*Reviewed: 12/13/10
*Reviewed: 11/12/12
*Reviewed: 09/12/2022
Any student desiring to participate in athletic extracurricular activities or enrolling in kindergarten or first grade in the District shall have a physical examination by a licensed physician, and will provide proof of such an examination to the District. A certificate of health stating the results of the physical examination and signed by the physician shall be on file at the attendance center. Each student shall submit an up‑to‑date certificate of health upon the request of the Superintendent/designee of schools. Failure to provide health information may be grounds for disciplinary action.
Any student 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 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, religious or undue burden reasons recognized under the law. The student must provide a valid Iowa State Department of Public Health Certificate of Immunization Exemption to be exempt from this policy.
The District considers child exposure to adverse childhood experience, child mental health, and suicide as serious matters which impact learning opportunities for students, classroom, and instructional challenges for staff and ultimately, if not addressed, can lead to lifelong struggles, attempted suicide and loss of life. The District will follow all laws and regulations regarding the training required to inform staff of identification and referral to services for students with mental health challenges.
The District shall provide suicide prevention and postvention training and training on the identification of adverse childhood experiences and strategies to mitigate toxic stress response for all school personnel who hold a license, certificate, authorization or statement of recognition issued by the board of educational examiners and who have regular contact with students in kindergarten through grade twelve. The training shall begin July 1, 2019, and occur annually between July 1 and June 30, thereafter. The content of the training shall be based on nationally recognized best practices.
“Adverse childhood experience” means a potentially traumatic event occurring in childhood that can have negative, lasting effects on an individual’s health and well-being.
“Postvention” means the provision of crisis intervention, support, and assistance for those affected by a suicide or suicide attempt to prevent further risk of suicide.
The suicide prevention and postvention training shall be evidence-based, evidence-supported and be at least one hour in length. The content of the training shall be based on nationally recognized best practices.
The identification of adverse childhood experiences (ACES) and strategies to mitigate toxic stress response training shall be evidence-based, evidence-supported, and be at least one hour in length or as determined by the Superintendent. The content of the training shall be based on nationally recognized best practices.
STUDENT HEALTH SERVICES
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.
The Board recognizes that some special education students need special health services during the school day. These students shall receive special health services in conjunction with their individualized education program.
The Superintendent, in conjunction with licensed health personnel, shall establish administrative regulations for the implementation of this policy.
The District will implement a protocol to respond to life-threatening allergic reactions (anaphylaxis). The school will maintain the medication necessary to apply the protocol in each facility. This protocol would apply to any individual present in the facility both while school is in session and during any school-sponsored extracurricular activities.
The District school nurse or other trained and authorized personnel may administer an epinephrine auto-injector from the school’s supply to a student or other individual if reasonably and in good faith believe the student or individual is having an anaphylactic reaction. Individuals authorized to administer the epinephrine will complete the appropriate medication training and be signed off by the school nurse.
The District will obtain and keep on file a prescription and standing order for the stock epinephrine from a licensed health care professional. A new prescription will be obtained annually.
The District will store the epinephrine auto-injectors in a secured, room temperature area that remains accessible in an emergency within each school building. The medication will be checked monthly to ensure stability and effectiveness.
In the event of the stock epinephrine being used, the “Report of Stock Epinephrine Administration” form will be filled out and submitted to the state of Iowa.
Anaphylaxis is a medical emergency that requires immediate medical attention and can be fatal if not treated. Some students and/or staff are at an increased risk for anaphylaxis because of known allergens. Some individuals with unknown allergies may also experience their first anaphylactic reaction while at school. Symptoms generally appear quickly and progress rapidly.
Anaphylaxis Signs & Symptoms:
LUNGS: shortness of breath, wheezing, repetitive cough
HEART: pale, blue, faint, weak pulse, dizzy
THROAT: tight, hoarse, difficulty breathing and/or swallowing
MOUTH: swelling of the tongue and/or lips
SKIN: hives, widespread redness
GUT: vomiting, diarrhea, discomfort
OTHER: feeling of “impending doom”, anxiety, confusion
** Early recognition of symptoms and immediate treatment can save a life!
** Act quickly! The first signs of reaction can be mild but symptoms can get worse very quickly!
EPINEPHRINE:
0.15mg IM (intramuscular) for 55 pounds or less
0.30mg IM (intramuscular) for 55 pounds or greater
An epinephrine injection is the treatment for anaphylaxis. Each individual with a known history of anaphylaxis or any severe allergies should have a specific emergency action plan on file and their own auto-injector of epinephrine at school. For these individuals with known allergies, follow their personalized emergency action plan.
Individuals without a known allergy:
Rapidly assess airway, breathing, and circulation and begin CPR as necessary.
Appoint someone to CALL 911 IMMEDIATELY.
Do not leave the individual alone.
Inject Epinephrine IMMEDIATELY.
Lay the person flat, elevate legs, and keep warm.
If symptoms do not improve, or if symptoms return, an additional dose of epinephrine can be given 5 minutes or more after the last dose.
Appoint someone to notify emergency contacts.
Transport the individual to the emergency room, even if symptoms resolve.
Send used Epinephrine auto-injector with emergency personnel.
*Adopted: 01/09/17
*Reviewed: 01/10/22
Upon order of the Iowa Department of Health or local board of health, an individual with a suspected or active quarantinable disease shall not attend the workplace or school and shall not be present at other public places until the individual receives the approval of the department or a local board of health to engage in such activity. Upon order of the department or local board of health, employers, schools and other public places shall exclude an individual with a suspected or active quarantinable disease. An individual may also be excluded from other premises or facilities if the department or a local board of health determines the premises or facilities cannot be maintained in a manner adequate to protect others against the spread of the disease.
DISEASE
*Immunization is available
|
Usual Interval Between Exposure and
First Symptoms of Disease
|
MAIN SYMPTOMS
|
Minimum Exclusion From School
|
CHICKENPOX* | 13 to 17 days | Mild symptoms and fever. Pocks are "blistery". Develop scabs, most on covered parts of the 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 24 hours after treatment begins or physician approves readmission. |
ERYTHEMIA INFECTIOSUM (5th DISEASE) | 4 to 20 days | Usual age 5-14 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. | May return after proof of 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 SCARLATINA 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 w weeks. | 5 days after start of antibiotic treatment. |
REPORTABLE COMMUNICABLE DISEASES LIST
While the District is not responsible for reporting, the following infectious diseases are required to be reported to the state and local public health offices:
Acquired Immune Deficiency Syndrome (AIDS) | Mumps |
Anthrax | Pertussis |
Botulism | Plague |
Brucellosis (Brucella) | Poliomyelitis |
Campylobacteriosis (Campylobacter) | Psittacosis |
Chlamydia | Q Fever (Coxiella burnetii) |
Cholera | Rubella (including congenital) |
Cryptosporidiosis | Human Immunodeficiency Virus (HIV) |
Cyclospora | Salmonellosis (Salmonella) |
Diphtheria | Severe acute respiratory syndrome (SARS) |
Escherichia coli Shiga toxin-producing and related diseases (including HUS and TTP | Shigellosis (Shigella) |
Giardiasis (Giardia) | Smallpox |
Gonorrhea | Syphilis |
Haemophilus influenzae Type B | Tetanus |
Hantavirus Syndromes | Tickborne diseases (includes anaplasmosis, babesiosis, ehrlichiosis, Lyme disease, and Rocky Mountain spotted fever) |
Hepatitis, viral (A, B, C, D, E) | Ruberculosis, extrapulmonary |
Legionellosis (Legionella) | Tularemai |
Hansen's Disease (leprosy)
|
Typhoid fever
|
Listeria monocytogenes invasive disease | Vancomycin-intermediate Staphylococcus aureus (VISA) and vancomycin-resistant Staphylococcus aureus (VRSA) |
Malaria | Yellow Fever |
Measles (rubeola) | |
Meningococcal invasive disease | |
Mosquito-borne diseases (including chikungunya, dengue, eastern equine encephalitis, LA Crosse, St Louis, Venezuelan equine encephalitis, West Nile, and Western equine encephalitis |
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.
*Adopted: 12/13/10
*Reviewed: 11/12/12
*Revised: 09/18/17
*Revised: 09/12/22
G. Qualification of Food Service and Staff
Qualified nutrition professionals will administer the meal programs. As part of the district’s responsibility to operate a food service program, the district will provide continuing professional development for all nutrition professionals and provide staff development programs and training programs for the Food Service Director, kitchen managers, and cafeteria workers, according to their level of responsibility.
Other Food Available at School
A. Food Sold Outside the Meal
Examples include vending machine, a la carte and sales foods.
The term “school day” is defined as midnight the night before until 30 minutes after the end of the official school day.
Elementary Schools. The food service program will approve and provide all food and beverage sales to students in elementary schools. To this end, the following is true:
food in elementary schools will be sold as balanced meals, given young student’s limited nutrition skills; and food and beverages sold individually will be limited to low-fat and nonfat milk, fruits and non-fried vegetables.
Middle School and High School. All foods and beverages sold individually outside the reimbursable meal programs including those sold through a la carte lines and machines, during the school day, will meet the following nutrition and portion size standards:
SMART SNACKS IN SCHOOL
Nutrition Standards for Foods Any food sold to students in schools must:
Food must also meet several nutrient requirements:
Beverages:
Nutrition Standards for Beverages
Elementary schools may sell up to 8-ounce portions, while middle schools and high schools may sell up to 12-ounce portions of milk and juice. There is no portion size limit for plain water.
Beyond this, the standards allow additional “no calorie” and “lower calorie: beverage options for high school students.
School-Sponsored Events Foods and beverages offered or sold at school-sponsored events outside the school day are encouraged to meet the nutrition standards for foods and beverages sold individually.
B. Snacks
Snacks served during the school day will make a positive contribution to students’ diets and health. Fruits and vegetables are the primary snack options. The district will disseminate a list of suggested snack items to teachers and parents. The district encourages parents and teachers to provide food that is commercially packaged or comes from Glenwood Community School Food Service Department Classroom Catering.
Each school will be encouraged to evaluate their celebration practices that involve food during the school day.
Food Safety
All foods made available in the district will adhere to food safety and security guidelines.
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.
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.
Other Aspects of Student Wellness Policy – Nutrition Guidelines
Fundraising Activities
To support student health and school nutrition-education efforts, school fundraising groups’ activities will be encouraged to use non foods or foods that are compliant to the school’s wellness policies. The district will make available a list of ideas for fundraising activities.
B. Rewards
The District will discourage the use of foods or beverages, especially those that do not meet the nutrition standards for foods and beverages sold individually, as rewards for academic performance or good behavior, and will not withhold food or beverages (including food served through meals) as a discipline.