Health services are an integral part of assisting all students to increase learning, achievement, and performance. Health services coordinate and support existing programs to assist each student in achievement of an optimal state of physical, mental, and social wellbeing. Student health services ensure continuity and create linkages between school, home, and community service providers. The school district’s needs and resources determine the linkages.
Except in emergent care situations or child abuse assessments, the district will not administer invasive physical examinations or health screenings of a student that are not required by state or federal law without first obtaining the written consent of the student’s parent or guardian.
The superintendent [or designee], in conjunction with the school nurses, will develop administrative regulations implementing this policy. The superintendent [or designee] will provide a written report on the role of health services in the education program to the board annually.
Adopted: 2/21
Revised: 8/23; 8/24
Related Policy: 504.1-R
Legal Reference (Code of Iowa): §§ 22.7; 139A.3, .8, .21; 143.1; 152; 256.7(24), .11; 280.23;
281 IAC 12.3(4), (7), (11); 12.4(12); 12.8; 282 IAC 22; 641 IAC 7; 655 IAC 6;
Iowa Senate File 2080 and Iowa House File 2393
IASB Reference: 607.02
Mandatory Policy
STUDENT HEALTH SERVICES
Each school building may develop a customized student health services program based on its unique needs and resources. Scientific advances, laws, and school improvement necessitate supports to students with health needs to receive their education program.
Supports to improve student achievement include:
Components provided within a coordinated school health program include:
Student health services are provided to identify health needs; facilitate access to health care; provide for health needs related to educational achievement; promote health, well-being, and safety; and plan and develop the health services program.
STUDENT HEALTH SERVICES ESSENTIAL FUNCTIONS
EXPANDED HEALTH SERVICES
These additional health services address learning barriers and the lack of access to health care. Examples include school-based services in the schools, school-linked services connected to the schools, primary care, mental health, substance abuse, and dental health.
Adopted: 8/23
Related Policy: 504
IASB Reference: 607.02; 607.02-R(1)
Students desiring to participate in athletic activities will have a physical examination by a licensed physician and provide proof of such examination to the school district. A physical examination is recommended for students enrolling in kindergarten or first grade. A physical examination, and proof of such examination, may be recommended by district administration for students in other grades enrolling for the first time in the school district.
A copy of the physical examination form signed by the physician will be on file at the student’s attendance center. Each student will submit an up-to-date certificate of health upon the request of the superintendent [or designee]. 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, Hepatitis B, Varicella, the meningococcal vaccine, and other immunizations required by law. The student may be admitted provisionally 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 requirements after the provisional period will be grounds for suspension, expulsion, or denial of admission. Upon recommendation of the Iowa Department of Education and the Iowa Department of Health & Human Services, students entering the school district for the first time may be required to pass a TB test prior to admission. The school 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 Department of Health & Human Services Certificate of Immunization Exemption to be exempt from this policy.
Adopted: 6/70
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 11/07; 4/18
Related Policy: 504.1-E
Legal Reference (Code of Iowa): §§ 139A.8; 280.13; 281 IAC 33.5; 641 IAC 7
IASB Reference: 507.01
Attention Parents and Guardians
All students entering the Linn-Mar Community School District are required by state law to meet at least the minimum immunization requirements before they are allowed to attend school. A record of these immunizations must be on file at the student’s attendance center.
No student will be allowed to attend school without the minimum
immunizations required by state law.
Minimum immunizations required to enroll in school are one dose of the following for elementary or secondary (K-12) students that are four years of age or older:
If your student was born on or after September 15, 2003:
If your student was born after September 15, 2000; but before September 15, 2003:
If your student was born on or before September 15, 2000:
If your student was born on or after September 15, 2000:
Also Required – Meningococcal Vaccine:
Provisional/Conditional Enrollment: If a student has begun immunizations but has not yet received all the required immunizations they may be able to attend school on a provisional or conditional basis. To qualify for provisional enrollment a student must have received at least one dose of each of the required immunizations. If a student falls into this category they must submit an Iowa Department of Health & Human Services Provisional Certificate of Enrollment to the school. This certificate expires in 60 days so the student must be completely immunized during this time or they will not be permitted to attend school until the immunizations have been received. When a student has received all of the required immunizations, they must submit a completed Certificate of Immunization to the school.
Adopted 6/96
Reviewed 7/13; 11/17; 12/20; 10/23
Revised 4/11; 10/14; 4/18
Related Policy: 504.01
Students with communicable diseases 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” means an infectious or contagious disease spread from person-to-person, animal-to-person, or as defined by law.
Prevention and control of communicable diseases will be included in the 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 recordkeeping. The plan will be reviewed annually by the school nurses and superintendent [or designee].
The health risk to immunosuppressed students will be determined by their personal physicians. The health risk to others in the school district environment from the presence of students with communicable diseases will 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.
The parent/guardian will notify the superintendent [or designee] or school nurse when the student learns they have a communicable disease. It is the responsibility of the superintendent [or designee] when upon investigation the superintendent [or designee] or school nurse has knowledge that a reportable, communicable disease is present to notify the Iowa Department of Health & Human Services via the Linn County Health Department. Student health data is confidential and will not be disclosed to third parties.
It is the responsibility of the superintendent [or designee] in conjunction with the school nurses to develop administrative regulations stating the procedures for dealing with students with communicable diseases.
Adopted: 6/88
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 7/07; 11/07
Related Policy: 504.2-R; 504.2-E1-E4
Legal Reference (Code of Iowa): 139A.8; 641 IAC 1.2-5, 7
IASB Reference: 507.03
EXCLUSION OF STUDENTS
A student 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. If, in the judgment of the building administrator [or designee], there is any risk of the student transmitting the disease to others the building administrator [or designee] will immediately exclude the student from school and may require the student be examined by a physician. The building administrator [or designee] may also require a written statement of health from a physician in order for the affected student to return to school.
ALTERNATIVE PROGRAM
If it is determined that the student will not be permitted to attend classes and/or participate in school activities, arrangements will be made to provide an alternative education program.
RETURN TO SCHOOL
Criteria will be established to determine whether a student with a communicable, contagious, and/or infectious disease including common childhood diseases will be permitted to attend classes. All cases will be reviewed on an individual basis.
CONFIDENTIALITY OF INFORMATION
Records of a student who has a communicable, contagious, and/or infectious disease other than a common childhood disease will be kept confidential and the name of the individual will not be revealed publicly.
APPEAL PROCESS
The student and/or parent/guardian may appeal decisions regarding exclusion from school. This appeal is to be submitted in writing to the superintendent [or designee]. The superintendent [or designee] will respond to the appeal within three school days. If the appeal is denied by the superintendent [or designee] the student and/or parent/guardian may continue the appeal with the Linn-Mar Board of Directors at their next regularly scheduled meeting.
Adopted: 6/88
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 9/02
Related Policy: 504.02; 504.02-E1-E4
CLICK HERE TO DOWNLOAD THE COMMUNICABLE DISEASES CHART
Concise descriptions and recommendations for exclusion of cases from school.
Source: Iowa Department of Health & Human Services
Disease |
Usual Interval Between Exposure and First Symptoms |
Main Symptoms |
Minimum Exclusion from School |
*Chickenpox |
10-21 Days |
Mild symptoms and fever, pocks are blistery, and scabs develop for most on covered parts of the body |
Seven days from onset of rash until all blisters have crusted |
Conjunctivitis [Pink Eye] |
24-72 Hours | Tearing, redness, puffy lids, and discharge | Until treatment begins or physician approves return |
COVID-19 {SARS-CoV-2} |
2-14 Days | Fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea | Five days after symptoms start and 24 hours with no fever and improved symptoms |
Erythema Infectiosum [5th Disease] |
4-20 Days | Usual age is 5-14 years, unusual in adults, brief prodrome or low grade fever followed by erythema (slapped appearance on cheeks), lace-like rash on extremities lasting a few days to three weeks, and rash seems to recur | After diagnosis; no exclusion from school |
*German Measles [Rubella] |
14-21 Days | Usually mild, enlarged glands in neck and behind ears, and brief rash | Seven days from onset of rash; keep away from pregnant women |
*Haemophilus Meningitis | 2-4 Days | Fever, vomiting, lethargy, and stiff neck and back |
Until physician approves return |
*Hepatitis A |
Varies from 15-50 Days |
Abdominal pain, nausea, fever, and skin/eyes may or may not turn yellow | Fourteen days from onset of clinical disease and at least seven days from onset of jaundice |
Impetigo | 4-10 Days | Inflamed sores with pus | Twenty-four hours after antibiotic therapy has started or until physician approves return; avoid contact with drainage from lesions and cover lesions when attending school |
*Measles | 10 Days to Fever 14 Days to Rash |
Begins with fever, conjunctivitis, runny nose, cough, and then blotchy red rash | Four days from onset of rash |
Meningococcal Meningitis |
2-10 Days |
Headache, nausea, stiff neck, and fever |
Until physician approves return |
*Mumps |
12-25 Days |
Fever, swelling, and tenderness of glands at angle of jaw |
Five days after onset or until symptoms have resolved |
Pediculosis |
7 Days for Eggs to Hatch | Lice and nits (eggs) in hair | No need to send home upon diagnosis and return to school after initial treatment; no-nit policy is recommended |
Ringworm | 4-10 Days | Scaly red patch; usually ring shaped |
No exclusion from school; exclude from gymnasiums, pools, and contact sports |
Scabies |
2-6 Weeks for Initial Exposure |
Tiny burrows in skin caused by mites | Until 24 hours after treatment |
Scarlet Fever Scarlantina Strep Throat |
1-3 Days | Sudden onset, vomiting, fever, later a fine rash (not on face), and rash usually only with first infections | Twenty-four hours after antibiotics started and no fever |
*Whooping Cough [Pertussis] |
6-20 Days |
Head cold, slight fever, cough, and characteristic whoop after two weeks |
Five days after start of |
READMISSION TO SCHOOL
It is advisable that school authorities require written permission from the health officer, school physician, or attending physician before any student is readmitted to school following any disease which requires exclusion, not mere absence, from school.
Reviewed: 7/13; 11/17; 12/20
Revised: 4/11; 10/14; 4/18; 8/21; 10/23
ACTION STEPS
Adopted: 11/07
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 9/09
Related Policy: 504.02; 504.02-R; 504.02-E(1); 504.02-E(3)-E(4)
CLICK HERE TO DOWNLOAD THE DISEASES REPORTABLE TO IOWA DEPARTMENT OF HEALTH & HUMAN SERVICES
Disease Reporting Hotline (1-800-362-2736)
Report information requested on disease reporting form which may be obtained by calling 1-888-398-9696.
EMERGECY REPORTABLE DISEASES OR CONDITIONS: REPORT BY PHONE IMMEDIATELY!
Botulism | # Measles | Rabies (Human) |
Cholera | > Meningococcal Invasive Disease | Vancomycin-Resistant Staph Aereus |
Diphtheria | Plaque | Yellow Fever |
> Haemophilus Influenza Type B Invasive Disease | # Polio |
Also, outbreaks of any kind, unusual syndromes, and uncommon diseases should be reported immediately by phone. These could be infectious, environmental, or occupational in origin and include food-borne outbreaks and illness secondary to chemical exposure (e.g. pesticides, anhydrous ammonia).
AGENTS OF TERRORISM
Diseases or syndromes of any kind caused by a biological, chemical, or radiological agent or toxin when the provider reasonably believes or suspects that the agent or toxin may be the result of a deliberate act such as terrorism. Examples of these agents or toxins include but are not limited to anthrax, mustard gas, sarin gas, ricin, tularemia, and smallpox.
DISEASES REPORTABLE BY MAIL OR PHONE
Common-Reportable Diseases | Rare-Reportable Diseases |
Campylobacteriosis | Anthrax |
Cryptosporidiosis | # Brucellosis |
COVID-19 [SARS-CoV-2] | Cyclospora |
> Encephalitis, Arboviral | # Hansen's Disease (Leprosy) |
# Escherichia Coli O157:H7 (And Related Diseases HUS & TTP) | Hantavirus Syndromes |
Giardiasis | Listeria Monocytogenes Invasive Disease |
# Hepatitis A, B, C, D, and E | # Malaria |
> Legionellosis | Mumps |
# Lyme Disease | Psittacosis |
# Pertussis | # Rocky Mountain Spotted Fever |
Rabies (Animal) | # Rubella (Including Congenital) |
# Salmonellosis (Including Typhoid Fever) | # Tetanus |
# Shigellosis | > Toxic Shock Syndrome |
# Tuberculosis | # Trichinosis |
DISEASES REPORTABLE ONLY BY SENDING ISOLATES TO STATE HYGIENIC LAB (319) 335-4500
Enterococcus Invasive Disease | Methicillin-Resistant Staphylococcus Aereus Invasive Disease |
Group A Streptococcus Invasive Disease | Streptococcus Pneumonia Invasive Disease |
# Diseases that require follow-up by local health agency
> Diseases that require follow up by hospital infection control practitioner
Isolates in bold type should be sent to State Hygienic Laboratory
Report on a quarterly basis to UHL: Total number of Invasive Staphylococcus Aereus isolates
Adopted: 9/98
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 11/07; 8/21
Related Policy : 504.02; 504.02-R; 504.-02-E(1)-E(2); 504.02-E(4)
CLICK HERE TO DOWNLOAD THE DISEASE REPORTING CARD
Disease reporting is required by Iowa Administrative Code [641]-1 (139A).
To report call (800) 362-2736 or fax (515) 281-5698 or Iowa Disease Surveillance Systems (IDSS).
DISEASE AND REPORTING INFORMATION
Disease/Event: | Species/Type/Group: |
Specimen Source: | Date Collected: |
Onset Date: | Date Reported to IDPH: |
Epi Link? Yes No Unknown | Isolate to UHL? Yes No Unknown |
Reporter's Name: | Phone: |
Reporting Facility's Name: |
PATIENT INFORMATION
Name (Last, First, Middle): | Date of Birth: |
Address: | Age: |
City/State/Zip/County: | Gender: M F Unknown |
Marital Status: Single Married Divorced Widowed Unknown | Pregnant: Yes No Unknown |
Race: White Black/African American American Indian/Alaska Native Asian Hawaiian/Pacific Islander Other Unknown | |
Ethnicity: Hispanic/Latino Not Hispanic/Latino Unknown | |
If minor, parent/guardian name(s): | Home Phone: |
Work Phone: | Other Phone: |
Long-Term Care Facility Resident: Yes No Unknown | Facility Name: |
Is the Case Employed: Yes No Unknown | Employer Name: |
City: | State: |
In this case does the case: Handle Food Work in a healthcare setting Work in a lab setting | |
Is the case enrolled in school or attending a childcare facility: Yes No Unknown | |
School/Childcare Name: | City: State: |
Hospitalized for this disease: Yes No | Where: |
Admission Date: | Was death due to this disease: Yes No |
HEALTHCARE PROVIDER AND LABORATORY INFORMATION
Name and Title of Healthcare Provider: | Name of Laboratory: |
Facility or Clinic: | Laboratory Phone: |
City and State: | City and State: |
Phone: | Does the case have clinical symptoms: Yes No Is the case lab confirmed: Yes No |
Comments: |
Adopted: 9/98
Reviewed 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 11/07
Related Policy: 504.02; 504.02-R; 504.02-E(1)-E(3)
When a student becomes ill or is injured at school or a school-sponsored activity, the school district will attempt to notify the student's parent/guardian as soon as possible.
The school district, while not responsible for medical treatment of an ill or injured student, will have employees administer emergency or minor first aid if possible. An ill or injured student will be released to the care of the parent/guardian or qualified medical personnel as quickly as possible.
It is the responsibility of the principal [or designee] to file an accident report for any incident with the superintendent [or designee] within 24 hours after the student is injured.
Annually, parents/guardians will 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 parent/guardian and alternative numbers to call in case of an injury or illness.
The superintendent [or designee] will be responsible, in conjunction with the district health services staff, to develop rules and regulations governing the procedures in the event a student should become ill or be injured at school or a school-sponsored activity. The school district reserves the right to take necessary actions to respond to a health or safety emergency.
Refer to Policy 504.3-R for regulations to follow regarding management of medical emergencies.
Adopted: 6/70
Reviewed: 4/11; 4/12; 7/13; 11/17; 12/20; 10/23
Revised: 12/13; 10/14
Related Policy: 504.3-R
Legal Reference (Code of Iowa): § 613.17
IASB Reference: 507.04
The following information provides a basis for the management of a medical emergency. All schools throughout the Linn-Mar Community School District have emergency response teams that will respond to an emergency and follow guidelines per American Red Cross training.
ASSESS THE SITUATION
ASSESS SEVERITY OF INJURY/ILLNESS OF INDIVIDUAL
ACTIVATE BUILDING EMERGENCY RESPONSE TEAM
NOTIFY
No injured or ill student should be sent home or to a medical facility without the knowledge and permission of the parent/guardian or other responsible person. If emergency situation is life-threatening, call 911, even if the parent/guardian cannot be reached.
Document incident using Complete Variance Report.
Adopted: 10/14
Reviewed: 11/17; 12/20; 10/23
Related Policy: 504.03
The board is committed to the inclusion of all students in the education program and recognizes that some students may prescription and nonprescription medication to participate in their educational program.
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 or in the manufacturer’s container. Administration of medication may also occur consistent with Policy 504.32.
When administration of medication requires ongoing professional health judgement, an Individual Health Plan (IHP) shall be developed by licensed health personnel working under the auspice of the school with collaboration from the parent/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/guardian 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 parent/guardian 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 pharmacist. A record of course completion will be maintained by the school.
A written medication administration record will be on file including:
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 laws. 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.
Adopted: 5/91
Reviewed: 4/11; 7/13; 10/14; 12/20
Revised: 4/12; 4/16; 10/17; 4/18; 6/20; 8/21; 3/23; 8/23
Related Policy: 504.31-E1-E2; 504.32
Iowa Code: §§ 124.101(1); 147.107; 152.1; 155A.4(2); 280.16; 280.23; 655 IAC §6.2(152); 281 IAC §14.1-2
IASB Reference: 507.02
Mandatory Policy
Student’s Name (Last, first, middle): ___________________________________________________________
Birthday: _________________________ School: ______________________ Date: _____________________
School medications and special health services are administered following these guidelines:
Prescribed Medication: ______________________________________ Dosage: ________________________
Route: _______________________________________________ Time at School: _____________________
Special health services and instructions, if indicated: _________________________________________________
_____________________________________________________________________________________
Discontinue/Re-Evaluate/Follow-Up Date for prescribed medication or special health services listed.
Prescriber’s Signature: _____________________________________________ Date: _____________
Prescriber’s Credentials (when indicated for health service delivery): _______________________________
Parent/Guardian Signature: ___________________________________________ Date: __________________
Parent/Guardian Address: ________________________________________ Phone: ____________________
Additional Information: ___________________________________________________________________
Reviewed: 7/13; 12/20
Revised: 10/14; 4/16; 10/17; 6/20; 8/21; 8/23
Related Policy: 504.31; 504.31-E2; 504.32
IASB Reference: 504.07-E(2)
Student 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 parent/guardian 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:
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/guardian.
Pursuant to state law, the school district and its employees are to incur no liability, except for gross negligence, as a result of injury arising from self-administration of medication or use of an epinephrine auto-injector by the student. The parent/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 an epinephrine auto-injector by the student as provided by law.
PRESCRIBER INFORMATION
Medication:
Dosage:
Route:
Time:
Purpose for Medication and Administration/Instructions:
Special Circumstances:
Discontinue/Re-Evaluate/Follow-Up Date:
Prescriber's Signature:
Date:
Prescriber's Address:
Emergency Phone:
Parent/Guardian Signature:
Date:
Address:
Home Phone:
Cell Phone:
Work Phone:
Self-Administration Authorization Additional Information:
Adopted: 4/16
Reviewed: 11/17; 12/20
Revised: 3/23; 8/23
Related Policy: 504.31; 504.31-E1; 504.32
IASB Reference: 507.02-E(1)
Student's Name (Last, First, Middle):
Birthday:
Building:
Date:
I request the above-named student: (Parent/guardian initial below 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 parent/guardian and prescribing licensed health care professional regardless of competency. The information provided by the parent/guardian 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 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/guardian.
Prescribed Medication: _______________ Dosage: _________ Route: ___________ Time: ________
_____ 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/guardian 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 (and credentials when indicated for health service delivery):
Date:
Parent/Guardian Signature:
Date:
Phone:
Address:
Adopted: 8/23
Related Policy: 504.31; 504.31-E1-E2
IASB Reference: 507.02-E(3)
Student's Name (Last, Middle, First):
Birthday:
Building:
Date:
The district supplies the following nonprescription, over-the-counter medications that are listed below. Generic brands may be substituted (Select all that apply):
Voluntary school stock of nonprescription, over-the-counter medications are administered following these guidelines;
I request 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:
Address:
Phone:
Adopted: 8/23
Related Policy: 504.31; 504.31-E1-E3
IASB Reference: 507.02-E(4)
The Linn-Mar Community School District seeks to provide a safe environment for students, staff, and visitors who are at risk of potentially life-threatening incidents including severe allergic reactions, respiratory distress, and opioid overdose. Therefore, it is the policy of the district to annually obtain a prescription for epinephrine auto-injectors, bronchodilator canisters and spacers, and/or opioid antagonists from a licensed health care professional, in the name of the school district, for administration by a school nurse or personnel trained and authorized to administer to a student or individual who may be experiencing an anaphylactic reaction, respiratory distress, or acute opioid overdose.
PROCUREMENT AND MAINTENANCE OF SUPPLY
The district shall stock a minimum of the following for each attendance center:
The supply of such medications shall be maintained in a secure, easily accessible area for an emergency within the school building, or in addition to other locations as determined by the district.
The school nurse or trained and authorized personnel shall routinely check stock of medication and document in a log monthly:
The school nurse or trained and authorized personnel shall be responsible for ensuring the district replaces, as soon as reasonably possible, any logged epinephrine auto-injector, bronchodilator canister or spacer, or opioid antagonist that is empty after use, damaged, or close to expiration. The district shall dispose of stock medications and delivery devices in accordance with state laws and regulations.
TRAINING
A school nurse or personnel trained and authorized may provide or administer any of the medications listed in this policy from a school supply to a student or individual if the authorized personnel or school nurse reasonably and in good faith believes the student or individual is having an anaphylactic reaction, respiratory distress, asthma or other airway-constricting disease, or opioid overdose. Training to obtain a signed certificate to become personnel authorized to administer an epinephrine auto-injector, bronchodilator canister or spacer, or opioid antagonist shall consist of the requirements of medication administration established by law and an annual anaphylaxis, asthma, other airway-constricting disease, opioid overdose training program approved by the Department of Education.
Authorized personnel will be required to retake the medication administration course, training program, and provide a procedural skills demonstration to the school nurse demonstrating competency in the administration of stock epinephrine auto-injectors, bronchodilator canisters or spacers, or opioid antagonist to retain authorization to administer these medications if the following occur:
REPORTING
Authorized personnel will contact the school nurse or emergency medical services (911) immediately after a stock bronchodilator canister is administered to a student or individual. The school nurse retains accountability for professional nursing judgment with the administration of stock bronchodilator and whether to contact emergency medical services in accordance with Iowa law.
The district will contact emergency medical services (911) immediately after a stock epinephrine auto-injector or stock opioid antagonist is administered to a student or individual. The school nurse or authorized personnel will remain with the student or individual until emergency medical services arrive.
Within 48 hours, the district will report to the Iowa Department of Education:
As provided by law, the district, board, authorized personnel or school nurse, and the prescriber shall not be liable for any injury arising from the provision, administration, failure to administer, or assistance in the administration of an epinephrine auto-injector, bronchodilator canister or spacer, or opioid antagonist provided they acted reasonably and in good faith.
The superintendent [or designee] may develop an administrative process to implement this policy.
Adopted: 4/16
Reviewed: 11/17; 12/20
Revised: 3/23; 4/23; 8/23
Related Policy: 504.31; 504.31-E1-E4
Legal Reference (Code of Iowa): §§ 135.185, .190; 279.8; 281 IAC 14.3; 655 IAC 6.2(2)
IASB Reference: 804.05
Student Name:
Student Birthdate:
Building:
Date:
The district seeks to provide a safe environment for students, staff, and visitors who are at risk of potentially life-threatening incidents. The district supplies the following prescription medications for life-threatening incidents that are listed below. Generic brands may be substituted. (Select all that apply)
_____ Epinephrine Auto-Injectors
_____ Bronchodilator
_____ Bronchodilator Canisters and Spacers
_____ Opioid Antagonist
Pursuant to state law, the district or its employees are to incur no liability for any injury arising from the provision, administration, failure to administer, or assistance in the administration of the selected prescription medications supplied by the district for life-threatening incidents provided they have acted reasonably and in good faith.
The parent/guardian shall sign consent for the student to receive the voluntary school supply of stock medications listed for life-threatening incidents and a statement acknowledging that the district is to incur no liability as a result of administration of a prescription medication for life-threatening incidents provided the school district to have acted reasonably and in good faith. Electronic signatures meet the requirement of written signatures.
Parent/Guardian Signature: (Agreed to above statements)
Date:
Adopted: 10/23
Related Policy: 504.32
IASB Reference: 804.5-E(1)
The board recognizes the convenience to families and students of having students drive to and park at their school attendance center. Driving a motor vehicle to and parking it at the student’s attendance center is a privilege.
Students who drive to and park at their school attendance center shall only drive to and park at their designated attendance center. Students may not loiter around or be in their vehicle during the school day without permission from the building principal. Students shall leave their attendance center when there is no longer a legitimate reason for them to be at their attendance center. Students who drive shall enter and leave the parking lot by the routes designated by the building principal.
Students who wish to drive to and park at their school attendance center shall comply with the rules and regulations established by the building principal. Failure to comply with this policy or the school district’s rules will be reason for revocation of school driving and parking privileges, as well as other disciplinary action including suspension and expulsion.
Adopted: 6/70
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 9/09
Legal Reference (Code of Iowa): §§ 279.8; 321
IASB Reference: 502.10
The superintendent [or designee] will have the authority to close schools because of extreme weather or other emergency conditions for the length of time the emergency exists.
The superintendent will make provisions to publicly announce such closings via available mass communication media as soon as possible after the decision to close.
Adopted: 6/70
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 9/98
Related Policy: 504.10; 701.11; 807.1-2; 902.7; 902.12-12R
Students will be informed of the appropriate action to take in an emergency. Emergency drills for fire, weather, intruders, and other disasters will be conducted each school year.
Fire and tornado drills are conducted regularly during the academic school year with a minimum of two before December 31st and two after January 1st.
Intruder drills will be conducted regularly during the academic school year with a minimum of one before December 31st and one after January 1st.
Each attendance center will develop and maintain a written plan containing emergency and disaster procedures. The plan will be communicated to and reviewed with employees. Employees will participate in emergency drills. Licensed employees are responsible for instructing the proper techniques to be followed during the drills.
Adopted: 6/70
Reviewed: 4/11; 4/12; 7/13; 10/14; 12/20; 10/23
Revised: 7/07; 11/17
Legal Reference (Code of Iowa): § 100.31
IASB Reference: 507.05
The school board recognizes that there are some students who are in need of special health services during the school day.
Students with Individualized Health Plans (IHP) will receive confidential health services in conjunction with their Individualized Education Plan (IEP) or 504 Accommodation Plan.
The superintendent [or designee] in conjunction with licensed health personnel will establish administrative regulations for the implementation of this policy.
Adopted: 2/96
Reviewed: 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 9/09; 4/11
Related Policy: 504.11-R
Legal Reference (Code of Iowa): §§ 256.11(7): 256B; 273.2, .5, .9(2-3); 280.8; 281 IAC 14.2
IASB Reference: 507.08
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 (IHP).
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, 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 collaboration from the parent or guardian, the individual’s health care provider, or education team.
Licensed Health Personnel: Includes licensed registered nurses, licensed physicians, and other licensed health personnel legally authorized to provide special health services and medications under the auspices of the district.
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:
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:
B. Licensed health personnel will provide special health services under the auspices of the district. The duties of the licensed health personnel include:
C. Prior to the provision of special health services the following will be on file:
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:
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 (IHP). 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 district is required to provide the equipment, supplies, and maintenance under the Individuals with Disabilities Education Act (IDEA) or Section 504 of the Rehabilitation Act of 1973. The equipment is stored in a secured area. The personnel responsible for the equipment are designated in the Individual Health Plan (IHP). The IHP will designate the role of the school, parents, and others in the provision, supply, storage, and maintenance of necessary equipment.
Adopted: 2/96
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20
Revised: 8/02; 10/23; 8/24
Related Policy: 504.11
IASB Reference: 507.08-R(1)
The school 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 will provide a comprehensive learning environment for developing and practicing lifelong wellness behaviors. The district encourages healthy 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 school board commits to the following:
The following nutritional guidelines for food available on school campuses will be adhered to:
The superintendent [or designee] shall implement and ensure compliance with the policy by:
Adopted: 8/06
Reviewed: 4/12; 7/13; 10/14
Revised: 11/17; 12/20; 10/23
Legal Reference (Code of Iowa): §§ 256.7(29); 256.11(6); 81 IAC 12.5; 58.11
IASB Reference: 507.09
Mandatory Policy
To implement the wellness policy (Refer to Policy 504.12), 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 goals for addressing nutrition education and nutrition promotion include the following:
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 goals for addressing physical activity include the following:
GOAL 3: OTHER SCHOOL-BASED ACTIVITES THE PROMOTE STUDENT WELLNESS
Schools will support student, staff, and parent/guardian efforts to maintain a healthy lifestyle, as appropriate. The goals for addressing other school-based activities that promote student wellness include the following:
PUBLIC INVOLVEMENT
There is a process for permitting parents/guardians, 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.
Adopted: 10/23
Related Policy: 504.12
IASB Reference: 507.90-R(1)
The Iowa Civil Rights Act (Iowa Code Section 216.9) and Title IX protect transgender students from sex and/or gender discrimination and clearly delineates that protection from unfair practices and discriminatory acts in education, including gender identity.
The Linn-Mar Community School District is committed to serving the educational needs of the community and underscores its commitment by supporting all students in a safe learning environment. This policy relates to students who are transgender and students who do not conform to gender role stereotypes. In order to maintain a safe learning environment for all students, we must first ensure equal access to all components of the educational system.
While the administrative procedures established in Policy 504.13-R (Administrative Regulations Regarding Transgender and Students Nonconforming to Gender Role Stereotypes) provide important direction to employees, students, families, and other persons; they do not anticipate every situation that might occur with respect to students who are transgender or gender nonconforming. When an issue or concern arises that is not adequately addressed by these administrative procedures, district administration will consider and assess the needs and concerns of each student on an individual bases in consultation with parents, when appropriate.
This policy and Policy 504.13-R apply to all school activities, school-provided transportation, and school-sponsored events regardless of where they occur.
It is the responsibility of the superintendent [or designee] to develop regulations regarding this policy.
Note: Policy 504.13-R was deleted in March 2023
Adopted: 4/22
Related Policy: 103.1; 103.1-R; 103.1-E1-E3; 104.1; 104.1-R; 104.1-E1-E5; 104.3
Legal Reference (Code of Iowa): 216.9 and Title IX
It is the goal of the district to provide a safe and supportive educational environment in which all students may learn. As part of creating that safe educational environment, no employee of the district will provide false or misleading information to the parent/guardian of a student regarding that student’s gender identity or intention to transition to a gender that is different from their birth certificate or certificate issued upon adoption.
If a student makes a request to a licensed employee to accommodate a gender identity, name, or pronoun that is different than what was assigned to the student in the student’s registration forms or records, the licensed employee is required by Iowa law to report the request to an administrator. The school administrator receiving the report is required by Iowa law to report the request to the student’s parent/guardian. This requirement also applies to all nicknames.
To maintain compliance with Iowa law and also provide efficiency in the reporting requirements listed above, the superintendent will provide the opportunity for parents and guardians to list in the student’s registration paperwork any and all nicknames used for students.
Adopted: 8/23
Related Policy: 504.14-E1-E2
Legal Reference (Code of Iowa): SF496
IASB Reference: 503.07
CLICK HERE TO DOWNLOAD THE FORM
Dear Parent/Guardian,
This letter is to inform you that your student (Insert student's name as listed on school registration form) has made a request of a licensed employee to: (Check all that apply)
_____Make an accommodation that is intended to affirm the student's gender identity as follows:
_____________________________________________________________________________________
_____Use a name, pronoun, or gender identity that is different from the name, pronoun, and/or gender identity listed on
the student's school registration forms. The name, pronoun, or gender identity requested is: ________________
If you would like to amend the student’s registration paperwork to permit the student’s requested accommodation and/or include the use of the above-referenced name/pronoun/gender identity, please complete the attached form (Refer to Policy 504.14-E2) and return it to the Student Support Services office (3556 Winslow Road, Marion, IA 52302).
Sincerely,
Administrator's Signature: _______________________________
Building: ___________________________________________
Date: ______________________________________________
Adopted: 8/23
Revised: (/24
Related Policy: 504.14; 504.14-E2
Legal Reference (Code of Iowa): SF496
IASB Reference: 503.07-E(1)
CLICK HERE TO DOWNLOAD REQUEST TO UPDATE STUDENT IDENTITY
Student's name on current school registration forms: ___________________________________
Date: _______________________________
Please update my student's names, pronouns, and/or gender identities on my student's school registration paperwork to include all of the following:
Names: ___________________________________________________________________
Pronouns: _________________________________________________________________
Gender Identities: ____________________________________________________________
Parent/Guardian Signature: ____________________________________________________
Date: ________________________________
Adopted: 8/23
Related Policy: 504.14; 504.14-E1
Legal Reference (Code of Iowa): SF496
IASB Reference: 503.07-E(2)