Code No. 507.1
STUDENT HEALTH AND IMMUNIZATION CERTIFICATES
Students desiring to participate in athletic activities or enrolling in kindergarten or first grade in the school district 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 in other grades 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 the superintendent. Failure to provide this information may be grounds for disciplinary action.
Students enrolling for the first time in the school district shall also submit a certificate of immunization against diphtheria, pertussis, tetanus, poliomyelitis, rubella, rubeola 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.
Legal Reference:
Iowa Code §§ 139.9; 280.13 (2013).
281 I.A.C. 33.5.
641 I.A.C. 7.
Approved 9-13-93 Reviewed 2-25-13 Revised 6-18-2018
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 804.05 – Stock Prescription Medication Supply.
When administration of the medication requires ongoing professional health judgment, an individual health plan shall be developed by a licensed health personnel working under the auspice of the school with collaboration from the parent or guardian, individual’s health care provider or education team pursuant to 281.14.2(256). Students who have demonstrated competence in administering their own medications may self-administer their medication. A written statement by the student's parent 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 conducted by a registered nurse or pharmacist that is provided by the department of education). The medication administration course is completed every five years with an annual procedural skills check completed with a registered nurse or a pharmacist. A record of course completion shall be maintained by the school.
A written medication administration record shall be on file including:
Medication shall be stored in a secured area unless an alternate provision is documented. The development of Eemergency protocols for medication-related reactions is required. Medication information shall be confidential information as provided by law.
Disposal of unused, discontinued/recalled, or expired abandoned medication shall be in compliance with federal and state 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.
655 IAC §6.2(152).
Iowa Code 124, 147.107, 152, 155A.4, 280.16 & 280.23
655 IAC §6.2(152).
Approved 9-13-1993 Reviewed 2-25-2013 Revised 8-21-2023
Code No. 5O7.2El
AUTHORIZATION-ASTHMA OR AIRWAY CONSTRICITING 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:
1. Parent/guardian provides signed, dated authorization for student medication self-administration.
2. 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) provided written authorization containing:
3. 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.
4. 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
_______________________________________ _____________________________
Special Circumstances Discontinue/Re-Evaluate/
Follow-up Date __________________________
_______________________________________ _____________________________
Prescriber’s Signature Date
______________________________________ _____________________________
Prescriber’s Address Emergency Phone
__________________________________________ _____________________________
Parent/Guardian Signature Date
(agrees to above statement)
_________________________________________ _____________________________
Parent/Guardian Address Home Phone
_____________________________
Business Phone
Self-Administration Authorization Additional Information:
_____________________________________________________________________________
Reviewed 6-18-2018
Code No. 5O7.2E2
PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION OF PRESCRIPTION MEDICATION TO STUDENTS
__________________________ __/___/___ _______________ __/__/__
Student’s Name (Last/First/M) Birthday School Date
School medications and health services are administered following these guidelines:
______________________ _____________ ____________ ________________
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.
__________________________________________ ________________
Parent’s Signature Date
__________________________________________ ______________________
Parent’s Address Home Phone
_________________________________________ ____________________
Additional Information Business Phone
____________________________________________________________________
______________________________________________________________________
_____________________________________________________________________
Authorization Form
Reviewed 8-16-2021
Code No. 507.2E3
AUTHORIZATION – ASTHMA, OR OTHER AIRWAY CONSTRICTING OR RESPIRATORY DISTRESS DISEASE MEDICATION OR EPINEPHRINE AUTO-INJECTOR SELF-ADMINISTRATION CONSENT FORM
Student's Name (Last), (First) (Middle)
Birthday
School
Date
The following must occur for a student to self-administer asthma medication, bronchodilator canisters or spacers other airway constricting disease medication or for a student with a risk of anaphylaxis to self-administer an epinephrine auto-injector:
• Parent/guardian provides signed, dated authorization for student medication self-administration.
• Parent/guardian provides a written statement from the student’s licensed health care professional (A person licensed under chapter 148 to practice medicine and surgery or osteopathic medicine and surgery, an advanced registered nurse practitioner licensed under chapter 152 or 152E and registered with the board of nursing, or a physician assistant licensed to practice under the supervision of a physician as authorized in chapters 147 and 148C) containing the following:
o Name and purpose of the medication,
o Prescribed dosage, and
o Times or special circumstances under which the medication or epinephrine auto-injector 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 shall be renewed annually. In addition, 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, the school shall permit the self-administration of medication by a student with asthma, respiratory distress, or other airway constricting disease or the use of an epinephrine autoinjector by a student with a risk of anaphylaxis while in school, at school-sponsored activities, under the supervision of school personnel, and before or after normal school activities, such as while in before-school or after-school care on school-operated property. If the student abuses the self-administration policy, the ability to self-administer may be withdrawn by the school or discipline may be imposed, after notification is provided to the student’s parent.
Pursuant to state law, the school district or and its employees are to incur no liability, except for gross negligence, as a result of any injury arising from self-administration of medication or use of an epinephrine auto-injector by the student. The parent or guardian of the student shall sign a statement acknowledging that the school district is to incur no liability, except for gross negligence, as a result of self-administration of medication or an epinephrine auto-injector by the student as provided by law.
Medication
Dosage
Route
Time
Purpose of Medication & Administration /Instructions /
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 medication, bronchodilator canisters or spacers or other airway constricting disease medication(s) and/or an epinephrine auto-injector 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 an epinephrine auto-injector or for supervising, monitoring, or interfering with a student's self-administration of medication or use of an epinephrine auto-injector. I acknowledge that the school district is to incur no liability, except for gross negligence, as a result of selfadministration of medication or use of an epinephrine auto-injector by the student.
• 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) and any other applicable laws.
• I agree to provide the school with back-up medication approved in this form.
• (Student maintains self-administration record.)
(Note: This bullet is recommended but not required.)
Parent/Guardian Signature
Date (agreed to above statement)
Parent/Guardian Address
Home Phone
Business Phone
Self-Administration Authorization Additional Information
Code No. 507.3
COMMUNICABLE DISEASES –STUDENTS
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: https://idph.iowa.gov/CADE/reportable-diseases.
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
641 I.A.C. 1.2-.5, 7.
Approved 9-13-1993 Reviewed 8-15-2022 Revised 6-18-2018
Code No. 507.4
STUDENT ILLNESS OR INJURY AT SCHOOL
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 shall be the responsibility of the principal to file an accident report with the superintendent within twenty-four hours after the student is injured.
Annually, parents shall be required to complete a medical emergency authorization form indicating the procedures to be followed, if possible, in an emergency involving their child. The authorization form will also include the phone numbers of the parents and alternative numbers to call in case of an injury or illness.
The superintendent shall be 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.
Legal Reference:
Iowa Code § 613.17
Approved 9-13-1993 Reviewed 8-15-2022 Revised 6-18-2018
Code No. 507.5
EMERGENCY DRILLS
Students will be informed of the appropriate action to take in an emergency. Emergency drills for fire, weather, and other disasters shall be conducted each school year. Fire and tornado drills are each conducted regularly during the academic school year with a minimum of at least 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.
Legal Reference:
Iowa Code § 100.31 (2011).
Approved 9-13-93 Reviewed 6-18-2018 Revised TBD-Law Change 2018 Legislative Session
Code No. 507.6
STUDENT INSURANCE
Students participating in intramural or extracurricular athletics shall be required to have health and accident insurance. The student shall bring written proof of insurance or participate in the health and accident insurance program selected by the school district.
Students, whether they are or are not participating in intramural or extracurricular athletics, shall have the opportunity to participate in the health and accident insurance plan selected by the school district.
The cost of the health and accident insurance program shall be borne by the student. 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.
Whenever a student is injured while under the supervision of an employee, the employee will file an accident report with the school nurse and the principal's office within twenty-four hours.
Legal Reference:
Iowa Code § 279.8 (2013)
Approved 9-13-93 Reviewed 2-25-13 Revised 6-18-2018
Code No. 507.7
CUSTODY AND PARENTAL RIGHTS
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 shall be the responsibility of the superintendent to ensure employees remain neutral in a disagreement about custody and parental rights.
Legal Reference:
Iowa Code §§ 232.67, .70, .73, .75; 235A; 279.8; 710.6 (2013).
441 I.A.C. 9.2, 155, 175.
Approved 9-13-93 Reviewed 10-15-07 Revised 6-18-2018
Code No. 507.8
STUDENT ASSISTANCE TEAMS
The school district is committed to providing quality education in an environment that promotes learning. To assist students in grades kindergarten through twelve, the school district shall create a student assistance program in each building.
This program shall be designed to:
Information shared with a student assistance team shall be confidential and shall not be disseminated without written permission from the student or parents.
Legal Reference:
Iowa Code § 279.8
Approved 9-13-93 Reviewed 8-15-2022 Revised 6-18-2018
Code No. 507.11
STUDENT SPECIAL HEALTH SERVICES
The board recognizes that some special education students need of special health services during the school day. These students will receive special health services in conjunction with their individualized education program.
The superintendent, 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 of Washington City v. Grace, 693 F.2d 41 (8th Cir. 1982).
Southeast Warren Community School District v. Department of Public Instruction, 285 N.W.2d 173 (Iowa 1979).
20 U.S.C. §§1400 etseq. (2012).
34 C.F.R. Pt. 300 etseq. (2012).
Iowa Code §§256.11(7); 256B; 273.2, .5, .9(2)-(3); 280.8 (2013).
281 I.A.C. 41.
Approved 9-13-93 Reviewed 8-15-2022 Revised 6-18-2018
Code No. 507.10R1
SPECIAL HEALTH SERVICES REGULATION
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:
"Supervision" - the assessment, delegation, evaluation and documentation of special health services by licensed health personnel. Levels of supervision include situations in which licensed health personnel are:
B. Licensed health personnel will provide special health services under the auspices of the 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.
Approved 2-25-13 Reviewed Revised 6-18-2018
Code No. 507.9
WELLNESS POLICY
The Riverside Community 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:
The following nutritional guidelines for food available on school campuses will be adhered to:
The superintendent or superintendent’s designee shall implement and ensure compliance with the policy by:
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
Approved 8-21-06 Reviewed 6-18-2018 Revised 3-18-2024