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Student Health Conditions


The following Iowa Department of Education (Department) webpages provide additional information to school nurses:

School Nurse
Student Health Requirements for School
School Nurse Resources

Complex Disease Management in School Districts and Accredited Nonpublic Schools

Students attend school districts and accredited nonpublic schools with chronic health conditions. School communities address complex disease management by following rules surrounding the safe delivery of health services. Iowa Administrative Code 281-12.4(12) states the board of each school district shall employ a school nurse. Accredited nonpublic schools are not included in the existing IAC 281-12.4(12) for the school nurse requirement . However, IAC 281-14 requires districts and accredited nonpublic schools to develop policies surrounding delivery of safe medication administration and safe delivery of health services. IAC 281-14.1(3) requires a school nurse who delegates medication administration in the course of their professional licensed practice, to conduct the course to non-licensed personnel and to have the non-licensed personnel complete a skills check. In addition, IAC 281-14.2 requires the nurse delegating nursing practice to maintain accountability to supervise, monitor and evaluate the delegated task. The existing Nurse Practice Act, IAC 655-6.2(5), also states the nurse assigns and supervises delegated activities and functions to unlicensed assistive personnel. 

The following resources assist school nurses in the delivery of safe health services to students with chronic health conditions. This list is not inclusive to all student’s needs:

Allergies - Allergic reactions can be life threatening and have far-reaching effects on learners and their families, as well as on the schools and school related programs where the student attends. School teams collaborate to identify student needs as appropriate to provide the student with a safe and healthy school environment. The Center for Disease Control and Prevention (CDC) has published national comprehensive guidelines: Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs. The following are resources and tools:

Asthma - School teams collaborate to assist students in managing their chronic health condition. Asthma resources, training, tools, and guidance available from the American Lung Association.

Concussion and Other Brain Injuries - Students may also present to school with symptoms of brain injury or concussions. The Iowa Department of Education in collaboration with the Iowa Department of Public Health (IDPH) developed the Concussion Management Guidelines for Iowa Schools. Additional resources specific to concussion and brain injury located on the IDPH's Concussion Awareness and Management webpage.

Diabetes - School teams assist families and students in managing their child's chronic health condition. The CDC has resources for schools on the Managing Diabetes at School Resources webpage.

Head Lice Prevention and Control for Schools - Head Lice are not a health hazard. The Iowa Department of Public Health has recommendations for lice prevention and control for schools. Additional educational resources and fact sheets are available for parents and others in the school community.

Influenza and Absenteeism Reporting - Schools across Iowa voluntary report when 10% of a building’s population is absent related to illness to help the Center for Acute Disease Epidemiology track and respond to reports of influenza (flu) and other illness in schools. Information for schools on influenza, guidance for school cleaning, information forms for parents and school staff, and absenteeism reporting forms are available for school teams.

Mental Health - Mental health, as part of physical health, impacts a large number of youth, families and school personnel. Visit the Department's Mental Health webpage for resources to assist school communities and the students they serve.

Seizure Disorders - School personnel play an important role in recognizing and managing seizures at school. The Epilepsy Foundation website has many resources for free training for school teams.

Printed from the Iowa Department of Education website on June 28, 2022 at 12:31am.