Flu Letter

                   Welcome Back! Here's to a Healthy 2018 - 2019 School Year!!

A cumulative health record is maintained for each student. The nurse should be informed of any changes or developments pertaining to your child's health. Health Services Goal: To support academic success and social, emotional, behavioral and physical health of all students.

Our school nurse is in the building each day. The secretaries or principal are available to assist children for first aid or illness in the absence of the nurse.


Dental Screening
Parents or guardians of elementary school children are required to provide evidence of a dental screening (done no earlier than age three and no later than age six) by a dentist, dental hygienist, physician, nurse or physician's assistant.  High school students that are entering the 9th grade will be required to provide evidence of a screening by a dentist or dental hygienist within the previous year of enrollment. (Effective July 1, 2008.)
See the Iowa Department of Public Health website for more information

Lead Screening
The law (House File 158) which requires evidence of blood lead test when children that enter school (i.e., before the age of 6 and provided to the elementary school in which the child is enrolling). The requirement applies to children enrolled in public and private schools and those who are home schooled.
See the Iowa Department of Public Health website for more information

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" shall mean an infectious or contagious disease spread from person to person, or animal to person, or as defined by law.

Click here for more information.

Please notify the school office each day that your child is absent. When your child becomes ill at school, you or the person you have designated will be called.

Is my child too ill to attend school?
Parents are often confronted with this decision when their child complains of not feeling well. Please consult your doctor for specific medical advice.

Fever -
99.6 degrees or higher - A fever is a sign of illness. A child with a temperature of 99.6 degrees or higher and with other symptoms should not attend school. The child should be free of fever for 24 hours before returning to school.

Sore Throat/Colds/Cough - 
Minor cold symptoms are common and usually don't interfere with school attendance. A persistent, frequent cough and/or constant nasal drainage may affect your child's performance at school, and he/she may by more comfortable at home. Most sore throats are caused  by viruses as seen in colds or seasonal allergies. However, for children between the ages of two and eighteen. there is a risk to develop "strep" throat. The only certain way to diagnose "strep" throat is with a throat culture. The physician will usually prescribe an antibiotic such as penicillin and your child should stay out of school at lease 24 hours after the medication has started.

Vomiting/Diarrhea - 
A student who has vomited should wait 24 hours and be able to retain solid foods before returning to school. A student who is having frequent diarrhea stools should not attend school. If there is cramping/abdominal pain with diarrhea, the student may be more comfortable at home. However, if your child is sick for more than three days, you may need to seek medical advice.

Pink eye - 
Most eye infections are highly contagious. Symptoms include redness of eyes or eyelids, crusting of lashes and/or drainage from eyes. This infection is spread by hand to eye contact. Students are not excluded from school but are asked to not touch their eye's if they do they need to wash their hands.

No student may be enrolled in the district without proof of immunization. 

Students enrolling must submit a certificate of immunization against diphtheria, pertussis, tetanus, poliomyelitis, rubeola, rubella and another immunizations required by the school district.

Children born on or after July 1, 1994, must show proof of three doses of hepatitis B vaccine prior to enrollment. Students born after September 15, 1997, must have immunization against chicken pox after 12 month of age or a reliable history of the disease. The student may be admitted conditionally to the attendance center if the student has submitted proof of immunization and has not completed required immunizations but is in the process of doing so. Failure to meet the immunization requirement will be grounds for exclusion. 

First aid is given for injuries that happen at school, but follow-up is the responsibility of the parent. PLEASE notify the school of any change in address or phone numbers. If a child is unable to attend recess or PE he/she should have a note from the doctor.

Prescription and over-the-counter medications are dispensed following district guidelines.

Click here for the Medication Authorization Form.


Each child in kindergarten through fifth grade is given yearly vision screening. Parents are notified if concern is discovered.

An audiologist from Grant Wood Area 10 Educational Agency screens students in 9th through 12th grade. New students, student considered for special education services and students who are referred will also be screened as needed. 

Head Lice
Elementary students are checked for head lice on an as needed basis only. Individual classes are screened if the need arises. If students have head lice they are asked to shampoo with the proper head lice shampoo before retuning to school. Students are not excluded from school.

Parents have the opportunity at the beginning of the school year to purchase an accident insurance policy for their child. Information concerning the policy will be given at registration. 
 Health Services Provided for Students in the School Setting Health Services for District Staff
Health Issues - identify, treat and evaluate immediate and ongoing issues
  • First Aid
  • Deal with acute and chronic conditions both physical and emotional
  • Administer medications and treatments as prescribed by physicians and as requested by signed permission from parents
  • Health screenings: vision, height, weight, calculate BMI
  • Responsible for all health record keeping which includes; immunizations, physical exams, dental, vision, height, weight, BMI, complete health report cards
  • Help manage communicable diseases in the schools 
  • Responsible for initiating and updating Individual Health Care Plans
  • Liaison within the school, community and the Washington County Health Dept.
  • Communicable diseases reporting to the county and state health dept.
  • Follow-up with parents of students who are chronic all absent
  • Health teaching to students and parents
  • Relay pertinent student health information to staff with bounds of confidentiality
  • Mandatory abuse reporters
  • Documentation of daily activities and events in the health office
  • Referral resource to community agencies, physicians, clinics
  • Advocate for student
  • Blood Borne Pathogen Training - OSHA mandated
  • CPR & AED training
  • Hepatitis B Vaccine for staff deemed at risk
  • Collaborate with other staff members for students at risk
  • Train non licensed personnel in health procedures
  • Coordinate with other agencies for staff health needs
  • Offering seasonal flu shots for staff
  • Informal individual health teaching 
  • Blood Pressure screenings
  • Employee accident reports 
  • Providing personal protective kits
  • Teach health classes as requested 
  • Kindergarten round up coordinating all information with staff and parents


High School
Tish Johnson RN
(319) 653-2143