration and the medication is in the original, labeled container, either as dispensed by the pharmacy or in the manufacturer’s container.
Prescription medication: A current pharmacy labeled container can serve as the written prescriber’s order. A second labeled medication container can be obtained free of charge for school use by asking the pharmacist.
Over the counter/non-prescription medication will be given only with parent/guardian written authorization. Over-the-counter/non-prescription medications are to be provided by the parent/guardian and sent to school in the original medication container with the student’s name attached. This procedure will safeguard your child against over medicating and possible unforeseen reactions.
The parent/guardian is responsible for submitting a new prescriber’s order form to the school each time there is a change of dosage or time of administration. Prescriber’s orders may be faxed to the school.
To ensure the safety of all children, we request that a parent or another responsible adult deliver all medications to the health office when possible. If your child brings the medication to school, please place the labeled medication bottle in a sealed envelope with the number of tablets/capsules that are enclosed written on the outside of the envelope.
The first dosage of any new prescription should be given at home so the child can be more closely observed for possible side effects and/or adverse reactions.
The parent/guardian is responsible for notifying the school nurse when a medication has been discontinued or changed.
No medication will be continued beyond the school year in which it is ordered.
The Independence Community School District does not assume responsibility for medication not prescribed by a physician/prescriber or medication administered by a student himself/herself.

               Nurse/Appointed Personnel          Nurse/Appointed Personnel          Nurse/Appointed Personnel
               East Elementary West Elementary Jr Sr High School
               319-332-0533 319-332-0589 319-332-0720

dawn.gibson.cm… Tue, 04/06/2021 - 11:25

507.02E3 - Parental/Guardian Authorization and Release Form for Independent Self Carry and Administration of Prescribed Medication or Independent Delivery of Health Services by the Student

_________________________________ ___/___/___ _________________ ___/___/___

Student's Name (Last), (First), (Middle) Birthday School Date

I request the above-named student (Parent/Guardian initial all that apply)

______ Carry and complete co-administration of prescribed medication, when competency has been demonstrated to licensed health personnel working under the auspices of the school. In accordance with applicable laws, 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. The information provided by the parent for medication administration is confidential as provided by the Family Education Rights and Privacy Act (FERPA) and any other applicable laws. I agree to provide safe delivery of the medication to and from school and to pick up remaining medication at the end of the school year or when medication is expired. If the students abuses the self-administration policy, the ability to self-administer may be withdrawn by the school or discipline may be imposed, after notification is provided to the student’s parent.

______________________________________________________________________________________

Prescribed Medication Dosage Route Time at School

______ Co-administer, participate in planning, management and implementation of special health services at school and school activities after demonstration of proficiency to licensed health personnel working under the auspices of the school. The information provided by the parent for health service delivery is confidential as provided by the Family Education Rights and Privacy Act (FERPA) and any other applicable laws. I agree to coordinate and work with school personnel and the prescriber (if indicated) when questions arise. I agree to provide safe delivery of the student’s equipment necessary for health service delivery to and from school and to pick up remaining equipment at the end of the school year.

Special Health Services Delivery:

Procedures for abandoned medication disposal shall be in accordance with applicable laws.

/ /

Prescriber’s Signature Date

and credentials (when indicated for health service delivery)

/ /

Parent/Guardian Signature Date

_______________________________________ __________________________

Parent/Guardian address Home phone

lschaul@indeek12.org Thu, 10/19/2023 - 14:39

507.02E4 - Parental/Guardian Authorization and Release Form for the Administration of Voluntary School Stock of Over-the-Counter Medication to Students

_________________________________ ___/___/___ _________________ ___/___/___

Student's Name (Last), (First), (Middle) Birthday School Date

The district supplies the following nonprescription, over-the-counter medications that are listed below. Generic brands may be substituted, (select all that apply:

Acetaminophen administered per manufacturer label
Throat Lozenges administered per manufacturer label
Other: ____________________ administered per manufacturer label (Please Specify)
Other: ____________________ administered per manufacturer label (Please Specify)
Other: ____________________ administered per manufacturer label (Please Specify)
Other: ____________________ administered per manufacturer label (Please Specify)

Voluntary school stock of nonprescription, over-the-counter medications are administered following these guidelines:

Parent has provided a signed, dated annual authorization to administer of the nonprescription, over-the-counter medication(s) listed according to the manufacturer instructions. Electronic signature meets the requirement of written signature.

The nonprescription, over-the-counter medication is in the original, labeled container and dispensed per the manufacturing label.

All other nonprescription, over-the-counter medication not listed will require a written parent authorization and supply for the over-the counter medication.
Supplements are not nonprescription, over-the-counter medications approved by the Federal Drug Administration and are NOT applicable.
Nonprescription, over-the-counter medications approved by the Federal Drug Administration that require emergency medical service (EMS) notification after administration are NOT applicable.
Persons administering nonprescription, over-the-counter medication include licensed health personnel working under the auspices of the school and individuals, whom licensed health personnel have delegated the administration of medication with valid certification who have successfully completed a medication administration course approved by the department and annual medication administration procedural skills check.
- Districts stocking the administration of a voluntary stock of nonprescription, over-the-counter medications, collaborate with licensed health personnel to develop and adopt a protocol shared with the parent to define at a minimum:
  - when to contact the parent when a nonprescription medication, over the counter medication is administered;

- - documentation of the administration of the nonprescription, over-the-counter medication and parent contact;
  - a limit to the administration of a school’s stock nonprescription, over-the-counter medications that would require a prescriber signature for further administration of a school’s nonprescription, over-the-counter medications for the remaining school year;
  - the development of an individual health plan for ongoing medication administration or health service delivery at school.

I request that the above-named student receive the voluntary stock nonprescription, over-the-counter medications supplied by the school in accordance with the district guidelines and protocol.

__________________________________________ _________________________

Parent/Guardian Signature Date

__________________________________________ _________________________

Parent/Guardian Address Home Phone

lschaul@indeek12.org Thu, 10/19/2023 - 14:43

507.03 - 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 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 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, 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. (1994).
                                      45 C.F.R. Pt. 84.3 (2002).
                                      Iowa Code ch. 139 (2003).
                                      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: 11/01/2004

Reviewed:

Revised: 01/18/2010, 07/18/2011, 07/21/2014, 04/15/2019, 09/16/2024

dawn.gibson.cm… Tue, 04/06/2021 - 11:29

507.03E1 - Communicable Disease Chart

Common Child Care Illnesses and Exclusion Criteria

*A child should be temporarily excluded from care when the child’s illness causes one or more of the following:

Prevents the child from participating comfortably in activities.
A need for care that is greater than the staff can provide without compromising the health and safety of other children.
An acute change in behavior: lethargy, lack of responsiveness, irritability, persistent crying, difficult breathing, or a quickly spreading rash.
Fever wit h behavior change or other signs and symptoms in a child older than 6 months (e.g., sore throat, rash, vomiting, diarrhea).
A child with a temperature elevated above normal is not necessarily an indication of a significant health problem. For children older than 4 months a fever is defined as:
- 100.4°F

Get immediate medical attention when an infant younger than 4 months has unexplained temperature of 100°F (37.8°C) axillary. Any infant younger than 2 months with a fever should get medical attention within an hour.

	ILLNESS		EXCLUDE*		RETURN TO CHILD CAR E
	Chicken Pox	Yes.			When all blisters are crusted with no oozing (usually 6 days) and resolution of exclusion criteria.
	Diarrhea (infectious)	Yes (there are special exclusion rules for E.coli 0157.H7, Shigella and cryptosporidiosis).			When diarrhea stops and health care provider or public health official states the child may return.
	Diarrhea (non- infectious)	Yes, if stool can not be contained in the diaper, or if toileted child has 2 or more loose stools in 24 hours, or blood in stool.			When diarrhea stops and resolution of exclusion criteria.
	Fifth Disease	No. Unless child meets other exclusion criteria.*			If excluded due to presence of other exclusion criteria, resolution of exclusion criteria.
	Hand Foot and Mouth Disease	No. Unless child meets other exclusion criteria.* Or is excessively drooling with mouth sores.			If excluded due to presence of other exclusion criteria, resolution of exclusion criteria.
Head Lice (Pediculosis)		No. Unless child meets other exclusion criteria.*		Treatment of an active lice infestation may be delayed until the end of the day. Children do not need to miss school or child care due to head lice. The Iowa Department of Public Health & Healthy Child Care Iowa recommend a 14 day treatment protocol.


Impetigo	Yes, exclude at the end of the day if blisters can be covered.	After child has been seen by the doctor, after 24 hours on antibiotic, and blisters are covered.
Influenza	Yes.	When child is fever free for 24 hours and resolution of exclusion criteria.
Molluscum Contagiosum	No. Unless child meets other exclusion criteria.*	Skin disease similar to warts. Do not share towels or clothing and use good hand hygiene.
MRSA	No. Unless child meets other exclusion criteria.*	Wounds should be kept covered and gloves worn during bandage changes. Do not share towels or clothing and use good hand hygiene.
Otitis Media (ear infection)	No. Unless child meets other exclusion criteria.*	If excluded due to presence of other exclusion criteria, resolution of exclusion criteria.
Pertussis (Whooping Cough)	Yes.	Child may return after 5 days of antibiotics and resolution of exclusion criteria.
Pink Eye (Conjunctivitis)	No. Unless child meets other exclusion criteria.*	Child does not need to be excluded unless health care provider or public health official recommends exclusion. Resolution of all exclusion criteria.
Ringworm	No. Unless child meets other exclusion criteria.*	Treatment of ringworm infection may be delayed to the end of the day. Child may be readmitted after treatment has begun. Cover lesion(s) if possible. Do not share clothing, bedding or personal items.
Strep Throat	Yes.	When resolution of exclusion criteria and after 24 hours of antibiotic.
Vomiting	Yes.	When vomiting has resolved and resolution of exclusion criteria.

Please refer to Caring for Our Children: National Health and Safety Performance Standards (third edition) or the Iowa Department of Public Health EPI Manual for guidance on specific diseases not included in this list. Contact your local Child Care Nurse Consultant for additional information.

References:

American Academy Of Pediatrics, American Public Health Association, National Resource Center for Health and Safety in Child Care and Early Education. 2011. Caring for our children: National health and safety performance standards; Guidelines for early care and education program s. 3rd edition. Elk Grove

Village, IL: American Academy of Pediatrics; Washington, DC: American Public Health Association. Also available at http://nrckids.org.

Iowa Department of Public Health EPI Manual: Guide t o Surveillance, Investigation, and Reporting. Reportable Disease Information. Revised 6/2011 Healthy Child Care Iowa Head Lice brochure Revised 10/2008 http://www.idph.st ate.ia.us/hcci/common/pdf/headlice_brochure.pdf

dawn.gibson.cm… Tue, 04/06/2021 - 11:32

507.03E2 - Reportable Infectious Diseases

Reportable diseases are diseases or conditions listed in Iowa Code 641 Appendix A. The director of public health may also designate any disease, condition or syndrome temporarily reportable for the purpose of a special investigation. Each case of a reportable disease is required to be reported to the Iowa Department of Public Health, by the physician or other health practitioner attending any person having a reportable disease and by laboratories performing tests identifying reportable diseases. For detailed information go to

http://idph.iowa.gov/CADE/reportable-diseases

IDPH requests reporting to the local health department any like disease/condition 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, flu-like symptoms of greater than 10% of the school district’s enrollment.

The local public health department and/or the student’s healthcare provider may be consulted on an as needed basis prior to readmission to school.

dawn.gibson.cm… Tue, 04/06/2021 - 11:39

507.04 - 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/guardians 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/guardians 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/guardians 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/guardians 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 (2003).

Cross Reference: 507 Student Health and Well-Being

Approved: 11/01/2004

Reviewed: 05/12/2014, 04/15/2019

Revised: 01/18/2010, 09/16/2024

dawn.gibson.cm… Tue, 04/06/2021 - 11:40

507.05 - Emergency Plans and Drills

Students will be informed of the appropriate action to take in an emergency. Emergency drills for fire, weather, other disasters and lockdown drills for intruders shall be conducted each school year. Fire, tornado drills and lockdown drills for intruders shall be each conducted regularly during the academic school year with a minimum of two before December 31 and two after January 1.

Each attendance center shall develop and maintain a written plan containing emergency and disaster procedures. The plan will be communicated to and reviewed with employees. 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

Cross Reference: 507      Student Health and Well-Being
                              711.10 School Bus Safety Instruction
                              804      Safety Program

Approved: 11/01/2004

Reviewed: 01/19/2009, 04/15/2019

Revised: 05/12/2024, 09/16/2024

dawn.gibson.cm… Tue, 04/06/2021 - 11:41

507.06 - 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.

Legal Reference: Iowa Code § 279.8 (2003).

Cross Reference: 504 Student Activities
507 Student Health and Well-Being

Approved: 11/01/2004

Reviewed: 01/19/2009, 05/12/2014, 04/15/2019, 09/16/2024

Revised:

dawn.gibson.cm… Tue, 04/06/2021 - 11:43

507.07 - Custody and Parental/Guardian 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/guardian 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/guardian rights.

Legal Reference: Iowa Code §§ 232.67, .70, .73, .75; 235A; 279.8; 710.6 (2003).
441 I.A.C. 9.2; 155; 175.

Cross Reference: 506 Student Records
507 Student Health and Well-Being

Approved: 11/01/2004

Reviewed: 01/19/2009, 05/12/2014, 04/15/2019

Revised: 09/16/2024

dawn.gibson.cm… Tue, 04/06/2021 - 11:44

507.08 - Student Special Health Services

The board recognizes that some special education students need special health services during the school day. These students shall receive special health services in conjunction with their individualized education program.

The superintendent, in conjunction with licensed health personnel, shall 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. (2005).
                                      34 C.F.R. Pt. 300 et seq. (2005).
                                      Iowa Code §§ 256.11(7); 256B; 273.2, .5, .9(2)-(3); 280.8 (2007).
                                      281 I.A.C. 12.3(7), 41.405

Cross Reference: 502      Student Rights and Responsibilities
                                      506      Student Records
                                      603.3   Special Education

Approved: 11/01/2004

Reviewed: 05/12/2014, 04/15/2019

Revised: 01/19/2009, 06/17/2024

dawn.gibson.cm… Tue, 04/06/2021 - 11:45

507.08R1 - Special Health Services Regulation

Some students who require special education need special health services in order to participate in the educational program. These students shall 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, in accordance withlicensed 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, 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 shall be 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 ~~the~~ 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.

"Prescriber" - licensed health personnel legally authorized to prescribe special health services and medications under the auspices of the school.

"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 shall 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 shall 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, shall determine the special health services to be provided and the qualifications of individuals performing the special health services. The documented rationale shall 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 shall supervise the special health services, define the level and frequency of supervision and document the supervision.

F. Licensed health personnel shall 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 shall be on file at school.

G. Parents shall 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 shall be stored in a secure area. The personnel responsible for the equipment shall be designated in the individual health plan. The individual health plan shall designate the role of the school, parents, and others in the provision, supply, storage, and maintenance of necessary equipment.

dawn.gibson.cm… Tue, 04/06/2021 - 11:46

507.09 - Wellness Policy

The Independence Community School District 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 with 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: 504.6   Student Fundraising
                                      504.8   Student Activity Program
                                      710      School Food Services

Approved 11/21/2016 Reviewed 07/15/2019 Revised __________

dawn.gibson.cm… Tue, 04/06/2021 - 11:53

507.09R1 - 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;
Include enjoyable, developmentally-appropriate, culturally-relevant, and participatory activities, such as cooking demonstrations or lessons, promotions, taste-testing, farm visits, and school gardens;
Promote fruits, vegetables, whole-grain products, low-fat and fat-free dairy products, and healthy foods; and
Include nutrition education training for teachers and other staff.

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:

Develop a comprehensive, school-based physical activity program (CSPAP), that includes the following components:
- Physical education, recess;
- Classroom-based physical activity;
- Walk to school; and
- Out of school time activities;
Promote the benefits of a physically active lifestyle and help students develop skills to engage in lifelong healthy habits;
Engage students in moderate to vigorous activity during at least 50 percent of physical education class time;
Ensure physical activity is not used for or withheld as a punishment; and
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.

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;
Engage students and parents, through taste-tests of new school meal items and surveys to identify new, healthful, and appealing food choices;
Permit students to bring and carry water bottles filled with water throughout the day;
Make drinking water available where school meals are served during mealtimes; and
Discourage students from sharing foods or beverages during meal or snack times, given concerns about allergies and dietary needs.

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; and
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.

dawn.gibson.cm… Tue, 04/06/2021 - 11:55