607.2R1 STUDENT HEALTH SERVICES REGULATION

Student Health Services Administrative Regulations

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 involvement

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

  1. Identify student health needs:
    1. Provide individual initial and annual health assessments
    2. Provide needed health screenings
    3. Maintain and update confidential health records
    4. Communicate (written, oral, electronic) health needs as consistent with confidentiality laws
       
  2. Facilitate student access to physical and mental health services:
    1. Link students to community resources and monitor follow through
    2. Promote increased access and referral to primary health care financial resources such as Medicaid, HAWK-I, social security, and community health clinics
    3. Encourage appropriate use of heath care
  3. Provide for student health needs related to educational achievement:
    1. Manage chronic and acute illnesses
    2. Provide special health procedures and medication including delegation, training, and supervision of qualified designated school personnel
    3. 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)
    4. Provide urgent and emergency care for individual and group illness and injury
    5. Prevent and control communicable disease and monitor immunizations
    6. Promote optimal mental health
    7. Promote a safe school facility and a safe school environment
    8. Participate in and attend team meetings as a team member and health consultant
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  4. Promote student health, well-being, and safety to foster healthy living:
    1. Provide developmentally appropriate health education and health counseling for individuals and groups
    2. Encourage injury and disease prevention practices
    3. Promote personal and public health practices
    4. Provide health promotion and injury and disease prevention education
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  5. Plan and develop the student health services program collaboratively with the superintendent, school nurse, and school health team:
    1. Gather and interpret data to evaluate needs and performance
    2. Establish health advisory council and school health team
    3. Develop health procedures and guidelines
    4. Collaborate with staff, families, and community
    5. Maintain and update confidential student school health records
    6. Coordinate program with all school health components
    7. Coordinate with school improvement
    8. Evaluate and revise the health service program to meet changing needs
    9. Organize scheduling and direct health services staff
    10. Develop student health services annual status report
    11. Coordinate information and program delivery within the school and between school and major constituents
    12. 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
    13. 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.
 

 

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 § 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 or Airway Constricting Medication Self-Administration Consent Form
507.02-E(2) Administration of Medication to Students - Parental Authorization and Release Form for the Administration of Medication to Students