607.2 - Student Health Services

Policy 607.02: Student Health Services	Status: APPROVED
Original Adopted Date: 12/14/1992 \| Last Revised Date: 08/12/2024 \| Last Reviewed Date: 08/12/2024

Health services are an integral part of assisting all students to increase learning, achievement, and performance. Health services coordinate and support existing programs to assist each student in the 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 school district’s needs, and resources determine the linkages.

Except in emergent care situations or child abuse assessments, the district will not administer invasive physical examinations or health screenings of a student that are not required by state or federal law without first obtaining the written consent of the student’s parent or guardian.

Emergent care situation means a sudden or unforeseen occurrence of onset of a medical or behavioral condition that could result in serious injury or harm to a student or others in the event immediate medical attention is not provided. Emergent care situations include the need to screen a student or others for symptoms or exposures during an outbreak or public health event of concern as designated by the department of public health.
Invasive physical examination means any medical examination that involves the exposure of private body parts or any act during such examination that includes incision, insertion, or injection into the body, but does not include a hearing, vision, dental or scoliosis screening.
Student health screening means an intentionally planned, periodic process to identify if students may be at risk for a health concern and to determine if a referral for an in-depth assessment is needed to consider appropriate health services. Student health screening does not include an episodic, individual screening done in accordance with professional licensed practice.

The superintendent, in conjunction with the (school nurse, health advisory committee, public health nurse, school health team, etc.) will develop administrative regulations implementing this policy. The superintendent will provide a written report on the role of health services in the education program to the board annually.

Note: This is a mandatory policy. If a school district will be using federal money to perform physical exams or screenings on students, the school district must annually notify parents of the exam or screening except for hearing, vision or scoliosis. The following language is suggested:

“The school district will annually notify parents of physical exams or screenings conducted on students except for vision, hearing or scoliosis.”

Legal Reference:

42 U.S.C. §§ 12101 et seq.
34 C.F.R. pt. 99, 104, 200, 300 et seq.
29 U.S.C. § 794(a)
28 C.F.R. 35
20 U.S.C. 1232g § 1400 6301 et seq..
Iowa Code §§ 22.7, 139A.3. .8, .21; 143.1, 152, 256.7(24), .11, 279; 280.23 .
281 I.A.C. 12.3(4), (7), (11); 12.4(12); 12.8
282 I.A.C. 22.
641 I.A.C. 7.
655 I.A.C. 6

I.C. Iowa Code	Description
Iowa Code § 139A	Communicable/Infectious Diseases
Iowa Code § 143.1	Public Health Nurses
Iowa Code § 152	Nursing
Iowa Code § 22.7	Confidential Records
Iowa Code § 256.11	DE - Educational Standards
Iowa Code § 256.7	DE - Duties of State Board
Iowa Code § 279	Directors - Powers and Duties
Iowa Code § 280.23	Student Health Services
I.A.C. Iowa Administrative Code	Description
281 I.A.C. 12.3	Administration
281 I.A.C. 12.4	School Personnel
281 I.A.C. 12.8	General Accreditation Standards - Student Achievement
282 I.A.C. 22	Educational Examiners - Authorizations
641 I.A.C. 7	Public Health - Immunizations
655 I.A.C 6	Nursing
U.S.C. - United States Code	Description
20 U.S.C. § 1232g	Education - FERPA
20 U.S.C. § 6301	Education - Elementary and Secondary Improvement
20 U.S.C. 1400	Education - IDEA - Findings, Purposes
29 U.S.C. §§ 794	Labor - Vocation Rehab Rights
42 U.S.C. § 12101	Public Health - Equal Opportunity - Disabilities
C.F.R. - Code of Federal Regulations	Description
28 C.F.R. 35	Judicial - Disability - Nondiscrimination
34 C.F.R. Pt. 104	Education - Nondiscrimination on Basis of Handicap
34 C.F.R. Pt. 200	Education - Academic Achievement of Disadvantaged
34 C.F.R. Pt. 300	Education - Disabilities/Children/Assistance to States
34 C.F.R. Pt. 99	Education - Family Rights and Privacy

Cross References

Code	Description
501.04	Entrance - Admissions
505.04	Testing Program
507.02	Administration of Medication to Students
507.02-E(1)	Administration of Medication to Students - Authorization - Asthma, Airway Constricting or Respiratory Distress Medication Self-Administration Consent Form
507.02-E(2)	Administration of Medication to Students - Parental Authorization and Release Form for the Administration of Medication or Special Health Services to Students
507.02-E(3)	Administration of Medication to Students - Parental Authorization and Release Form for Independent Self Carry and Administration of Prescribed Medication or Independent Delivery of Health Services by the Student
507.02-E(4)	Administration of Medication to Students - Parental Authorization and Release Form for the Administration of Voluntary School Stock of Over-the-Counter Medication to Students

dawn@iowaschoo… Thu, 01/23/2020 - 17:54

607.2R1 - Student Health Services Regulation

I. Student Health Services - Each school building may develop a customized student health services program within comprehensive school improvement based on its
unique needs and resources. Scientific advances, laws, and school improvement necessitate supports to students with health needs to receive their education
program.

Supports to improve student achievement include:

qualified health personnel
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
nutrition
healthy, safe environment
staff wellness
health education
physical education and activity
counseling, psychological, and social services
family and community innvolement

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.

II. Student Health Services Essential Functions

A. Identify student health needs:

Provide individual initial and annual health assessments
Provide needed health screenings
Maintain and update confidential health records
Communicate (written, oral, electronic) health needs as consistent with confidentiality laws

B. Facilitate student access to physical and mental health services:

Link students to community resources and monitor follow through
Promote increased access and referral to primary health care financial resources such as Medicaid, HAWK-I, social security, and community health clinics
Encourage appropriate use of heath care

C. Provide for student health needs related to educational achievement:

Manage chronic and acute illnesses
Provide special health procedures and medication including delegation, training, and supervision of qualified designated school personnel
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)
Provide urgent and emergency care for individual and group illness and injury
Prevent and control communicable disease and monitor immunizations
Promote optimal mental health
Promote a safe school facility and a safe school environment
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:

Provide developmentally appropriate health education and health counseling for individuals and groups
Encourage injury and disease prevention practices
Promote personal and public health practices
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:

Gather and interpret data to evaluate needs and performance
Establish health advisory council and school health team
Develop health procedures and guidelines
Collaborate with staff, families, and community
Maintain and update confidential student school health records
Coordinate program with all school health components
Coordinate with school improvement
Evaluate and revise the health service program to meet changing needs
Organize scheduling and direct health services staff
Develop student health services annual status report
Coordinate information and program delivery within the school and between school and major constituents
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
Provide for professional development for school health services staff

III. Expanded Health Services

These additional health services address learning barriers and the lack of access to health care. Examples include school-based services in the school, school-linked services connected to the school, primary care, mental health, substance abuse, and dental health.

dawn@iowaschoo… Thu, 01/23/2020 - 17:55