Health Services
About Us
School nursing is a healthcare specialty requiring specific expertise in nursing, public health and education. Our school nurses are licensed registered nurses that address a wide range of health topics that impact children at school:
Identify health concerns through assessments and observations
Provide health care counseling or guidance to students and families
Conduct care coordination including case management, chronic disease management, care planning, and assist with resources to find a primary health care provider
Provide medication administration
Provide health screenings, referrals, and follow-up
Ensure immunization compliance and coordination of other health mandates according to state requirements
Provide health education, promotion, and disease prevention
District Procedures
Answers to the Most Frequently Asked Questions - Select the drop down arrow for more information
Health Requirements To Attend School
Immunizations, Screenings and Physicals (Listed By Grade), Immunization Exemption Process
Iowa law requires all students to show proof of adequate immunization prior to attending school.
Full List : Iowa Immunization Requirements
BY GRADE LIST OF REQUIREMENTS
Preschool
- Up to Date Immunization Record
Kindergarten
Kindergarten Health Packet
IDPH : Certificate of Immunization
Physical Exam Form
IDPH : Certificate of Dental Screening
Vision Card (green) or IDPH : Certificate of Vision Screening
1st Grade
- Up to Date Immunization Record
2nd Grade
- Up to Date Immunization Record
3rd Grade
- Up to Date Immunization Record
4th Grade
- Up to Date Immunization Record
5th Grade
- Up to Date Immunization Record
6th Grade
- Up to Date Immunization Record
7th Grade
- Up to Date Immunization Record
Tdap and Meningitis vaccines prior to entering 7th grade
- Athletic Physical Form (if participating in athletics)
8th Grade
- Up to Date Immunization Record
- Athletic Physical Form (if participating in athletics)
9th Grade
- Up to Date Immunization Record
- IDPH : Certificate of Dental Screening
- Athletic Physical Form (if participating in athletics)
10th Grade
- Up to Date Immunization Record
- Athletic Physical Form (if participating in athletics)
11th Grade
- Up to Date Immunization Record
- Athletic Physical Form (if participating in athletics)
12th Grade
- Up to Date Immunization Record
Meningitis vaccine prior to entering 12 grade
- Athletic Physical Form (if participating in athletics)
Immunization Exemption - If you student requires an immunization exemption please contact the school nurse
Medical Exemption Form (must be completed by a physician)
Religious Exemption Form (must be notarized prior to returning to the school)
General Illness Guidelines
When Your Children Should Not Attend and Illness Resources
General Illness Guidance
It is important for students to be at school but also equally important to take measures to maintain good health. Please keep your child home if they are experiencing any of the following symptoms :
Fever (100.0 and above) - must remain out of school until fever free for at least 24 hours without fever-reducing medication.
Vomiting and Diarrhea - must remain out of school until at least 24 hours after the last episode
Skin eruptions or suspicious rash - may return after medical treatment if able to cover the are with bandages
Contagious diseases - may return per provider’s note or after antibiotic use for 24 hours
General illness symptoms - remain out until symptoms improve and resolve
Information on Other Diseases and Conditions | Health & Human Services (iowa.gov)
COMMON CHILDHOOD ILLNESS GUIDELINES
School Attendance
Keeping Nurses Informed
Attendance & Keeping Nurses Informed
Please remember to let the school office know when your child is home ill.
The school nurses are available to answer any questions you may have and can be reached through each building’s office.
A provider’s note and/or conversation with a school nurse is required when a student is out for more than 3 school days.
Student Health Conditions
Keep Us Informed of Any Dietary Restrictions, Health Conditions, Physical Limitations or Emergency Action Plans
Health Conditions, Physical Limitations and Emergency Action Plans
To best support and care for your students while they are at school we ask that parents/guardian(s) keep the school nurses informed of any health conditions/physical limitations and to keep the school nurses updated on any changes throughout the school year.
If your provider has completed an Emergency Action Plan please provide a copy to the school nurse.
If your student requires a specialized diet and/or an alternative to the breakfast or lunch provided by the school please contact your school nurse or food services. To provide an alternative to the menu a Diet Modification Request form must be completed and signed by the student’s provider and returned to the school.
Medication Administration
Contact Us First!
If able, medications should be taken before or after school hours; however if needed during the school day please contact the school nurse.
Medication may be administered only after the Consent for Administration of Medication at School form is completed by the parent/guardian(s) and returned and reviewed by the school nurse. If needed, contact your school nurse for a consent form.
Prescription Medications: must be brought in a pharmacy labeled bottle or box (the pharmacy label serves as the required written order from the provider)
Request a 2nd labeled bottle from the pharmacy for school
Inhalers - keep im box with pharmacy label
Over the Counter (OTC) Medications : must be brought in the original container and will be administered per the package directions. An order from a provider would be needed if requesting to administer outside the package recommendations
Any changes to prescription medications will require a new order from the provider and a parent/guardian to complete a new Consent for Administration of Medication at School form (new medication, dose or change in time)
Medication should be brought to the school by the parent/guardian. If unable please contact the school nurse.
All medication, including prescription and over the counter, will be kept in the nurse’s office during the school day. Students are not allowed to carry medication on them while in school; this includes backpacks and lockers.
If an emergency medication (inhaler, epi-pen) needs to be carried by the student while at school please contact the school nurse.
For further information : Medication Administration at School
Concussions
Return to Learn & Return to Play Policy
A concussion is a traumatic brain injury and it is very important to seek medical evaluation if you suspect your student has sustained a concussion. If your student has been diagnosed with a concussion, it is important that you notify the school. The school nurse will follow the doctors' orders and also work collaboratively with the student, their teachers, and parents/guardians to help support and provide academic adjustments or accommodations based on the students' concussion symptoms.
Academically we will follow our return to learn protocol, this is a gradual increase in academic exertion. Students will progress or regress through the phases based on their concussion symptoms. Once the student is able to participate in a full academic day without concussion symptoms they will advance to the return to play protocol. This protocol is a gradual increase in physical activity. The return to play protocol will take at least 5 day days before a student is fully released for full physical activity participation.
IDPH Concussion resources
https://idph.iowa.gov/Portals/1/userfiles/32/Iowa2019REAP_20pg_Final%20%282%29.pdf
Covid-19
We Follow Iowa Department of Public Health's Recommendations
Snacks & Treats At School
Store Bought, Pre-packaged Treats Only!
Birthday treats may be distributed in the classroom if the student wishes to do so. Due to food allergies and health concerns, if students bring treats to school, please bring only store bought pre-packaged treats - Elementary Handbook 2022-2023
Athletics Physicals
Required Each Year to Participate and Compete
To be eligible to participate in athletics; students are required to have a current athletic physical on file with the school. Athletic physicals need to be completed and signed by a provider every 12 months.
Weather & Recess
When winter weather is upon us, we will follow these guidelines regarding outside temperatures:
Air Temp 0 to -10 or below = inside recess
Wind Chill -10 or below = inside recess
If air temperature is above 0 but wind chill is -1 to -9 range, recess will be shortened at the discretion of the supervisors.
Winter Recess Clothing Requirements : In order to keep shoes/clothes dry during the winter months, we require the use of boots, snow pants, winter coats, gloves and stocking caps when there is snow on the ground. Please call the school if you need assistance with providing these winter clothing items.
PE/Recess Exclusion: If your child is recovering from an illness, we request a note from you indicating your desire for them to stay in from recess and/or PE under these special circumstances. We can honor a note from you for a maximum of 2 days following an illness. If your child needs to stay inside for an extended period following an illness (three or more days) you will need to send a doctor’s excuse to cover this extended length of time.