Health services are an integral part of comprehensive school improvement, 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 well-being. Student health services ensure continuity and create linkages between school, home, and community service providers. The District’s comprehensive school improvement plan, needs, and resources determine the linkages.

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Approved: 5/13/13

Reviewed: 6/10/19

Revised:

I. Student Health Services

Each school building may develop a customized student health services program within the comprehensive school improvement based on its unique needs and resources. 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 service elements that improve student achievement include:

· qualified health employees

· school superintendent, school nurse, and school health team working collaboratively

· family and community involvement

· optimal student health services program with commitment to its continuing improvement

Components provided within a coordinated school health program include:

· health services

· health education

· nutrition

· physical education and activity

· healthy, safe environment

· counseling, psychological, and social services

· staff wellness

· family and community involvement

II. Student Health Services Essential Functions

A. Identify student health needs:

1. Provide needed health screenings

2. Maintain and update confidential health records

3. Communicate (written, oral, electronic) health needs as consistent with

confidentiality laws

B. Facilitate student access to physical and mental health services:

1. Link students to community resources and monitor follow through

2. Promote increased access and referral to primary health care financial

resources such as Medicaid, HAWK-I, social security, and community health clinics

3. Encourage appropriate use of heath care

C. Provide for student health needs related to educational achievement:

1. Manage chronic and acute illnesses

2. Provide special health procedures and medication including delegation,

training, and supervision of qualified designated school employees

3. Develop, implement, evaluate, and revise individual health plans (IHPs) for all students with special health needs according to mandates in the

Individuals with Disabilities Education Act (IDEA), Rehabilitation Act (Section 504), and American with Disabilities Act (ADA)

4. Provide urgent and emergency care for individual and group illness and injury

5. Prevent and control communicable disease and monitor immunizations

6. Promote optimal mental health

7. Promote a safe school facility and a safe school environment

8. Participate in and attend team meetings as a team member and health

consultant

D. Promote student health, well-being, and safety to foster healthy living:

1. Provide developmentally appropriate health education and health counseling for individuals and groups

2. Encourage injury and disease prevention practices

3. Promote personal and public health practices

4. Provide health promotion and injury and disease prevention education

E. Plan and develop the student health services program collaboratively with the superintendent, school nurse, and school health team:

1. Gather and interpret data to evaluate needs and performance

2. Develop health procedures and guidelines

3. Collaborate with staff, families, and community

4. Maintain and update confidential student school health records

5. Coordinate program with all school health components

6. Evaluate and revise the health service program to meet changing needs

7. Develop student health services annual status report

8. Coordinate information and program delivery within the school and between school and major constituents

9. Provide for professional development for school health services staff

10. Develop student health services annual status report.

11. Coordinate information and program delivery within the school and between school and major constituents.

12. Provide health services by qualified health professionals to effectively deliver services, including multiple levels of school health expertise such as registered nurses, physicians, and advanced registered nurse practitioners.

13. Provide for professional development for school health services staff.

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Approved: 11/14/67                                       Reviewed:                                                Revised: 2/14/11; 6/10/13; 6/10/19

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

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Approved: 5/19/03

Reviewed: 6/101/9

Revised: 7/14/08; 5/13/13

Some students who require special education need special health services in order to participate in the educational program. These students will receive special health services in accordance with their individualized educational program.

A. Definitions

Assignment and delegation - occurs when licensed health personnel, in collaboration with the education team, determine the special health services to be provided and the qualifications of individuals performing the health services. Primary consideration is given to the recommendation of the licensed health personnel. Each designation considers the student's special health service. The rationale for the designation is documented. If the designation decision of the team differs from the licensed health professional, team members may file a dissenting opinion.

Co-administration - the eligible student's participation in the planning, management and implementation of the student's special health service and demonstration of proficiency to licensed health personnel.

Educational program - includes all school curricular programs and activities both on and off school grounds.

Education team - may include the eligible student, the student's parent, administrator, teacher, licensed health personnel, and others involved in the student's educational program.

Health assessment - health data collection, observation, analysis, and interpretation relating to the eligible student's educational program.

Health instruction - education by licensed health personnel to prepare qualified designated personnel to deliver and perform special health services contained in the eligible student's health plan. Documentation of education and periodic updates are on file at school.

Individual health plan - the confidential, written, preplanned, and ongoing special health service in the educational program. It includes assessment, planning, implementation, documentation, evaluation, and a plan for emergencies. The plan is updated as needed and at least annually. Licensed health personnel develop this written plan with the education team.

Licensed health personnel - includes licensed registered nurse, licensed physician, and other licensed health personnel legally authorized to provide special health services and medications.

Prescribe - licensed health personnel legally authorized to prescribe special health services and medications.

Qualified designated personnel - persons instructed, supervised, and competent in implementing the eligible student's health plan.

Special health services - includes, but is not limited to, services for eligible students whose health status (stable or unstable) requires:

• Interpretation or intervention,

• Administration of health procedures and health care, or

• Use of a health device to compensate for the reduction or loss of a body function.

Supervision - the assessment, delegation, evaluation, and documentation of special health services by licensed health personnel. Levels of supervision include situations in which licensed health personnel are:

• Physically present;

• Available at the same site; or

• Available on call.

B. Licensed health personnel will provide special health services under the auspices of the school. Duties of the licensed personnel include the duty to:

1. Participate as a member of the education team;
2. Provide the health assessment;
3. Plan, implement, and evaluate the written individual health plan;
4. Plan, implement, and evaluate special emergency health services;
5. Serve as liaison and encourage participation and communication with health service agencies and individuals providing health care;
6. Provide health consultation, counseling, and instruction with the eligible student, the student's parent, and the staff in cooperation and conjunction with the prescriber;
7. 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;
8. Report unusual circumstances to the parent, school administration, and prescriber;
9. Assign and delegate to, instruct, provide technical assistance, and supervise qualified designated personnel; and
10. Update knowledge and skills to meet special health service needs.

C. Prior to the provision of special health services the following will be on file:

1. Written statement by the prescriber detailing the specific method and schedule of the special health service, when indicated;
2. Written statement by the student's parent requesting the provision of the special health services;
3. Written report of the preplanning staffing or meeting of the educationteam; and
4. Written individual health plan available in the health record and integrated into the IEP or IFSP.

D. Licensed health personnel, in collaboration with the education team, will determine the special health services to be provided and the qualifications of individuals performing the special health services. The documented rationale will include the following:

1. 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;
2. Determination that the special health service, task, procedure or function is part of the person's job description;
3. Determination of the assignment and delegation based on the student's needs;
4. Review of the designated person's competency; and
5. Determination of initial and ongoing level of supervision required to ensure quality services.

E. Licensed health personnel will supervise the special health services, define the level of supervision, and document the supervision.

F. Licensed health personnel will instruct qualified designated personnel to deliver and perform special health services contained in the eligible individual health plan.Documentation of instruction and periodic updates are on file at school.

G. Parents will provide the usual equipment, supplies, and necessary maintenance for such. The equipment is stored in a secure area. The personnel responsible for the equipment are designated in the individual health plan. The individual health plan will designate the role of the school, parents, and others in the provision, supply, storage, and maintenance of necessary equipment.

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Approved: 5/13/13

Reviewed:  6/10/19

Revised:

Students desiring to participate in athletic extracurricular activities or enrolling in kindergarten or first grade in the District will have a physical examination by a licensed physician and provide proof of such an examination to the 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 District.

A certificate of health stating the results of a physical examination and signed by the physician is on file at the attendance center. Each student will submit an up-to-date certificate of health upon the request of the Superintendent. Failure to provide this information may be grounds for disciplinary action.

Students enrolling in kindergarten or any grade in elementary school in the District will have, at a minimum, a dental screening performed by a licensed medical professional (physician, nurse, physician assistant, dentist, dental hygienist) sometime between the student turning three (3) years of age and four (4) months following the student’s enrollment in the District, and will provide proof of such a screening to the District. Students enrolling in any grade in high school in the District will have, at a minimum, a dental screening performed by a licensed dentist or dental hygienist sometime between one (1) year prior to the student’s enrollment in the District and four (4) months following the student’s enrollment in the District, and will provide proof of such a screening to the District.

Parents or guardians of students enrolling in kindergarten in the District shall be provided a student vision card provided by the Iowa optometric association and as approved by the department of education. The goal of the District is that every child receives an eye examination by age seven, as needed.

The superintendent shall ensure the district collaborates with the Iowa Department of Public Health to ensure that applicants and transfer students comply with the blood lead testing requirements under Iowa law.

Students enrolling for the first time in the school District will also submit a certificate of immunization against diphtheria, pertussis, tetanus, poliomyelitis, rubeola, rubella, and other immunizations required by law. The student may be admitted conditionally to the attendance center if the student has not yet completed the immunization process but is in the process of doing so. Failure to meet the immunization requirement will be grounds for suspension, expulsion or denial of admission. Upon recommendation of the Iowa Department of Education and Iowa Department of Public Health, students entering the District for the first time may be required to pass a TB test prior to admission. The District may conduct TB tests of current students.

Exemptions from the certification and immunization requirement in this policy will be allowed only for medical, religious or undue burden 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.

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Approved: 11/14/67                                 Reviewed: 6/10/19                                             Revised: 5/14/12; 5/13/13;8/14/17

Students with a communicable disease will be allowed to attend school provided their presence does not create a substantial risk of illness or transmission to other students or employees. The term "communicable disease" will mean an infectious or contagious disease spread from person to person, or animal to person, or as defined by law.

Prevention and control of communicable diseases is included in the school district's bloodborne pathogens exposure control plan. The procedures will include scope and application, definitions, exposure control, methods of compliance, universal precautions, vaccination, post-exposure evaluation, follow-up, communication of hazards to employees and record keeping. This plan is reviewed annually by the Superintendent and school nurse.

The health risk to immunosuppressed students is determined by their personal physician. The health risk to others in the school district environment from the presence of a student with a communicable disease is determined on a case-by-case basis by the student's personal physician, a physician chosen by the District or public health officials.

A student shall notify the Superintendent or the school nurse when the student learns the student has a communicable disease. It shall be the responsibility of the Superintendent, when the Superintendent or school nurse, upon investigation, has knowledge that a reportable communicable disease is present, to notify the Iowa Department of Public Health. Health data of a student is confidential and it shall not be disclosed to third parties, except in cases of reportable communicable diseases.

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

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Approved: 11/14/67

Reviewed: 6/10/19

Revised: 7/14/08; 5/13/13; 8/10/20

CONCISE DESCRIPTIONS AND RECOMMENDATIONS FOR EXCLUSION OF CASES FROM SCHOO

DISEASE *Immunization is available	Usual Interval Between Exposure and First Symptoms of Disease	MAIN SYMPTOMS	Minimum Exclusion From School
CHICKENPOX	13 to 17 days	Mild symptoms and fever. Pocks are "blistery." Develop scabs, most on covered parts of body.	7 days from onset of pocks or until pocks become dry.
CONJUNCTIVITIS (PINK EYE)	24 to 72 hours	Tearing, redness and puffy lids, eye discharge.	Until treatment begins or physician approves readmission.
COVID - 19	5-6 days, but can be asymptomatic and contagious for up to 14 days	Typical symptoms include fever, cough, shortness of breath. Atypical symptoms include chills, malaise, sore throat, increased confusion, rhinorrhea or nasal congestion, myalgia, dizziness, headache, nausea and diarrhea.	14 days following exposure or 10 days isolation for a positive test AND symptom free.
ERYTHEMA INFECTIOUSUM (5TH DISEASE)	4 to 20 days	Usual age 5 to 14 years - unusual in adults.	Brief prodrome of low-grade fever followed by Erythemia (slapped cheek) appearance on cheeks, lace-like rash on extremities lasting a few days to 3 weeks. Rash seems to recur. After diagnosis no exclusion from school.
GERMAN MEASLES* (RUBELLA)	14 to 23 days	Usually mild. Enlarged glands in neck and behind ears. Brief red rash.	7 days from onset of rash. Keep away from pregnant women.
HAEMOPHILUS MENINGITIS	2 to 4 days	Fever, vomiting, lethargy, stiff neck and back.	Until physician permits return.
HEPATITIS A	Variable - 15 to 50 (average 28 to 30 days)	Abdominal pain, nausea, usually fever. Skin and eyes may or may not turn yellow.	14 days from onset of clinical disease and at least 7 days from onset of jaundice.
IMPETIGO	1 to 3 days	Inflamed sores, with pus.	48 hours after antibiotic therapy started or until physician permits return.
MEASLES*	10 days to fever, 14 days to rash	Begins with fever, conjunctivitis, runny nose, cough, then blotchy red rash.	4 days from onset of rash.
MENINGOCOCCAL MENINGITIS	2 to 10 days (commonly 3 to 4 days)	Headache, nausea, stiff neck, fever.	Until physician permits return.
MUMPS*	12 to 25 (commonly 18) days	Fever, swelling and tenderness of glands at angle of jaw.	9 days after onset of swollen glands or until swelling disappears.
PEDICULOSIS (HEAD/BODY LICE)	7 days for eggs to hatch	Lice and nits (eggs) in hair.	24 hours after adequate treatment to kill lice and nits.
RINGWORM OF SCALP	10 to 14 days	Scaly patch, usually ring-shaped, on scalp.	No exclusion from school. Exclude from gymnasium, swimming pools, contact sports.
SCABIES	2 to 6 weeks initial exposure; 1 to 4 days reexposure.	Tiny burrows in skin caused by mites.	Until 24 hours after treatment.
SCARLET FEVER SCARLANTINA STREP THROAT	1 to 3 days	Sudden onset, vomiting, sore throat, fever, later fine rash (not on face). Rash usually with first infection.	24 hours after antibiotics started and no fever.
WHOOPING COUGH* (PERTUSSIS)	7 to 10 days	Head cold, slight fever, cough, characteristic whoop after 2 weeks.	5 days after start of antibiotic treatment.

Readmission to School – It is advisable that school authorities require written permission from the health officer, school physician or attending physician before any pupil is readmitted to class following any disease which requires exclusion, not mere absence, from school.

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Approved:                                                Reviewed:   6/10/19                                             Revised: 5/13/13; 8/10/20

The following infectious diseases are required to be reported to the state and local public health offices by the District:

Acquired Immune Deficiency Syndrome (AIDS) Amebiasis Anthrax Botulism Brucellosis Campylobacteriosis Chlorea COVID - 19 Diphtheria E. Coli 0157:h7 Encephalitis Giardiasis Hepatitis, viral (A,B, Non-A, Non-B, Unspecified) Histoplasmosis Human Immunodeficiency Virus (HIV) infection other than AIDS Infuenza Legionellosis

Leprosy Leptospirosis Lyme disease Malaria Meningitis (bacterial or viral) Mumps Parvovirus B 19 Infection (fifth disease and other complications) Pertussis (whooping cough) Plague Poliomyelitis Psitacosis Rabies Reye’s Syndrome Rheumatic fever Rocky Mountain spotted fever Rubella (congenital syndrome)

Rubella (German measles) Rubeola (measles) Salmonellosis Shigellosis Tetanus Toxic Shock Syndrome Trichinosis Tuberculosis Tularemia Typhoid fever Typhus fever Venereal disease Chancroid Gonorrhea Granuloma Inguinale Lymphogranuloma Venereum Syphilis Yellow fever

Any other disease which is unusual in incidence, occurs in unusual numbers of circumstances, or appears to be of public health concern, e.g., epidemic diarrhea, food or waterborne outbreaks, acute respiratory illness.

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Approved:                                            Reviewed:  6/10/19                                       Revised: 5/13/13; 8/10/20

Series 500

Policy Title: Infectious Diseases Reporting Form

Code No. 506.4E3

REPORTING FORM

REPORT THE FOLLOWING DISEASES IMMEDIATELY BY TELEPHONE (1-800-362-2736)

Botulism Cholera Diphtheria Plague

Poliomyelitis Rabies (Human) Rubella Rubeola (measles)

Yellow Fever Disease outbreaks of any public health concern

                                                                             WEEK ENDING ______________

REPORT ALL OTHER DISEASES BELOW.

See 507.3E2 for list of reportable infectious diseases.

DISEASE	PATIENT	COUNTY OR CITY	DOB	SEX
	Name of Parent (if applicable)
	Address
	Attending Physician
	Name of Parent (if applicable)
	Address
	Attending Physician
	Name of Parent (if applicable)
	Address
	Attending Physician
	Name of Parent (if applicable)
	Address
	Attending Physician
	Name of Parent (if applicable)
	Address
	Attending Physician

Reporting Physician, Hospital, or Other Authorized Person

________________________________________________________________________________________________________ 

Address

________________________________________________________________________________________________________ 

Remarks:

FOR SCHOOLS ONLY: Report over 10% absent only. Total enrollment:
	Monday	Tuesday	Wednesday	Thursday	Friday
No. Absent
% of Enrollment

 

REPORT NUMBER OF CASES ONLY   ________Chickenpox __________Gastroenteritis   ________Erythema infectiosum (5th Disease) __________Influenza-like illness (URI)

 

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Approved:

Reviewed: 5/13/13; 6/10/19

Revised:

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Approved:                                       Reviewed: 5/13/13; 6/10/19                                          Revised:

Students may be required to take medication during the school day. Medication shall be administered only by the school nurse or a qualified designee. A qualified designee is a person who has been trained under the State Department of Health guidelines. Training and continued supervision shall be documented and kept on file at school.

Some students may need prescription and non-prescription medication to participate in their educational program. These students shall receive medication concomitant with their educational program. When administration of the medication requires ongoing professional health judgment, an individual health plan shall be developed by the licensed health personnel with the student and the student's parent.

Students may be required to take medication during the school day. Medication is administered by the parent, physician, school nurse, or in the nurse's absence, by a person who has successfully completed an administration of medication course reviewed by the Board of Pharmacy Examiners. The course is conducted by a registered nurse or licensed pharmacist. A record of course completion will be maintained by the school District.

Students who have demonstrated competence in administering their own medications may self- administer their medication as long as all other relevant portions of this policy have been complied with by the student and the student’s parent or guardian. 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 or other airway constricting diseases may self-administer their medication upon approval of their parents and prescribing physician regardless of competency.

Medication will not be administered without written authorization that is signed and dated from the parent and the medication must be in the original container which is labeled by the pharmacy or the manufacturer with the name of the child, name of the medication, the time of the day which it is to be given, the dosage, and the duration. Written authorization will also be secured when the parent requests student co-administration of medication when competency is demonstrated. When administration of the medication requires ongoing professional health judgment, an individual health plan will be developed by the licensed health personnel with the student and the student's parents. It is the parent’s responsibility to ensure that the medication is current; that all information regarding the medication is current; and that the information provided to the district, including, but not limited to the written authorization, is current.

A written record of the administration of medication procedure must be kept for each child receiving medication including the date; student's name; prescriber or person authorizing the administration; the medication and its dosage; the name, signature, and title of the person administering the medication; and the time and method of administration and any unusual circumstances, actions or omissions. Medication shall be stored in a secured area unless an alternate provision is documented. Emergency protocols for medication-related reactions shall be posted. Medication information shall be kept confidential.

The school nurse, or in the nurse's absence, the person who has successfully completed an administration of medication course reviewed by the Iowa Board of Pharmacy Examiners will have access to the medication which will be kept in a secured area. Students may carry medication (including but not limited to inhalers and epi-pens) only with the approval of the parents and building principal of the student's attendance center. Emergency protocol for medication-related reactions will be in place.

The superintendent is responsible, in conjunction with the school nurse, for developing rules and regulations governing the administration of medication, prescription and nonprescription, including emergency protocols, to students and for ensuring persons administering medication have taken the prescribed course and periodically review the prescribed course. Annually, each student is provided with the requirements for administration of medication at school.

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Approved: 8/14/89                                                Reviewed: 6/10/19                                                    Revised: 12/14/09; 5/13/13

When a student becomes ill or is injured at school, the school district will attempt to notify the student's parents as soon as possible.

The school district, while not responsible for medical treatment of an ill or injured student, will have employees present administer emergency or minor first aid if possible. An ill or injured child will be turned over to the care of the parents or qualified medical employees as quickly as possible.

It is the responsibility of the principal to file an accident report with the superintendent within twenty-four hours after the student is injured. Reports will be kept in the administrative office for that year and then filed in the student's cumulative folder.

Annually, parents are required to complete a medical emergency authorization form indicating the procedures to be followed, if possible, in an emergency involving their child. The authorization form will also include the phone numbers of the parents; alternative numbers to call in case of an injury or illness; local physician's name and telephone number; preference of ambulance service and hospital; any medical problems which the student may have; and a parental signature.

 

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Approved: 1/9/94

Reviewed: 6/10/19

Revised: 7/14/08; 5/13/13

The District promotes healthy students by supporting wellness, good nutrition and regular physical activity as a part of the total learning environment. The 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 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 District goals to positively influence a student’s understanding, beliefs and habits as they relate to good nutrition and regular physical activity.

Wellness Goals

The district has the following goals that will encourage wellness in students and staff:

1. Encouraging physical activity, as outlined in the Student Wellness Plan – Physical Activity policy.

2. Providing nutrition education and promotion, as outlined in the Student Wellness Plan – Nutritional Guidelines policy .

3. Establishing other school-based activities that are designed to promote student and staff wellness, as outlined in the Student Wellness Plan – Other Activities to Promote Wellness policy.

Plan for Measuring Implementation of the Wellness Plan and Nutrition Guidelines

A. Wellness Policy Committee.

1. The District will establish a local wellness policy committee that may be comprised of any of the following: representatives of the Board; representatives of the District, including administrators; representatives of the public; parents; students; representatives of the school food authority; and nutrition/wellness experts, including teachers of physical education and/or school health professionals.

2. The wellness policy committee will implement, monitor, evaluate/ measure and update the wellness policy. This committee will report at least once every 3 years to the Board and to the general public regarding these efforts.

B. Implementation

1. The District, through the committee and/or the designated official, will inform and update the public, including parents, students and the general community, about the content and implementation of the District’s wellness policy.

2. Each school and the district as a whole will periodically measure and prepare reports regarding implementation of the district’s wellness policy. The report shall describe how the school and/or district are striving to implement the goals outlined in the policy.

C. Monitoring.

1. The Superintendent, the principal at each school, and the committee and/or designee will ensure compliance with established District-wide nutritional and physical activity wellness policies.

2. Additionally, the following actions will occur:

a. Food service staff, at the school or District level, will ensure compliance with nutritional policies within food service areas and will report on this matter to the Superintendent or principal; b. The District will report on the most recent USDA School Meals Initiative (SMI) review findings and any resulting changes; c. The Food Service Director and/or the Superintendent will develop a summary report on District-wide compliance with the District’s wellness policy, based on input from schools within the District; and d. The report will be provided to the Board and also distributed to the District.

D. Policy Review

1. To help with the initial development of the District’s wellness policy, each school in the District has conducted a baseline assessment of the school’s existing nutritional and physical activity environments and practices. The results of those school-by-school assessments will be compiled at the District level to identify and prioritize needs.

2. Periodic assessments will be conducted to review implementation and compliance, to assess progress, and to determine areas in need of improvement. As part of that review, the committee and/or the designated official will do the following:

a. Generally consider whether there exists an environment that supports healthy eating and physical activity;

b. Review the nutritional and physical activity policies and practices to determine the extent to which the district and schools within the District are in compliance with the local wellness policy; c. Consider the extent to which the District’s local wellness policy compares to the model local wellness policy;

d. Assess the progress the District has made in attaining the goals of its local wellness policy;

e. Provide to the board any recommended updates to the District’s wellness policy.

3. The committee and/or the designated official will make the assessment available to the general public. The Board will revise the wellness policies and develop plans to facilitate their implementation.

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Approved: 7/10/06                      Reviewed: 3/13/17; 6/10/19; 8/8/22                                            Revised: 9/17/12; 5/13/13; 3/13/17

Physical Activity

A.        The District will provide at least thirty (30) minutes of physical activity per day for students in kindergarten through fifth grade. The District will provide at least one hundred twenty (120) minutes of physical activity per week for students in sixth through twelfth grade.

B.        Physical Education

1.         The District will provide physical education that:

● Is for all students in kindergarten through twelfth grade;

● Is taught by a certified physical education teacher;

● Includes students with disabilities; students with special health-care needs may be provided with alternative educational settings; and

● Engages students in moderate to vigorous activity during physical education class time.

C.        Daily Recess

1.         Elementary schools will provide recess for students that:

● is at least twenty (20) minutes a day;

● is preferably outdoors;

● encourages moderate to vigorous physical activity; and

● discourages extended periods (i.e., periods of two (2) or more hours) of inactivity.

2.         When activities, such as mandatory school-wide testing, make it necessary for students to remain indoors for long periods of time, schools      should give students periodic breaks during which they are encouraged to stand and be moderately active.

D.        Physical Activity and Discipline

1.         Employees should not use physical activity (e.g., running laps, pushups) as disciplinary action. Withholding opportunities for physical activity              (e.g., recess, physical education) is discouraged.

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Approved:

Reviewed: 3/13/17; 6/10/19

Revised: 5/13/13

 

A. Meals served by the district to students will:

1. Be appealing and attractive to students;
2. Be served in clean and pleasant settings;
3. Meet, at a minimum, nutrition requirements established by state and federal law;
4. Offer a variety of fruits and vegetables;
5. Include low-fat and fat-free milk and nutritionally equivalent non-dairy alternatives (as defined by the USDA) for those with an allergy;
6. Encourage serving of whole grain products; and
7. Accommodate alternatives for those students with allergies that meet the above guidelines as closely as possible.

B. Breakfast

1. To ensure that all students have breakfast, either at home or at school, in order to meet their nutritional needs and enhance their ability to learn, schools will notify parents and students of the availability of the District’s breakfast program and encourage parents to provide a healthy breakfast for their children.

C. Beverages

1. The District will seek to provide water without added caloric sweeteners; fruit and vegetable juices and fruit-based drinks that contain 100 percent fruit juice and that do not contain additional caloric sweeteners; unflavored or flavored low- fat or fat-free milk; and nutritionally equivalent nondairy beverages (as defined by the USDA).

D. Free and Reduced-Price Meals

1. The District will make every effort to eliminate any social stigma attached to, and prevent the overt identification of, students who are eligible for free and reduced- priced meals. Toward this end, the district will utilize electronic identification and payment systems and promote the availability of meals to all students.

E. Sharing of Food

1. The District prohibits students from sharing foods or beverages with one another during meal or snack times, given concerns about allergies, spreading of germs and communicable diseases, and other restrictions on student diets.

F. Meal Times and Scheduling

1. The district will do the following:

a. Provide students with adequate and appropriate time for meals;

b. Schedule meal periods at appropriate times, e.g., lunch should be scheduled between 11 a.m. and 1 p.m.;

c. Provide students access to hand washing or hand sanitizing before they eat meals or snacks; and

d. Take reasonable steps to accommodate the tooth-brushing regimens of students with special oral health needs (e.g., orthodontia or high tooth decay risk).

G. Qualification of Food Service and Staff

1. Qualified nutrition professionals will administer the meal programs. As part of the District’s responsibility to operate a food service program, the District will provide continuing professional development for all nutrition professionals and provide staff development programs and training programs for the Food Service Director, kitchen managers, and cafeteria workers, according to their level of responsibility.

 

Other Food Available at School

A. Food Sold Outside the Meal

1. All foods and beverages sold individually outside the reimbursable meal programs including those sold through a la carte lines, vending machines and sales foods during the school day, will meet federal and state nutritional standards.

2. Elementary Schools. The food service program will approve and provide all food and beverage sales to students in elementary schools.

3. Middle School and High School. The food service program and the school make available to middle and high schools foods and beverages meeting federal and state nutritional standards regarding calorie, sodium, saturated fat, trans fat, total fat, sugar and dietary fiber content of food and the ingredients in beverages.

B. Snacks

1. The Elementary will provide a healthy school wide snack to all children with regard to allergic concerns and attempts will be made to avoid common food allergens.

 

Food Safety

A. All foods made available on campus will adhere to food safety and security guidelines.

B. All foods made available through food service will comply with the state and local food safety and sanitation regulations. Hazard Analysis and Critical Control Points (HACCP) plans and guidelines are implemented to prevent food illness in schools.

C. For the safety and security of the food and facility, access to the food service operations are limited to food service staff and authorized personnel.

 

Nutrition Promotion and Education

A.        The district will provide nutritional education and engage in nutrition promotion that:

● is offered at each building as part of a sequential, comprehensive, standards-based program designed to provide students with the knowledge and skills necessary to promote and protect their health;

● is part of not only health education classes, but also classroom instruction in subjects such as math, science, language arts, social sciences, and elective subjects;

● promotes fruits, vegetables, whole-grain products, low-fat and fat-free dairy products, healthy food preparation methods, and health-enhancing nutritional practices;

● emphasizes caloric balance between food intake and physical activity;

● links with meal programs, other foods, and nutrition-related community services; and

● includes training for teachers and other staff.

Other Aspects of Wellness Plan – Nutrition Guidelines

A. Fundraising Activities

1. Regulated fundraising groups’ activities, which offer the sale of food and/or beverages on school property to students by students and/or student groups/organizations, will be encouraged to use foods and/or beverages that are compliant with the school’s wellness policies. These groups’ activities will be encouraged to promote physical activity.

2. To support student health and school nutrition-education efforts, non-regulated school fundraising groups’ activities will be encouraged to use foods and/or beverages that are compliant with the school’s wellness policies and promote physical activity. 

B. Rewards

1. The District will discourage the use of foods or beverages, especially those that do not meet the nutrition standards for foods and beverages sold individually, as rewards for academic performance or good behavior, and will not withhold food or beverages (including food served through meals) as a discipline.

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Approved:

Reviewed: 3/13/17

Revised: 5/13/13; 3/13/17; 6/10/19; 6/8/20

 

Activities that Promote Student Wellness

A.        For students to receive the nationally recommended amount of daily physical activity and for students to fully embrace regular physical activity as a personal behavior, students need opportunities for physical activity beyond the physical education class. Toward that end, the District will:

1.         Integrate physical activity into classroom settings, by doing the following:

a.         Offering classroom health education that compliments physical education by reinforcing the knowledge and self-management skills needed to maintain a physically active lifestyle and to reduce time spent on sedentary activities;

b.         Discouraging sedentary activities, such as watching television, playing computer games, etc.;

c.         Providing opportunities for physical activity to be incorporated into other subject lessons; and

d.         Encouraging classroom teachers to provide short physical activity breaks between lessons or classes, as appropriate.

 

2.         Market food in school in a manner consistent with nutritional education and health promotion, by doing the following:

a.         Limiting food and beverage marketing to the promotion of foods and beverages that meet the nutritional standards for meals or for foods and beverages sold individually;

b.         Prohibiting school-based marketing of brands promoting predominantly low-nutrition foods and beverages;

c.         Promoting healthy foods, including fruits, vegetables, whole grains, and low-fat dairy products; and

d.         Marketing activities that promote healthful behaviors.

 

3.         Communicate with parents regarding providing students with a healthy diet and daily physical activity, by doing the following:

a.         Sending home nutrition information and posting nutrition tips on a school web site;

b.         Encouraging parents to pack healthy lunches and snacks and to refrain from including beverages and foods that do not meet the established nutritional standards for individual foods and beverages;

c.         Providing parents a list of foods that meet the school District’s snack standards, ideas for healthy celebrations/parties, rewards, and fundraising activities;

d.         Asking parents or guardians to notify the school if their student has any food allergies or special dietary requirements;

e.         Providing information about physical education and other physical activity opportunities before, during, and after the school day. 

f.          Supporting parents’ efforts to provide their children with opportunities to be physically active outside of school; and

g.         Sharing information about physical activity and physical education through a web site and/or newsletter.

 

B.        The District will also provide instruction concerning cardiopulmonary resuscitation (CPR) to all high school students, so that each student has completed instruction in CPR prior to their high school graduation. The District may offer this instruction as it deems appropriate, including offering it through its physical education program.

 

Activities that Promote Staff Wellness

The District values the health and well being of every staff member. Staff members are encouraged to plan and implement activities that support efforts to maintain a healthy lifestyle.

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Approved:

Reviewed:

Revised: 5/13/13; 6/10/19

 

 

Students will be informed of the appropriate action to take in an emergency.  Fire and tornado drills are each conducted regularly during the academic school year with a minimum of two before December 31 and two after January 1. Other emergency drills will be conducted at the discretion of the administration.

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 in the drill.

The emergency plan shall include:

• Assignment of employees to specific tasks and responsibilities;

• Instructions relating to the use of alarm systems and signals. If combination visual and auditory warning devices do not exist, the plan shall include specific provisions for warning individuals with hearing impairments;

• Information concerning methods of fire containment;

• Systems for notification of appropriate persons and agencies;

• Information concerning the location and use of fire-fighting equipment;

• Specification of evacuation routes and procedures;

• Posting of plans and procedures at suitable locations throughout the facility;

• Evacuation drills which include the actual evacuation of individuals to safe areas; and

• An evaluation for each evacuation drill.

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Approved: 8/14/89                                           Reviewed:  6/10/19; 6/22/23                                               Revised: 7/14/08; 5/13/13; 8/22/22

Students may be exposed to non food or environment irritants that pose a risk to the student’s health and safety during the school day.  Parents and students shall take all precautions to ensure that they are not exposed to such irritants and/or allergens.

If the parent(s) requests a meeting, the District will meet with the parent(s) and/or student to discuss the student’s exposure to irritant(s) and/or allergen(s), and, if appropriate, develop a plan based on the student’s physician’s recommendation to limit the above student’s exposure to irritant(s) and/or allergen(s).  Every such plan to avoid exposure shall include a completed Parental Identification of Student Irritant and/or Allergen Form and a completed Parental Authorization and Release Form for the Administration of Medication to Student.

The District cannot guarantee that the student will never be exposed to such irritants and/or allergens.  If a student is exposed to such an irritant and/or allergen and/or suffers from an allergic reaction, the District may administer medication to the student as necessary according to its policies and procedures.

 

 

 

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Approved: 1/13/20

Reviewed:

Revised:

The undersigned(s) are the parent(s), guardian(s), or person(s) in charge of __________________________ (student’s full legal name), who is in the ______ grade at the _____________________________ building in the Spirit Lake Community School District.

I am requesting that the above student should not be exposed to or should be minimally exposed to the following irritant(s) and/or allergen(s) because such irritant(s) and/or allergen(s) pose a risk to the student’s health and safety during the school day:  (Attach additional sheets if necessary):

 (a) Irritant and/or Allergen: _____________________________________________________________________________________                                                                                                                                   

      Why Requesting Limited Exposure (i.e., identified allergy, doctor’s request, other reason):  

      ________________________________________________________________________________________________________

      ________________________________________________________________________________________________________

       Possible Exposure Symptom(s):______________________________________________________________________________

      ________________________________________________________________________________________________________

       Proposed Plan for Limiting Exposure: _________________________________________________________________________

      ________________________________________________________________________________________________________

 

Parental Authorization and Release Form for the Administration of Medication to Student:

_____ I have completed a Parental Authorization and Release Form for the Administration of Medication to Student so that the Spirit Lake Community School District, or its authorized representative, may administer medicine to the above-named student in the case of exposure to an irritant or an allergic reaction.

 

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Approved: 1/13/20

Reviewed:

Revised: