The Board recognizes the importance of maintaining education student records and preserving their confidentiality as provided by law.
Definitions:
For the purposes of this policy, the defined words have the following meaning:
“Education Record” means those records that contain information directly related to a student and which are maintained by an education agency or institution or by a party acting for the agency or institution.
“Eligible Student” means a student who has reached 18 years or attends a post-secondary institution. Parents of an eligible student are provided access to education records only with the written permission of the eligible student, unless the eligible student is defined as a dependent by the Internal Revenue Code. In that case, the parents may be provided access without the written permission of the student.
Education records containing personally identifiable information are kept confidential at collection, storage, disclosure, and destruction stages. The Board secretary, or their designee, is the custodian of student educational records and requests for records should be directed to the Board secretary or their designee. Student records may be maintained in the central administration office or administrative office of the student's attendance center.
Parents and eligible students will have access to the student's educational records during the regular business hours of the District.
A representative of the parents or eligible student, who has received written permission from the parents or eligible student, may inspect and review a special education student's educational records. Parents, other than parents of an eligible student, may be denied access to a student's educational records if the District has a court order stating such or when the District has been advised under the appropriate laws that the parents may not access the student records.
An education record may contain information on more than one student. Parents will have the right to access the information relating to their student or to be informed of the information. Eligible students will also have the right to access the information relating to themselves or be informed of the information.
Parents and eligible students will have a right to access the student's educational records upon request without unnecessary delay and in no instance more than forty-five (45) calendar days after the request is made. Parents, an eligible student or an authorized representative of the parents will have the right to access the student's records prior to an Individualized Education Program (IEP) meeting or hearing.
Copies of education records will be provided if failure to do so would effectively prevent the parents or student from exercising the right to access the education records. Fees for copies of the records are waived if it would prevent the parents or student from accessing the records. A fee may not be charged to search or retrieve information from education records.
Upon the request of parents or an eligible student, the District will provide an explanation and interpretation of the education records and a list of the types and locations of education records collected, maintained or used by the District.
If the parents or an eligible student believes the information in the education records is inaccurate, misleading or violates the privacy or other rights of the student, the parents or an eligible student may request that the District amend the student records. The District will decide whether to amend the student records within a reasonable time after receipt of the request. If the District determines an amendment is made to the student record, the District will make the amendment and inform the parents or the eligible student of the decision in writing.
If the District determines that amendment of the student's record is not appropriate, it will inform the parents or the eligible student of their right to a hearing before the hearing officer provided by the District. If the parents' and the eligible student's request to amend the student record is further denied following the hearing, the parents or the eligible student are informed that they have a right to place an explanatory letter in the student record commenting on the District's decision and/or setting forth the reasoning for disagreeing with the District. Additions to the student's records will become a part of the student record and be maintained like other student records.
If the District discloses the education records, the explanation by the parents will also be disclosed. Education records may be disclosed in limited circumstances without parental or eligible student's written permission. When a disclosure is made without parental or eligible student’s written permission, it is disclosed on the condition that the student record will not be disclosed to a third party without the written permission of the parents or the eligible student. This disclosure may be made to the following individuals or under the following circumstances:
1. to school officials within the District and AEA personnel whom the Superintendent has determined to have a legitimate educational interest, including, but not limited to, Board members, employees, school attorney, auditor, health professionals, and individuals serving official school committees;
2. to officials of another school District in which the student wishes to enroll, provided the other school District notifies the parents the student records are being sent and the parents have an opportunity to receive a copy of the records and challenge the contents of the records unless the annual notification includes a provision that records will automatically be transferred to new school Districts;
3. to the U.S. Comptroller General, the U.S. Attorney General, the U.S. Secretary of Education or state and local educational authorities;
4. in connection with financial aid for which the student has applied or which the student has received if the information is necessary to receive the financial aid;
5. to organizations and/or their authorized representatives conducting audits, evaluations and/or studies to evaluate the effectiveness of education programs, provided the district has a written agreement with the organization conducting the audit, evaluation and/or study;
6. to accrediting organizations;
7. to parents of a dependent student as defined in the Internal Revenue Code;
8. to comply with a court order or judicially issued subpoena consistent with an interagency agreement between the District and juvenile justice agencies;
9. in connection with a health or safety emergency;
10. as directory information; or
11. in additional instances are provided by law.
The Superintendent will keep a list of the individuals and their positions who are authorized to view a special education student's records without the permission of the parents or the eligible student. Individuals not listed are not allowed access without parental or an eligible student's written permission. This list must be current and available for public inspection and updated as changes occur.
The Superintendent will also keep a list of individuals, agencies, and organizations which have requested or obtained access to a student's records, the date access was given and their legitimate educational interest or purpose for which they were authorized to view the records. The Superintendent, however, does not need to keep a list of the parents, authorized educational employees, officers and agencies of the District who have accessed the student's educational records. This list for a student record may be accessed by the parents, the eligible student, and the custodian of student records.
Permanent education records, including a student's name, address, phone number, grades, attendance record, classes attended, grade level completed and year completed may be maintained without time limitation. Permanent education records will be kept in a fire-safe vault or they may be maintained electronically with a secure backup file. When personally identifiable information, other than permanent student records, no longer needs to be maintained by the District to provide educational services to a special education student, the parents or eligible student are notified. This notice is normally given after a student graduates or otherwise leaves the District. If the parents or eligible student request that the personally identifiable information be destroyed, the District will destroy the records, except for the permanent records. Prior to the destruction of the records, the District must inform the parents or eligible student the records may be needed by the parents or eligible student for social security benefits or other purposes. In the absence of parents or an eligible student's request to destroy the records, the District must maintain the records for at least three years after an individual is determined to be no longer eligible for special education. For the purpose of policy, “no longer needed to provide educational services” means that a record is no longer relevant to the provision of instruction, support, or related services and it is no longer needed for accountability and audit purposes. At a minimum, a record needed for accountability for audit purposes must be retained for five years after completion of the activity for which funds were used.
The District will cooperate with the juvenile justice system in sharing information contained in permanent student records regarding students who have become involved with the juvenile justice system. The District will enter into an interagency agreement with the juvenile justice agencies involved.
The purpose of the agreement is to allow for the sharing of information prior to a student's adjudication in order to promote and collaborate between the District and the agencies to improve school safety, reduce alcohol and illegal drug use, reduce truancy, reduce in-school and out-of-school suspensions, and to support alternatives to in-school and out-of-school suspensions and expulsions which provide structured and well supervised educational programs supplemented by coordinated and appropriate services designed to correct behaviors that lead to truancy, suspension, and expulsions and to support students in successfully completing their education.
The District may share any information with the agencies contained in a student's permanent record which is directly related to the juvenile justice system's ability to effectively serve the student. Prior to adjudication, information contained in the permanent record may be disclosed by the District to the parties without parental consent or court order. Information contained in a student's permanent record may be disclosed by the District to the agencies after adjudication only with parental consent or a court order. Information shared pursuant to the agreement is used solely for determining the programs and services appropriate to the needs of the student or student's family or coordinating the delivery of programs and services to the student or student's family. Information shared under the agreement is not admissible in any court proceedings, which take place prior to a disposition hearing, unless written consent is obtained from a student's parent, guardian or legal or actual custodian.
Confidential information shared between the District and the agencies will remain confidential and will not be shared with any other person, unless otherwise provided by law.
The District may discontinue information sharing with an agency if the District determines that the agency has violated the intent or letter of the agreement. Agencies will contact the principal of the attendance center where the student is currently or was enrolled. The principal will then forward copies of the records within 10 business days a reasonable time following receipt of the request.
The District will provide training or instruction to employees about parents' and eligible students' rights under this policy. Employees will also be informed about the procedures for carrying out this policy.
It is the responsibility of the superintendent to annually notify parents and eligible students of their right to:
inspect and review the student's education records;
Seek amendment of the student’s education record that the parent or eligible student believes to be inaccurate, misleading or otherwise in violation of the student’s privacy rights;
Consent to disclosures of personally identifiable information contained in the student’s education records except to the extent that the law authorizes disclosure without consent and;
File a complaint with the U.S. Department of Education concerning alleged failures by the District to comply with the law.
The notice is given in a parents' or eligible student's native language. Should the District collect personal information from students for the purposes of marketing or selling that information, the District will annually notify parents of such activity.
The notice will include a statement that the parents have a right to file a complaint alleging the District failed to comply with this policy. Complaints are forwarded to Family Policy Compliance Office, U.S. Department of Education, 400 Maryland Avenue, Washington, D.C. 20202-5920.
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Approved: 1/13/93 Reviewed: 6/10/19 Revised: 8/13/12; 5/13/13; 7/14/25
The undersigned hereby requests permission to examine and/or receive copies of the Spirit Lake Community School District's official education records of:
____________________________________ _____________________________
(Legal Name of Student) (Date of Birth)
The undersigned requests copies of the following official education records of the above student:
______________________________________________________________________________
______________________________________________________________________________
The undersigned certifies that they are (check one):
(a) An offical of another school system in which the student intends to enroll. ( )
(b) An authorized representative of the Comptroller General of the United States. ( )
(c) An authorized representative of the Secretary of the U.S. Department of Educagtion of U.S. Attorney General. ( )
(d) A state or local official to whom such is specifically allowed to be reported or disclosed. ( )
(e) A person connected with the student's application for, or receipt of, financial aid - specify details: __________________________________ ( )
(f) Otherwise authorized by law - specify details: __________________________________ ( )
(g) A representativce of a Juvenile Justice Agency with which the District has an interagency agreement. ( )
The undersigned agrees that the information obtained will only be re-disclosed consistent with state or federal law without the written permission of the parents of the student or the student if the student is of majority age.
_________________________________________________ ______________________________________
(Signature) (Title)
___________________________________________________
(Agency)
APPROVED: |
Date: |
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Address: |
Signature: |
City: |
Title: |
State: Zip: |
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Phone Number: |
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Approved: |
Reviewed: 5/13/13; 6/10/19 |
Revised: 7/24/25 |
The undersigned hereby authorizes the Spirit Lake Community School District and any of its agents to release copies of the following official education records: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Concerning. _________________________________________________ _____________________________
(Legal Name of Student) (Date of Birth)
__________________________________________ _____________________________
(Name of Last School Attended) (Dates of Attendance)
The reason for this request is:______________________________________________________________________ ________________________________________________________________________________________________
Copies of the records shall be furnished to the following (check all that apply):
( ) the undersigned ( ) the student ( ) other pleasespecify:________________________________________________
The undersigned has the following relationship to the student: _______________________________________________
______________________________________ ___________________________________
(Signature) (Address)
_________________________________________ ___________________________________
(Printed Name) (City, State, Zip Code)
___________________________________ ____________________________
(Phone Number) (Date)
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Approved: |
Reviewed: 5/13/13; 6/10/19 |
Revised: 7/24/25 |
To: ____________________________________________ Date: ________________________
Board Secretary, Custodian of Records
Spirit Lake Community School District
I, the undersigned, believe certain official education records of my child ___________________________ (full legal name of student), a student at Spirit Lake Community School District, to be inaccurate, misleading or in violation of the student’s privacy rights under state and federal law.
The official education records which I believe are inaccurate, misleading or in violation of the student’s privacy or other rights under state and federal law are: _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ __________________________________________________________________________________________________________
The reason(s) I believe such records to be inaccurate, misleading or in violation of the student’s privacy or other rights under state and federal law are: __________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________
I have the following relationship to the student: _______________________________________
I understand that I will be notified in writing of the time and place of the hearing; that I will be notified in writing of the decision; and I have the right to appeal the decision by so notifying the hearing officer in writing within ten days after my receipt of the decision or a right to place a statement in my child's record stating I disagree with the decision and why.
________________________________________ ______________ __________________________________________________
(Signature) (Date) (Address)
______________________________________ ____________________________________ ______________________________________
(Printed Name) (City, State, Zip Code) (Phone Number)
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Approved: |
Reviewed: 6/10/19 |
Revised: 5/13/13; 7/14/25 |
Parents and eligible students will have a right to access a student's education records upon request without unnecessary delay and in no instance more than 45 calendar days after the request is made. The intent of this regulation is to establish procedures for granting requests from eligible students and parents to access the student's educational records.
Student records are all official records, files, and data directly related to students, including all material incorporated into each student's cumulative record folder and intended for school use or to be available to parties outside the school or school system specifically including, but not necessarily limited to: dates of attendance; academic work completed; level of achievement (grades, standardized test scores); attendance data; scores on standardized intelligence, aptitude, and psychological tests; interest inventory results; health data; family background information; teacher or counselor ratings and observations; and verified reports of serious or recurrent behavior patterns.
Information from education records may be disclosed to outside parties as outlined in board policy and otherwise as provided by law.
3. Procedures for Requesting a Record Amendment
a. If the eligible student, parent, or legal guardian believe the information in the education records is inaccurate, misleading, or violates the privacy of the student, the parents or an eligible student may request that the school district amend the education student records.
b. The school district will decide whether to amend the education student records within a reasonable time after receipt of the request.
c. If the school district determines an amendment is made to the education student record, the school district will make the amendment and inform the parents or the eligible student of the decision in writing.
d. If the school district determines that amendment of the student's education record is not appropriate, it will inform the parents or the eligible student of their right to a hearing before the hearing officer provided by the school district. The hearing officer may be an employee of the school district, so long as the employee does not have a direct interest in the outcome of the hearing.
e. Upon parental request, the school district will hold a hearing regarding the content of a student’s education records which the parent believes to be inaccurate, misleading, or in violation of the privacy rights of students.
f. The hearing will be held within a reasonable time after receipt of the parent or eligible student’s request. The parent or eligible student will receive reasonable advance notice of date, time and place of the hearing.
g. The parents or eligible student will be given a full and fair opportunity to present evidence relevant to the issues. The parent or eligible student may be represented by an individual at their choice at their own expense.
h. The hearing officer will render a written decision within a reasonable period after the hearing. The decision will be based upon evidence presented at the hearing and must include a summary of the evidence and the reasons for the decision.
i. The parents may appeal the hearing officer’s decision to the superintendent within [insert number] days if the superintendent does not have a direct interest in the outcome of the hearing.
j. The parents may appeal the superintendent’s decision or the hearing officer’s decision if the superintendent was unable to hear the appeal, to the board within 30 days. It is within the discretion of the board to hear the appeal.
k. If the parents' and the eligible student's request to amend the education student record is further denied following the hearing, the parents or the eligible student are informed that they have a right to place an explanatory letter in the education student record commenting on the school district's decision or setting forth the reasoning for disagreeing with the school district. Additions to the student's education records will become a part of the education student record and be maintained like other education student records. If the school district discloses the education student records, the explanation by the parents will also be disclosed or the eligible student of the decision in writing.
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Approved: |
Reviewed: 6/10/19 |
Revised: 5/13/13; 7/14/25 |
Student directory information is designed to be used internally within the school District. For purposes of this policy and other policies relating to student directory information, student is defined as an enrolled individual in a pre-kindergarten through twelfth grade, including children in school district-sponsored child care programs.
Directory information is information contained in the education records of a student that would not generally be considered harmful or an invasion of privacy if disclosed. The district may disclose "directory information" to third parties without consent if it has given public notice of the types of information which it has desingated as "directory information", the parent's or eligible student's right to restrict the disclosure of such information, and the periof of time within which a parent or eligible student has to notify the school in writing that he or she does not want any or all of those types of information designated as "directory information". The district has designated the following as "directory information": student's name, address, telephone number, date and place of birth, e- mail address, grade level, enrollment status, major field of study, participation in officially recognized activities and sports, weight and height of members of athletic teams, dates of attendance, degrees and awards received, the most recent previous educational agency or institution attended by the student, student ID number that is displayed on a student identification card (provided it cannot be solely used to access the student’s educational records), user ID or other unique personal identifier that is displayed on a student identification card (provided it cannot be solely used to access the student’s educational records), photograph and other likeness, and other similar information.
The District may designate that certain directory information is available to specific parties and/or for a specific purpose.
Prior to developing a student directory or to giving general information to the public, parents of students, and parents of children homeschooled in the school district, will be given notice annually of the intent to develop a directory or to give out general information and have the opportunity to deny the inclusion of their child's information in the directory or in the general information about the students.
It is the responsibility of the Superintendent to provide notice and to determine the method of notice that will inform parents.
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Approved: 1/8/04 |
Reviewed: |
Revised: 8/13/12; 5/13/13; 6/10/19; 7/24/25 |
AUTHORIZATION FOR RELEASING STUDENT DIRECTORY INFORMATION
The Spirit Lake Community School District has adopted a policy designed to assure parents and students the full implementation, protection and enjoyment of their rights under the Family Educational Rights and Privacy Act of 1974 (FERPA). A copy of the school district's policy is available for review in the District Office.
The law requires the school district to designate as "directory information" any personally identifiable information taken from a student's educational records prior to making such information available to the public. The school district has designated the following information as directory information: name, address, telphone number, date and place of birth, e-mail address, grade level, enrollment status, major field of study, participation in officially recognized activities and sports, weight and height of members of athletic teams, dates of attendance, degrees and awards received, the most recent previous educational agency or institution attended by the student, student ID number that is displayed on a student identification card (provided it cannot be solely used to access the student's educational records), user ID or other unique personal identifier that is displayed on a student identification card (provided it cannot be solely used to access the student's educational records), photograph and other likeness, and other similar information.
You have the right to refuse the designation of any or all of the categories of personally identifiable information as directory information with respect to your student provided that you notify the District in writing prior to the start of the school year or upon admission to the District. If you desire to make such a refusal, please complete and return the slip attached to this notice.
If you have no objection to the use of student information, you do not need to take any action.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - -
RETURN THIS FORM
Spirit Lake Community School District Parental Directions to Withold Student/Directory Information for Education Purposed for _________ school year.
Student Name:__________________________________________ Date of Birth: ____________________________
School: ________________________________________________ Grade: _________________
______________________________________________ ________________________
(Signature of Parent/Legal Guardian/Custodian of Child) (Date)
This form must be returned to your child's school no later than __________________, 20______.
Additional forms are available at your child's school.
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Approved: Reviewed: 6/10/19 Revised: 5/13/13; 7/24/25
The student handbook or similar publication given to each student which contains general information about the school shall contain the following statement, which shall be published at least annually in a prominent place or in a newspaper of general circulation in the District:
The following information may be released to the public as follows in regard to any individual student of the District as needed. Any student over the age of eighteen or parent not wanting this information released to the public must make objection in writing by the start of the school year or upon enrollment into the district to the principal. The objection needs to be renewed annually.
Directory information may include: Name, address, telephone number, date and place of birth, e-mail address, grade level, enrollment status, major field of study, participation in officially recognized activities and sports, weight and height of members of athletic teams, dates of attendance, degrees and awards received, the most recent previous educational agency or institution attended by the student, student ID number that is displayed on a student identification card (provided it cannot be solely used to access the student’s educational records), user ID or other unique personal identifier that is displayed on a student identification card (provided it cannot be solely used to access the student’s educational records), photograph and other likeness, and other similar information.
Directory information, which is information that is generally not considered harmful or invacion of privacy if released, can also be disclosed to outside organizations without a parent's prior written consent. Outside organizations include, but are not limited to, companies that manufacture class rings or publish yearbooks. In addition, two federal laws require local education agencies (LEA's) receiving assistance under the Elementary and Secondary Education Act (ESSA) of 1965 to provide military recruiters, upon request, with the following information - names, addresses and telephone listings - unless parents have avised the LEA that they do not want their student's information disclosed without their prior written consent.
The Family Educational Rights and Privacy Act (FERPA), A Federal Law requires that Spirit Lake School District, with certain exceptions, obtain your written consent prior to the disclosure of personally identifiable information from your child's education records. However, Spirit Lake School District may disclose appropriately designated "directory information" without written consent, unless you have advised the district to the contrary in accordance with District procedures. The primary purpose of directory information is to allow Spirit Lake School District to include this type of information from your child's education records in certain school publications.
Examples include:
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Approved: |
Reviewed: |
Revised: 5/13/13; 6/10/19; 7/24/25 |
Student library circulation records are designed to be used internally to assist in the orderly administration of District libraries. As a general rule, student library circulation records are considered confidential records and will not be released without parental consent. Individuals who may access such records include a student's parents, the student, school officials, authorized government officials from the U.S. Comptroller General, the Secretary of Education, the Commissioner and Director of the National Institute of Education, and the Assistant Secretary for Education and State Education Department.
Appropriate authorities in a health or safety emergency may access the student's library circulation records without the approval or the notification of the student's parents. Parents may not access records, without the student's permission, of a student who has reached the age of majority or who is attending a post-secondary educational institution unless the student is considered a dependent for tax purposes.
It is the teacher-librarian's responsibility, as the person maintaining the student library circulation records, to approve requests for access to student library circulation records. Students' library circulation records may be accessed during the regular business hours of the District. If copies of documents are requested, a fee for such copying is charged.
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Approved: 10/8/12 |
Reviewed: 6/10/19 |
Revised: 5/13/13; 7/24/25 |
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:
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 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
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MAIN SYMPTOMS
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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 |
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DOB |
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Attending Physician |
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Attending Physician |
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Attending Physician |
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Name of Parent (if applicable) |
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Attending Physician |
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Attending Physician |
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Reporting Physician, Hospital, or Other Authorized Person
________________________________________________________________________________________________________
Address
________________________________________________________________________________________________________
Remarks:
FOR SCHOOLS ONLY: Report over 10% absent only. Total enrollment: |
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Thursday |
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No. Absent |
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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
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.
It is necessary that the above student receive the following medication(s), at the following frequencies, for the following time period (Attach additional sheets if necessary):
(a) _________________________________________________________________________
(Medication)
_________________________________________________________________________
(Frequency (i.e., once at noon, etc.))
Beginning on ______________________ and continuing through ____________________. (Duration)
_____ I hereby request the Spirit Lake Lake Community School District, or its authorized representative, to administer the above-named medication to my child named above and agree to:
1. Submit this request to the principal or school nurse;
2. Personally ensure that the medication is received by the principal or school nurse administering it in the container in which it was dispensed by the prescribing physician or licensed pharmacist or is in the manufacturer's container;
3. Personally ensure that the container in which the medication is dispensed is marked with the medication name, dosage, interval dosage, and date after which no administration should be given. OR
_____ I hereby authorize my child to self-administer his/her medication as he/she has shown the competency to do so. I hereby agree to:
1. Submit this request to the principal or school nurse;
2. Personally ensure that:
a. the medication is received by the principal or school nurse administering it in the container in which it was dispensed by the prescribing physician or licensed pharmacist or is in the manufacturer's container; or b. the medication will be kept in the student's possession but only with prior written permission from the parent and principal.
3. Personally ensure that the container in which the medication is dispensed is marked with the medication name, dosage, interval dosage, and date after which no administration should be given.
___________________________________ _________________ (Signature of Parent/Guardian) (Date)
___________________________________ (Printed Name of Parent/Guardian) (Phone Number) - ______________________
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Approved: 5/13/13 Reviewed: 6/10/19 Revised:
I authorize my child, _________________________, to self-administer his/her own asthma inhaler or airway medication at school. I agree that my child meets the requirement outlined in the District’s policy for the administration of his/her own asthma inhaler or airway medication at school.
I understand that the Spirit Lake Community School District and its employees are to incur no liability, except for gross negligence, as a result of any injury arising from my child's self- administration of medication. The District, and its employees, acting reasonably and in good faith, shall incur no liability for any improper use of medication, or for supervising, monitoring, or interfering with a student's self-administration of medication.
________________________________________________________________________
Parent or Guardian Signature Date
The Following to Be Completed by the Student’s Physician:
I have prescribed the following medication (asthma inhaler/airway medication):
________________________________for this student____________________________
Name of Medication Student’s Name
In this dosage:_________________________________________________________.
Dosage and Instructions (Frequency of Use)
For the purpose of:______________________________________________________.
________________________________________________ ________________.
Doctor's Signature Date
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Approved: 3/10/03 Reviewed: 6/10/19 Revised: 12/14/09; 5/13/13
I authorize my child, _________________________, to carry an Epinephrine auto-injector and to self-administer his/her own epinephrine at school in the event of an emergency. I agree that my child shall only administer said medication, provided my child can do all of the following:
______________________________________________________________________________
Parent or Guardian Signature Date
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The Following to Be Completed by the Student’s Physician:
I have prescribed an epi-pen auto-injector in the following dosage _____________________ to _______________________for his/her allergy/allergies to the following (list all applicable allergies):______________________________________________________________________ _____________________________________________________________________________.
I have further instructed him/her with respect to:
• The events surrounding the need for epinephrine;
• The consequences of incorrectly administering epinephrine;
• The signs and symptoms of an allergic reaction; and
• The correct usage of an epi-pen.
________________________________________________ ________________.
Doctor's Signature Date
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Approved: 3/10/03 |
Reviewed: 6/10/19 |
Revised: 1;82/14/09; 5/13/13;8/13/18 |
No over-the-counter medication shall be administered at school, unless the school has the parent/guardian's written permission.
Prescription medication will be given to students during a school day only if the following requirements are met:
1. Medication must be in the original container from the pharmacy with the directions clearly stated. This serves two purposes: signifies permission from the doctor and includes directions from the pharmacist. Pharmacists will supply another labeled container for school upon request when the prescription is filled. NO BAGGIES OR ENVELOPES WILL BE ACCEPTED AT SCHOOL. It is the parent’s responsibility to ensure that the medication is current and that all information regarding the medication is current.
2. Parents/guardians must give written authorization for the administration of the medication. It is the parent’s responsibility to ensure that the information provided to the district, including, but not limited to the written authorization, is current.
Students are to bring all medications to the school office immediately upon their arrival at school. Students are not to carry over-the-counter medications with them during the school day unless approved by the school nurse. Students are not to carry prescription medication with them during the school day unless ordered by the physician and cleared by the school nurse.
Medication on school premises shall be kept in a locked container in a limited access storage space. Only appropriate personnel shall have access to the locked container. Each school or facility shall designate the specific locked and limited access space within each building to store pupil medication. More specifically, the following requirements shall be followed:
1. In each building in which a full-time registered nurse is assigned, access to medication locked in a designated space shall be under the authority of the nurse.
2. In each building in which a less than full-time registered nurse is assigned, access to the medication shall be under the authority of the principal.
Iowa law requires school districts to allow students with asthma or other airway constricting diseases to carry and self-administer their medication as long as the parents and prescribing physician report and approve in writing. Students do not have to prove competency to the District.
Emergency protocols for medication-related reactions shall be posted.
A written medication administration record shall be on file, including:
• Date;
• Student's name;
• Prescriber or person authorizing administration;
• Medication;
• Medication dosage;
• Administration time;
• Administration method;
• Signature and title of the person administering medication; and
• Any unusual circumstances, actions, or omissions.
Medication information shall be confidential information and shall be available to school personnel with parental authorization.
Students and parents/guardians shall be provided with the requirements for medication procedures by the school annually.
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Approved: 5/13/13 Reviewed: Revised: 6/10/19
The Board will allow students to carry asthma inhalers and airway medications at school. The Board will allow students to self-administer said medication. In order for a student to carry and self-administer said medication, the following conditions shall be met:
1. The drug must be prescribed by a licensed physician, or physician's assistant, or advanced nurse practitioner.
2. The student's parent or guardian provides to the school written authorization for the self administration of medication
3. The student's parent or guardian provides to the school a written statement from the student's physician containing the following information:
a.) The name and purpose of the medication
b.) The prescribed dosage
c.) The times at which or the special circumstances under which the medication is to be administered.
4. The parent or guardian must sign a statement that they understand that the school district and its employees are to incur no liability except for gross negligence, as a result of self administration of medication by the student. The school district and its employees acting reasonably and in good faith shall incur no liability for any improper use of medication, or for supervising, monitoring, or interfering with a student's self-administration of medication.
5. The permission for self administration of medication is effective for the school year and shall be renewed each subsequent school year. The parent or guardian shall immediately notify the school of any changes in the conditions listed in number 3.
6. Provided that the requirements above are fulfilled, a student with asthma or other airway constricting disease may possess and use the students medication 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 misuses this privilege, the privilege may be withdrawn.
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Approved: Reviewed: 6/10/19 Revised: 5/13/13
The Board will allow students identified to be at risk for an anaphylactic reaction who have received a prescription for said medication to carry epinephrine in the form of the autoinjector at school. A spare autoinjector should be provided for the Health Room in case the student loses, or forgets his/her personal Epinephrine auto-injector.
The Board will allow students to self-administer said medication if the administration of epinephrine becomes necessary as described in the anaphylaxis protocol. Once a student has been identified as having a severe reaction to an allergen, 911 will be called, and your child may be transported to the hospital for continued medical support.
In order for a student to carry and self-administer said medication, the following conditions shall be met:
- Student shall demonstrate to the school nurse his/her knowledge and understanding of anaphylaxis and correct usage of the Epinephrine auto-injector.
- Student shall have written permission from the prescribing physician stating the child has been instructed in, and demonstrates understanding of:
•the events surrounding the need for epinephrine
•the signs and symptoms of allergic reaction
•agrees never to share the Epinephrine auto-injector with another student
•agrees to obtain assistance from the school nurse or another adult immediately by sending for help
•signs the schools agreement form.
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Approved: |
Reviewed: 6/10/19 |
Revised: 5/13/13;8/13/18;7/13/20 |
It is the policy of the Spirit Lake Schools to provide all students a safe and nurturing environment. The school district recognizes that many factors, including the use and misuse of prescription painkillers, can lead to the dependence on and addiction to opioids. This addiction can lead to a potential overdose and possible death among the public (students, staff, and visitors to the school district). To recognize and respond to potential life-threatening opioid overdose and deaths, the Spirit Lake School District wants to establish a plan to address this potentially life-threatening opioid overdose. Naloxone (Narcan) is a medication that can reverse an overdose caused by an opioid drug. Rapid administration of Naloxone may be lifesaving in patients with an overdose due to opioids. It is both safe and effective, with no potential for abuse. Naloxone has been used by paramedics and in the emergency room for decades.
To treat a case of suspected opioid overdose in a school setting, any school nurse, or those trained, may administer Naloxone during an emergency to any students, staff or visitor suspected of having an opioid-related drug overdose, whether or not there is a previous history of opioid abuse. Iowa’s Good Samaritan Law, found under Iowa Code Section 613.17, states “a person, who in good faith renders emergency care of assistance without compensation, shall not be liable for any civil damages for acts or omissions occurring at the place of an emergency or accident or while the person is in transit to or from the emergency or accident or while the person is at or being moved to or from an emergency shelter- unless such acts or omissions constitute recklessness or wilful and wanton misconduct.” This indicates that any staff member or student who assists a person or persons who show signs of an overdose on school property and assists this person by administering aid in some form will be covered under the good Samaritan Law if they are doing so in good faith and for the safety of the patient.
Definition of Opioid Overdose
Opioid overdose occurs when the amount of opioid in the body is so great the individual becomes unresponsive to stimuli and breathing becomes inadequate. Lack of oxygen affects vital organs, including the heart and brain, leading to unconsciousness, coma, and eventually death. Naloxone/NARCAN is indicated for the reversal of opioid overdose in the presence of respiratory depression or unresponsiveness.
Sign/Symptoms of Opioid Overdose
BODY SYSTEM |
SIGNS/SYMPTOMS OF AN OPIOID OVERDOSE |
Mouth/Throat |
Loud, uneven snoring or gurgling noises |
Lungs |
Shallow, slow breaths ( fewer than 10 per minute) or not breathing at all. |
Skin |
Pale, blue or gray, cold and wet skin |
Heart |
Slow or erratic pulse (heartbeat) - blue lips or fingertips (lack of oxygen) |
Mental |
Unresponsive to stimuli such as noise or sternal rub - Unconsciousness |
NARCAN/naloxone is a nasal spray in a one piece pre-assembled nasal device.
Procedure
Attempt to rouse and stimulate the student/patient (perform sternal rub by making a fist; rub your knuckles firmly up and down breast bone).
Call 911.
Notify the school nurse. (You will be following the nurse’s guidance from here on)
If possible, monitor and record respirations and heart rate. Note suspected opiate overdose as evidenced by pinpoint pupils, depressed mental status, etc
The School Nurse (during the school day) will guide the administration of Naloxone/NARCAN as necessary for trained individuals and per protocol.
Start rescue breathing if not breathing or CPR if there is no pulse.
Stay with the person until medical help arrives. Notify EMS of Naloxone/NARCAN administration.
Notify the parent and school administrators if a student.
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Approved: 3/13/23 Reviewed: Revised:
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:
B. Breakfast
C. Beverages
D. Free and Reduced-Price Meals
E. Sharing of Food
F. Meal Times and Scheduling
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
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
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
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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: |