Health Services

HEALTH AND EDUCATION—–PARTNERS IN SUCCESS

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Introduction to Health Services

The focus of the Davenport Community Schools Health Services Program is the promotion of an optimum state of health for the school age child through preventative measures such as health screenings, health assessments, health education, health counseling and referrals. The program is based on the knowledge that a healthy body, healthy mind, and healthful living habits are essential components in the student’s quest to achieve his/her maximum educational potential.

A staff of professional nurses as well as paraprofessional staff provides health services to the students.

To provide the safest and best care to all students in the Davenport Community School District (DCSD), it is important that the school has the most up to date information including addresses and phone numbers.  It is important that we keep the Emergency Health Information Form for the student as current as possible.  Please complete the Emergency Health Information form whenever changes in your student’s health, addresses, emergency contacts or phone numbers have changed.  Please complete and submit to the school nurse.

Many of the forms necessary to provide safe care and promote health in your student are available on this web page.  Please feel free to print, complete, and either send the form back to school with your student, complete the form on line and email it back to the school nurse as an attachment. Students who attend CHC and Vera French will need to complete the specific agency’s medical  release form for the medical information to be shared with the school nursing office personell.

Information provided to the school regarding the health and care of students may be shared with school personnel for the provision of appropriate health and /or educational services.


 

 

 

 

Medication Policy

The DCSD does not assume responsibility for medical treatment during school hours. If your child is on medication, please make every effort to give it at home.

If medication must be given at school, the parent must provide a written and signed doctor’s order stating the name of the child, the name of the medication, the hour to be given, and the dates the medication is needed.  Please use the Medication Administration Consent for the prescribed medication. Whenever possible, the parent or guardian is the accepted person to bring the medication to the nurse. All controlled medication needs to be immediately counted by the nurse (or nursing office staff) and the person bringing in the medication upon receiving the medication. Please  DO NOT bring in more than 30 count of medication at a time.

If your child is on an over-the-counter medication please give it at home, alert the school nurse and document the time of dosing so they can watch for adverse side effects of the drug. However, if an over-the-counter medication needs to be given during school hours, the school nurse must receive the medication in the original, sealed container that will be kept and left in the nurse’s office until the parent or nurse deem it unnecessary to continue administration. Please check expiration dates before sending the medication. There is also a Medication Over-The-Counter Consent form for complete.

A student, with authorization from the health care provider and parent/guardian, may carry and self-administer an asthma inhaler and/or autoinjectable epinephrine medication. The authorization consent, where the physician and parent/guardian need to sign, is on the bottom section of the Medication Consent Form.

ALL medication must be received at school in the original prescription container.

Please make arrangements to pick up all medication any time the medication is no longer in use.  Please call the school nurse to make arrangements.  No medications will be kept over the summer months and proper disposal will take place following the last day of school before summer break.

A new medication order from your physician is required for all medications and for each new school year.

 


Illnesses at School 

Illnesses/Injuries At School- Our primary goal is to protect the health of our students, families, faculty and staff. Ways that you can help to minimize the spread of illness at your child’s school are:

  • Teach your child about good hand washing and cough hygiene practices.
  • Let the school nurse know if your child has a medical condition that could make them more susceptible to becoming ill.
  • Discuss with your doctor additional measures that might reduce your families chance of becoming ill. Seasonal flu shots and updating your immunizations are two measures.
  • Plan for how your child will be cared for if they need to remain home from school due to illness. Students with the following symptoms should remain home or may be sent home from school:
    • The child’s temperature must remain below 100 degrees for 24 hours without benefit of use of fever reducing medications before they can return to school.
    • Vomiting- should be free of symptom for 24 hours before returning to school.
    • Diarrhea- should be free of symptom for 24 hours before returning to school.
    • Persistent nasal congestion, reddened eyes, sore throat, cough or headaches that disrupt the student’s learning or pose a risk of disease transmission to others.
    • Unexplained skin eruptions or rashes. When in doubt, consult your child’s doctor before sending your child to school.
    • Any other health condition that in the school nurses judgment is of concern for the others health and well-being and that of the child.
    • Communicable illnesses in which you have been advised to remain out of school until cleared to return by the county health department or your child’s doctor.

The school nurse or other school representative will contact you if your child becomes ill or seriously injured at school. If a parent cannot be reached, other individuals listed on the emergency form will be contacted. For the child’s safety, students will be released only to adults whose names appear on the emergency form. It is very important that you notify school when there are changes to emergency contacts of health care providers.

Children should not attend school if they have had diarrhea or vomiting the past 24 hours, or have and an undiagnosed rash, or have an uncontrolled cough. Your child’s temperature should be maintained without the benefit of medication under 100 degrees for 24 hours before returning to school.

To minimize the spread of illness among students, report communicable diseases such as influenza, measles, whooping cough, hepatitis A, tuberculosis, chickenpox etc. to the school nurse immediately.

For more information contact your school nurse.


Absences: Students are required by law to attend school. If your child must be absent from school, please notify the school office with two symptoms  as early as possible on the morning of the absence. Serious illnesses that may require a long-term absence, must be verified by a medical doctor. Home instruction is available for students on written request of the attending physician

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HEADS UP: Concussion in High School Sports

The Iowa Legislature passed a new law, effective July 1, 2011, regarding students in grades 7 – 12 who participate in extracurricular interscholastic activities.  Please see the Fact Sheet for Parents and Students of visit the Iowa Athletic Association Website


Communicable Disease

The Scott County Health Department and the State of Iowa require that each school submit a communicable disease report for tracking purposes.  Because of this report, it is very important that when calling a student in for an absence from school, that parents submit at least two symptoms to help school nurses track illness and report to the health department.  For more information on communicable disease symptoms, duration, exposure, and incubation periods, please click on the links below.


Diabetes

The majority of DSCD diabetic students are patients at the University of Iowa.  Therefore, the DSCD health services utilizes all forms from the University of Iowa to provide the best possible care to our diabetic students.  Below is a letter of suggestion from the diabetic nurse educators at the University of Iowa that will help assist you in getting the forms completed in a timely fashion.

University of Iowa forms

Medical School Forms

  • In an effort to complete necessary medical school forms before the beginning of next school year, we need to begin planning now. 
  • Before the end of this school year, please ask for medical forms required by your school.
  • Parents and student are responsible for completing all information, other than medical information, BEFORE giving the forms to your Diabetes Health Care Team.

We will not accept BLANK FORMS & WILL RETURN all blank forms sent to us.  AFTER PARENTS HAVE COMPLETED THE FORMS please send them to us for review and signature before AUGUST 1.   

Examples of forms that may be needed are:

  • Medication Authorization Form(s)
  • Individual Health Plan (We do not write health plans, but we will review and sign them)
  • Athletic Physical Forms

You may mail or fax completed forms to:

UIHC – Pediatric Endocrinology and Diabetes
Attn:  Diabetes Nurses
200 Hawkins Dr, 2857 JPP
Iowa City, IA 52242
Fax:     319 356 8170 (Attn:  Diabetes Nurses)

Forms will be returned to school or home by fax or mail within ten business days.  If you want us to mail it, please include a stamped self addressed envelope.

If you have questions, you may contact us at 319-356-7337 or by e-mail:
pediatric-diabetes-nurses@uiowa.edu


 

 

 

 

 


Immunizations
: The Iowa Immunization Law requires that parents of all children attending schools in Iowa provide written proof of immunizations. No Child May Attend School without a Certificate of Immunization, except under circumstances outlined or specified in the State of Iowa laws or codes.

Immunizations are state required entering Kindergarten and the T-Dap Booster at 7th grade and above. These must be done before school begins and proof brought to the nurse.

The Iowa Department of Public Health, Bureau of Immunization, is requiring a one-time booster dose of tetanus, diptheria, and acellular pertussis-containing vaccine for applicants in grades 7 and above, if born on or after September 15, 2000; regardless of the interval since the last tetanus/diphteria containing vaccine. This rule change was effect January 16, 2013 and will be implemented at the beginning of the upcoming 2013-2014 school year.

For more information click on the following PDFs:


Food Allergy, Anaphylaxis, and Special Dietary Need

Food allergies and severe and life threatening reactions to food allergies are a concern within the school day.  There are also some medical conditions requiring special dietary consideration.  Please see the resources below for assistance. You will need to obtain a signed, physicians order for dietary accommodations if your child has a life threatening allergy or medical condition requiring special dietary consideration.


The Children’s Villages house children age 6 weeks to 5 years of age.

Pre-School Requirements at the Villages:

  • Proof of a current physical (done within a year of registration) on file within 30 days of admittance to preschool. The physical must be done by a M.D., D.O., N.P., or P.A. A physical by a Chiropractor is not acceptable. Students need an updated physical on file every year that they are enrolled.
  • Proof of current immunizations for their age group as regulated by the State of Iowa before they attend school.
  • A medical provider (for emergency purposes)
  • A dentist (for emergency purposes)

Use the 24 months or older guidelines for preschoool children, not the 4 year old elementary guidelines. A few differences between Preschool and Elementary Requirements include:

  • Hib is required in preschool; it is not indicated for persons 60 months of age or older.
  • PCV is required in preschool; it is not indicated for persons 60 months of age or older.
  • Hepatitis B is not required in preschool; it is required in elemenary/secondary.

Vaccines recommended for the 4-6 year group includes:

  • 5th dose DTap
  • 4th dose Polio
  • 2nd dose MMR
  • 2nd dose Varicella
  • Annual influenza vaccine

Other Recommendations:

  • Lead screening at 12 months old then every year after that through 6 years old.
  • Dental exam by age one, and then every year after that.
  • Vision exam at 6 months old, 3 years old, upon entering Kindergarten.

Kindergarten Roundup and School Registration

Forms required:

  • Blood Lead Testing – We do not need the results, just need to know that the test has been done.
  • Proof of Dental Screening-Your child should see the dentist for this screening. Dental forms must be on an Iowa Department of Public Health Screening Certificate which are at the school office.
  • Proof of Vision Screening-Vision cards will be at the school office.
  • Kindergaren Enrollment and Emergency Health Information Form.

Below is a list of forms available upon request:

  • Certificate of Immunization Exemption/Medical and Religious
  • Guidance for Students with Special Dietary Needs (This form is completed by a physician if it is for students with food allergies or food texture modifications.)
  • Medication Administration Form (This form is completed by a physician for meds that have to be given at school.)
  • Certificate of Blood Lead Testing Exemption for Religious Reasons

We strongly encourage all kindergarten students receive a school physical by a licensed physician before entering school.

Hawk-i is a state program which offers low-cost or no-cost health and dental insurance for children in families with incomes too high to quality for Medicaid, but too low to afford private family coverage. Application are available upon request or contact Jennifer Bullock, Coordinator  at (563) 336-3194.


 

Pertussis (Whooping cough)

Back-to-school reminder about Pertussis, 8/28/2012

Whooping cough is a bacterial infection that is spread short distances through the air by droplets when infected people cough. The period of communicability is 21 days if left untreated. The characteristic symptoms, a long series of coughs followed by a whooping noise, are more common in very young children and less common in older children, adolescents and adults. You cannot identify pertussis by the characteristics of the cough alone.

Adults, teens, and vaccinated children often have mild symptoms that mimic the common cold, bronchitis or asthma or present as cough only. There is generally no fever.

It is important that students who have a cough are evaluated before returning to school.  The following procedures for Pertussis-related symptoms will be followed in our schools.

  • Students that present to the health office with a cough will be asked to put on a mask.
  • If the student has an acute coughing illness or the student has been coughing for more than one week the student:
    • Will be instructed to put on a mask immediately.
    • Must be sent home. Please make sure contact phone numbers are up to date.
    • Must be tested for Pertussis.
  • In order to return to school the student:
    • Must have a negative Pertussis test which can take up to 5 days OR
    • Must be on the antibiotics to treat Pertussis for 5 days. They may return to school on the 6thday.
    • A copy of their prescription must be received in the health office upon return.

Please see the fact sheet from the Iowa Department of Public Health and feel free to contact the Scott County Health Department or the school nurse for more information.


Lead Testing, Vision, Hearing, and Dental Screenings

All screenings will be performed on all eligible students unless a written notification is received from the parent or guardian requesting that the screening not be performed (This is called passive consent).

If your student fails a screening done at school, a referral to the appropriate health care provider will be made by the school nurse. If you do not have a care provider or health insurance, please contact the school nurse for assistance.

If your student is not in the identified grades being screened for vision, hearing or dental, you may request that they be screened by contacting the school nurse.

Lead Testing
Lead Testing is required for kindergartners.  Parents or guardians need to confirm this testing has been done but no evidence of Lead Testing is required.

 

 

 

 

 


VISION SCREENING
: The Vision Screenings Act was signed April 25, 2013 requiring elementary parents to provide proof of a vision screening before enrollment into Kindergarten and again before third grade. These screenings may be done by the school nurse or designee for students in grades Kindergarten , 3, 5, and 7 if not done prior to enrollment. Teachers and parents may request a vision screening whenever a problem is suspected.  Results of vision screenings may be obtained from the school nurse.  If the student does not pass the vision screen, a referral letter will be sent home with the student.

Iowa Vision Screening Guidelines

Preschool vision screening is performed by the Lion’s Club and written consent is required (This is called active consent).

 

 

 

 

HEARING TESTS:  All hearing tests in the Davenport Schools are done by the AEA IX Audiologist/Audiometrist.  Testing is done for students in grades Kindergarten-2nd    grade, students with known  hearing loss, and  all students who are new  to the school district.  Parents and teachers may also request that a screening be done whenever a problem is suspected regardless of   the student’s grade.  For students not in the categories listed above, this is accomplished through the referral process which involves filling out a request for screening form obtained from the school nurse.  Results of hearing testing may be obtained from the school nurse or the Audiologist assigned to the child’s building.

DENTAL SCREENING:  Dental screening is required for all Kindergarten and 9th grade students. Parents or guardians of Kindergarten students will be required to provide evidence of a dental screening on an Iowa Department of Public Health Dental Screening Certificate.  The dental screening must be completed no earlier than age three and no later than age 6 by a dentist, dental hygienist, physician, nurse or physician’s assistant. Dental screenings must now be done within 4 months of enrollment.

All incoming 9th grade students must provide evidence of a dental screening on an Iowa Department of Public Health Dental Screening Certificate This screening can be done no earlier than one year prior to the date of enrollment.  This screening must be performed by a dentist or dental hygienist. Dental screenings must now be done within 4 months of enrollment.

 


Pediculosis:  The DCSD follows the procedures and guidelines outlined by the Scott County Health Department recommendations for Head Lice.

DCSD head lice procedure

  • General school or classroom screening is not recommended.
  • Parents/guardian should screen their children weekly.
  • Students will be screened at the discretion of the trained health professional in the school if lice are suspected or as a result of a reported case.
  • Families will be notified by school personnel of the presence of head lice the same day they are detected.
  • With the presence of a single identified case in a classroom, the families of the student’s classmates will NOT be notified.
  • If truancy results from lack of treatment for head lice the school will take appropriate action.

If head lice/nits are identified on a student, the following steps should be taken:

  • The parents will be notified and arrangements will be made for parents to receive instructions on the elimination of the infestation from the school health professional.  Whenever possible, this exchange of information will be in person.  A packet of information will be given to parent or caregiver that includes:
    • Iowa Department of Public Health Pamphlet “Getting rid of Lice”. (1-800-369-2229)  Review treatment steps for days 1-14.
    • Question and Answer sheet
    • Parent checklist
    • Treatment of head lice/parent responsibilities
  • Parents will be strongly encouraged to treat promptly.  Students will be allowed to return to school after proper treatment has begun.  With prompt and thorough treatment a student need only be absent from school for one day.  The school nurse will complete a return to school head check.  Students may be excluded from school if they return to school on the following day and no treatment has begun.
  • Parents will be strongly encouraged to remove all nits.

Please contact the school nurse for assistance.

 

Thank you for visiting the DSCD Health Services Web page.  If you have any questions, please feel free to contact your building school nurse.