Students desiring to participate in athletic activities will have a physical examination by a licensed physician and provide proof of such an examination to the school district. A physical examination and proof of such an examination may be required by the administration for students enrolling for the first time in the school district.
A certificate of health stating the results of a physical examination and signed by the physician is on file at the attendance center. Each student will submit an up-to-date certificate of health upon the request of school administration. Failure to provide this information may be grounds for disciplinary action.
Students enrolling for the first time in the school district will also submit a certificate of immunization against diphtheria, pertussis, tetanus, poliomyelitis, rubeola, rubella, and other immunizations required by law. The student may be admitted conditionally to the attendance center if the student has not yet completed the immunization process but is in the process of doing so. Failure to meet the immunization requirement will be grounds for suspension, expulsion or denial of admission. Upon recommendation of the Iowa Department of Education and Iowa Department of Public Health, students entering the district for the first time may be required to pass a TB test prior to admission. The district may conduct TB tests of current students.
Exemptions from the immunization requirement in this policy will be allowed only for medical or religious reasons recognized under the law. The student must provide a valid Iowa State Department of Health Certificate of Immunization Exemption to be exempt from this policy.
Date Board Approved: 8/12/2010
Date Board Updated/Reviewed: 03/14/2022
Legal Reference: Iowa Code §§ 139A.8; 280.13 (2013).
281 I.A.C. 33.5.
641 I.A.C. 7.
Code No. 507.2
Administration of Medication to Students
The board is committed to the inclusion of all students in the education program and recognizes that some students may need prescription and nonprescription medication to participate in their educational program.
Medication shall be administered when the student's parent or guardian (hereafter "parent") provides a signed and dated written statement requesting medication administration and the medication is in the original, labeled container, either as dispensed or in the manufacturer's container. Administration of medication may also occur consistent with board policy 804.5-Stock Prescription Medication Supply.
When administration of the medication requires ongoing professional health judgment, an individual health plan shall be developed by an authorized practitioner with the student and the student's parent. Students who have demonstrated competence in administering their own medications may self-administer their medication. A written statement by the student's parent shall be on file requesting co-administration of medication, when competence has been demonstrated. By law, students with asthma airway constricting diseases, respiratory distress or students at risk of anaphylaxis who use epinephrine auto-injectors may self-administer their medication upon the written approval of the student’s parents and prescribing licensed health care professional regardless of competency.
Persons administering medication shall include authorized practitioners, such as licensed registered nurses and physician, and persons to whom authorized practitioners have delegated the administration of medication (who have successfully completed a medication administration course). A medication administration course and periodic update shall be conducted by a registered nurse or licensed pharmacist, and a record of course completion shall be maintained by the school.
A written medication administration record shall be on file including:
• date;
• student’s name;
• prescriber or person authorizing administration;
• medication;
• medication dosage;
• administration time;
• administration method;
• signature and title of the person administering medication; 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 confidential information as provided by law
Disposal of unused, discontinued/recalled, or expired medication shall be in compliance with federal and state law. Prior to disposal school personnel shall make a reasonable attempt to return medication by providing written notification that expired, discontinued, or unused medications needs to be picked up. If medication is not picked up by the date specified, disposal shall be in accordance with the disposal procedures for the specific category of medication.
Legal Reference: Disposing on Behalf of Ultimate Users, 79 Fed. Reg. 53520, 53546 (Sept. 9, 2014).
Iowa Code §§124.101(1); 147.107; 152.1; 155A.4(2); 280.16; 280.23.
281 IAC 14.1
655 IAC §6.2(152).
Date Board Approved: 8/12/2010
Date Board Updated/Reviewed: 9/12/2022
Authorization Asthma or Airway Constricting Medication
Self-Administration Consent Form
_____________________________ ___/___/___ _________________ ___/___/___
Student's Name (Last), (First) (Middle) Birthday School Date
In order for a student to self-administer medication for asthma or any airway constricting disease:
• Parent/guardian provides signed, dated authorization for student medication self-administration.
• Physician (person licensed under chapter 148, 150, or 150A, physician, physician's assistant, advanced registered nurse practitioner, or other person licensed or registered to distribute or dispense a prescription drug or device in the course of professional practice in Iowa in accordance with section 147.107, or a person licensed by another state in a health field in which, under Iowa law, licensees in this state may legally prescribe drugs) provides written authorization containing:
o purpose of the medication,
o prescribed dosage,
o times or;
o special circumstances under which the medication is to be administered.
• The medication is in the original, labeled container as dispensed or the manufacturer's labeled container containing the student name, name of the medication, directions for use, and date.
• Authorization is renewed annually. If any changes occur in the medication, dosage or time of administration, the parent is to notify school officials immediately. The authorization shall be reviewed as soon as practical.
Provided the above requirements are fulfilled, a student with asthma or other airway constricting disease may possess and use the student's 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 abuses the self-administration policy, the ability to self-administer may be withdrawn by the school or discipline may be imposed.
Pursuant to state law, the school district or accredited nonpublic school and its employees are to incur no liability, except for gross negligence, as a result of any injury arising from self-administration of medication by the student. The parent or guardian of the student shall sign a statement acknowledging that the school district or nonpublic school is to incur no liability, except for gross negligence, as a result of self-administration of medication by the student as established by Iowa Code § 280.16.
Medication Dosage Route Time
Purpose of Medication & Administration /Instructions
Authorization-Asthma or Airway Constricting Medication
Self-Administration Consent Form
/ /
Special Circumstances Discontinue/Re-Evaluate/
Follow-up Date
/ /
Prescriber’s Signature Date
Prescriber’s Address Emergency Phone
• I request the above named student possess and self-administer asthma or other airway constricting disease medication(s) at school and in school activities according to the authorization and instructions.
• I understand the school district and its employees acting reasonably and in good faith shall incur no liability for any improper use of medication or for supervising, monitoring, or interfering with a student's self-administration of medication
• I agree to coordinate and work with school personnel and notify them when questions arise or relevant conditions change.
• I agree to provide safe delivery of medication and equipment to and from school and to pick up remaining medication and equipment.
• I agree the information is shared with school personnel in accordance with the Family Education Rights and Privacy Act (FERPA).
• I agree to provide the school with back-up medication approved in this form.
/ /
Parent/Guardian Signature Date
(agreed to above statement)
Parent/Guardian Address Home Phone
Business Phone
Self-Administration Authorization Additional Information
Date Board Approved: 12/19/2017
Date Board Updated/Reviewed: 03/14/2022
Parental Authorization and Release Form for the Administration
of Prescription Medication to Students
_________________________________ ___/___/___ _________________ ___/___/___
Student's Name (Last), (First), (Middle) Birthday School Date
School medications and health services are administered following these guidelines:
• Parent has provided a signed, dated authorization to administer medication and/or provide the health service.
• The medication is in the original, labeled container as dispensed or the manufacturer's labeled container.
• The medication label contains the student’s name, name of the medication, directions for use, and date.
• Authorization is renewed annually and immediately when the parent notifies the school that changes are necessary.
Medication/Health Care Dosage Route Time at School
Administration instructions
Special Directives, Signs to Observe and Side Effects
/ /
Discontinue/Re-Evaluate/Follow-up Date
/ /
Prescriber’s Signature Date
Prescriber's Address Emergency Phone
I request the above named student carry medication at school and school activities, according to the prescription, instructions, and a written record kept. Special considerations are noted above. The information is confidential except as provided to the Family Education Rights and Privacy Act (FERPA). I agree to coordinate and work with school personnel and prescriber when questions arise. I agree to provide safe delivery of medication and equipment to and from school and to pick up remaining medication and equipment.
Parental Authorization and Release Form for the Administration
of Prescription Medication to Students
/ /
Parent's Signature Date
Parent's Address Home Phone
Additional Information Business Phone
Authorization Form
Date Board Approved: 12/19/2017
Date Board Updated/Reviewed: 03/14/2022
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 immunosupressed 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 school district or public health officials.
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.
For more information on communicable disease charts, and reporting forms, go to the Iowa Department of Public Health Web site: http://www.idph.state.ia.us/CADE/Default.aspx
Date Board Approved: 12/19/2017
Date Board Updated/Reviewed: 03/14/2022
Legal Reference: School Board of Nassau County v. Arline, 480 U.S. 273 (1987).
29 U.S.C. §§ 701 et seq. (2012).
45 C.F.R. Pt. 84.3 (2012).
Iowa Code ch. 139A.8 (2013).
641 I.A.C. 1.2-.5, 7.
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 or principal’s designee to file an accident report with the district office within twenty-four hours after the student is injured.
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 and alternative numbers to call in case of an injury or illness.
School administrators are responsible, in conjunction with the school nurse, to develop rules and regulations governing the procedure in the event a student should become ill or be injured at school.
Date Board Approved: 12/19/2017
Date Board Updated/Reviewed: 03/14/2022
Legal Reference: Iowa Code § 613.17 (2013).
Students will be informed of the appropriate action to take in an emergency. Emergency drills for fire, weather, and other disasters are conducted each school year. 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.
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.
Date Board Approved: 12/19/2017
Date Board Updated/Reviewed: 03/14/2022
Legal Reference: Iowa Code § 100.31.
An all-pupil insurance program may be offered to the parents of students in the district. The board of directors strongly recommends that a student participating in interscholastic athletics be adequately insured. If a parent wishes their child to participate without insurance, the parent must submit a written statement accepting full responsibility for all accidents and related costs for injuries.
The purchase of pupil insurance shall be voluntary with the cost being paid by the student or parent(s)/guardian(s). Participation in the insurance health and accident plan is not a contract with the school district, but rather, a contract between the insurance company and the student.
Date Board Approved: 12/19/2017
Date Board Updated/Reviewed: 03/14/2022
Legal Reference: Iowa Code § 279.8 (2013).
Disagreements between family members are not the responsibility of the school district. The school district will not take the "side" of one family member over another in a disagreement about custody or parental rights. Court orders that have been issued are followed by the school district. It is the responsibility of the person requesting an action by the school district to inform and provide the school district the court order allowing such action.
This policy does not prohibit an employee from listening to a student's problems and concerns.
It is the responsibility of the superintendent or the superintendent’s designee to ensure employees remain neutral in a disagreement about custody and parental rights.
Date Board Approved: 12/19/2017
Date Board Updated/Reviewed: 03/14/2022
Legal Reference: Iowa Code §§ 232.67, .70, .73, .75; 235A; 279.8; 710.6 (2013).
441 I.A.C. 9.2; 155; 175.
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 health plan.
The superintendent or superintendent’s designee, in conjunction with licensed health personnel, will establish administrative regulations for the implementation of this policy.
Legal Reference: Board of Education v. Rowley, 458 U.S. 176 (1982).
Springdale School District #50 v. Grace, 693 F.2d 41 (8th Cir. 1982).
Southeast Warren Comm. School District v. Dept. of Public Instruction, 285 N.W.2d 173 (Iowa 1979).
20 U.S.C. §§ 1400 et seq. (2012).
34 C.F.R. Pt. 300 et seq. (2012).
Iowa Code §§ 256.11(7); 256B; 273.2, .5, .9(2)-(3); 280.8.
281 I.A.C. 14.2
Date Board Approved: 12/19/2017
Date Board Updated/Reviewed: 03/14/2022
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.
"Prescriber" - licensed health personnel legally authorized to prescribe special health services and medications.
"Qualified designated personnel" - persons instructed, supervised and competent in implementing the eligible student's health plan.
“Special health services" - includes, but is not limited to, services for eligible students whose health status (stable or unstable) requires:
Interpretation or intervention,
Administration of health procedures and health care, or
• Use of a health device to compensate for the reduction or loss of a body function.
"Supervision" - the assessment, delegation, evaluation and documentation of special health services by licensed health personnel. Levels of supervision include situations in which licensed health personnel are: physically present.
available at the same site.
available on call.
B. Licensed health personnel will provide special health services under the auspices of the school. Duties of the licensed personnel include the duty to:
• Participate as a member of the education team.
• Provide the health assessment.
• Plan, implement and evaluate the written individual health plan.
• Plan, implement and evaluate special emergency health services.
• Serve as liaison and encourage participation and communication with health service agencies and individuals providing health care.
• Provide health consultation, counseling and instruction with the eligible student, the student's parent and the staff in cooperation and conjunction with the prescriber.
• Maintain a record of special health services. The documentation includes the eligible student's name, special health service, prescriber or person authorizing, date and time, signature and title of the person providing the special health service and any unusual circumstances in the provision of such services.
• Report unusual circumstances to the parent, school administration, and prescriber.
• Assign and delegate to, instruct, provide technical assistance and supervise qualified designated personnel.
• Update knowledge and skills to meet special health service needs.
C. Prior to the provision of special health services the following will be on file:
• Written statement by the prescriber detailing the specific method and schedule of the special health service, when indicated.
• Written statement by the student's parent requesting the provision of the special health service.
• Written report of the preplanning staffing or meeting of the education team.
• Written individual health plan available in the health record and integrated into the IEP or IFSP.
D. Licensed health personnel, in collaboration with the education team, 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:
• Analysis and interpretation of the special health service needs, health status stability, complexity of the service, predictability of the service outcome and risk of improperly performed service.
• Determination that the special health service, task, procedure or function is part of the person's job description.
• Determination of the assignment and delegation based on the student's needs.
• Review of the designated person's competency.
• Determination of initial and ongoing level of supervision required to ensure quality services.
E. Licensed health personnel will supervise the special health services, define the level of supervision and document the supervision.
F. Licensed health personnel will instruct qualified designated personnel to deliver and perform special health services contained in the eligible individual health plan. Documentation of instruction and periodic updates are on file at school.
G. Parents will provide the usual equipment, supplies and necessary maintenance for such. The equipment is stored in a secure area. The personnel responsible for the equipment are designated in the individual health plan. The individual health plan will designate the role of the school, parents, and others in the provision, supply, storage and maintenance of necessary equipment.
Date Board Approved: 12/19/2017
Date Board Updated/Reviewed: 03/14/2022
The Schleswig School District Board of Education is committed to the optimal development of every student. The board believes for students to have the opportunity to achieve personal, academic, developmental, and social success, there needs to be a positive, safe, and health-promoting learning environment at every level, in every setting.
The school district provides a comprehensive learning environment for developing and practicing lifelong wellness behaviors. The entire school environment, not just the classroom, shall be aligned with healthy school district goals to positively influence a student's understanding, beliefs and habits as they relate to good nutrition and regular physical activity. In accordance with law and this belief, the board commits to the following:
The school district will identify at least one goal in each of the following areas:
• Nutrition Education and Promotion: Schools will provide nutrition education and engage in nutrition promotion that helps students develop lifelong healthy eating behaviors.
• Physical Activity: Schools will provide students with age and grade appropriate opportunities to engage in physical activity that meet the Iowa Healthy Kids Act.
• Other School Based Activities that Promote Wellness: As appropriate, schools will support students, staff, and parents’ efforts to maintain a healthy lifestyle.
The following nutritional guidelines for food available on school campuses will be adhered to:
• Meals served through the National School Lunch and School Breakfast Program will be appealing and meet, at a minimum, nutrition requirements established by state and federal law;
• Schools providing access to healthy foods outside the reimbursable meal programs before school, during school and thirty minutes after school shall meet the United States Department of Agriculture (“USDA”) Smart Snacks in Schools nutrition standards, at a minimum. This includes such items as those sold through a la carte lines, vending machines, student run stores, and fundraising activities;
• Snacks provided to students during the school day without charge (e.g., class parties) will meet standards set by the district in accordance with law. The district will provide parents a list of foods and beverages that meet nutrition standards for classroom snacks and celebrations; and
• Schools will only allow marketing and advertising of foods and beverages that meet the Smart Snacks in school nutritional standards on campus during the school day.
The superintendent or superintendent’s designee shall implement and ensure compliance with the policy by:
• Reviewing the policy at least every three years and recommending updates as appropriate for board approval;
• Implementing a process for permitting parents, students, representatives of the school food authority, teachers of physical education, school health professionals, the school board, administrators and the public to participate in the development, implementation, and periodic review and update of the policy; • Making the policy and updated assessment of the implementation available to the public (e.g., posting on the website, newsletters, etc). This information shall include the extent to which the schools are in compliance with policy and a description of the progress being made in attaining the goals of the policy; and
• Developing administrative regulations, which shall include specific wellness goals and indicators for measurement of progress consistent with law and district policy.
To implement the Wellness Policy, the following district specific goals have been established:
Goal 1 – Nutrition Education and Promotion: Schools will provide nutrition education and engage in nutrition promotion that help students develop lifelong healthy eating behaviors. The goal(s) for addressing nutrition education and nutrition promotion include the following:
• Provide students with the knowledge and skills necessary to promote and protect their health;
• Promote fruits, vegetables, whole-grain products, low-fat and fat-free dairy products, and healthy foods;
• Emphasize caloric balance between food intake and energy expenditure (promotes physical activity/exercise).
Goal 2 – Physical Activity: Schools will provide students and staff with age and grade appropriate opportunities to engage in physical activity that meet federal and state guidelines, including the Iowa Healthy Kids Act. The goal(s) for addressing physical activity include the following:
• Promote the benefits of a physically active lifestyle and help students develop skills to engage in lifelong healthy habits;
• Encourage classroom teachers to provide short physical activity breaks (3-5 minutes), as appropriate;
• Ensure physical activity is not used for or withheld as a punishment;
• Afford elementary students with recess according to the following: o At least 20 minutes a day; o Outdoors as weather and time permits.
Goal 3 – Other School-Based Activities that Promote Student Wellness: Schools will support student, staff, and parents’ efforts to maintain a healthy lifestyle, as appropriate. The goal(s) for addressing other school-based activities that promote student wellness include the following:
• Share information about the nutritional content of meals with parents and students;
• Support the consumption of breakfast at school by implementing alternative breakfast options to the extent possible (e.g., grab n’ go, breakfast in the classroom, breakfast after 1st period, etc.);
• Permit students to bring and carry water bottles filled with water throughout the day;
• Make drinking water available where school meals are served during mealtimes;
Public Involvement: There is a process for permitting parents, students, representatives of the school food authority, teachers of physical education, school health professionals, the school board, administrators and the public to participate in the development, implementation, and periodic review and update of the policy. The superintendent or superintendent’s designee invites suggestions or comments concerning the development, implementation, and improvement of the school wellness policy. As such, interested persons are encouraged to contact the superintendent or superintendent’s designee.
Date Board Approved: 6/27/2011
Date Board Updated/Reviewed: 03/14/2022
Legal Reference: 42 U.S.C. §§ 1751 et seq. 42 U.S.C. §§ 1771 et seq. Iowa Code §§ 256.7(29); 256.11(6). 281 I.A.C. 12.5; 58.11.