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Children living with chronic health conditions go to school every day. Schools must provide services to meet your child's health needs by following rules surrounding the safe delivery of health services
Eight items schools and families should know
- Public schools are required to employ a licensed school nurse. (Iowa Code 256.11.9B)
- Nonpublic schools are not required to employ a licensed school nurse.
- Since 2007, public schools are required to work towards a goal of on nurse for every 750 children. (Iowa Code 256.11.9B)
- School nurses are not required to be employed full-time.
- Public and nonpublic schools are required to develop and follow policies surrounding safe delivery of health services (Iowa Administrative Code 281-14.2) and medication administration by a licensed nurse or qualified designated person (Iowa Administrative Code 281-14.1).
- The school nurse is required to assign and supervise delegated activities and functions to unlicensed personnel. (Iowa Administrative Code 655-6.2(5))
- The school nurse is required to supervise, monitor and evaluate delegated tasks or activities. (Iowa Administrative Code 281-14.2)
- School leaders are obligated to comply with all laws and ensure the person delivering or delegating health services is appropriately licensed or qualified. (Iowa Administrative Code 282-25.3)
Delegation and the Iowa School Nurse - Schools use this resource to understand the process of transferring the delivery of health services from the nurse to others.
Chronic Health Conditions Resources
The following resources assist safe health service delivery to students. Parents, the child’s healthcare provider and school are a team working together to meet the needs of children with chronic health conditions.
Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs (Centers for Disease Control and Prevention)
Asthma-Friendly Schools Initiative Resources and Tools (American Lung Association)
Asthma Resources for Heath Professionals and Schools (Centers for Disease Control and Prevention)
|Concussion and Other Brain Injuries||
Concussion Awareness and Management (Iowa Department of Public Health)
|Diabetes||Managing Diabetes at School (Centers for Disease Control and Prevention)|
Mental Health webpage (Iowa Department of Education)
|Seizure Disorder||Epilepsy Learning Portal (Epilepsy Foundation)|
Other Health Concerns and Illness
Parents and schools often have questions about managing other health concerns and illness. Parents, the child’s healthcare provider and school are a team working together to address illnesses and other health related matters.
|Concern or Illness||Resources/Tools|
Head lice are not a health hazard. See the following recommendations for parents on lice prevention and prevention measures for schools from the Iowa Department of Public Health (IDPH):
Flu and Absenteeism Reporting
Influenza (Flu) Information for Schools and Childcare Providers (Centers for Disease Control and Prevention)
Need more information on other diseases and conditions?
Use the following link and click on the + sign in front of the folder called “Other Disease and Conditions” to obtain fact sheets and additional resources. Refer to your child’s healthcare provider for additional information.
|Common child illness exclusion criteria||
The IDPH has guidance for schools and childcare centers to help determine when a child should be temporarily excluded from the school or child care setting.