DATE ISSUED: 5/8/ of 16 UPDATE 98

Transcription

1 IMMUNIZATION REQUIREMENTS Each student shall be fully immunized against diphtheria, rubella (measles), rubella, mumps, tetanus, and poliomyelitis. The Texas Department of State Health Services (TDSHS) may modify or delete any of these immunizations or may require immunizations against additional diseases as a requirement for admission to any elementary or secondary school. Education Code (a), (b) TDSHS requires students in kindergarten through twelfth grade to have the following additional vaccines, according to the immunization schedules set forth in department regulations: pertussis, hepatitis B, hepatitis A (for students attending schools in high incidence geographic areas as designated by the department), and varicella (chickenpox). TDSHS requires students in seventh through twelfth grade to have the meningococcal vaccine, according to the immunization schedules set forth in department regulations. 25 TAC 97.63(2)(B) Note: For immunization requirements, see TDSHS s Web site at For TDSHS s recommended immunization schedule, see immunize/schedule/schedule_child.shtm. Under Health and Safety Code Chapter 81, Subchapter E, additional vaccinations may be required by TDSHS and/or the local health authority in specific situations under the mechanism of a control order containing control measures. 25 TAC IMMUNIZATION AWARENESS PROGRAM A district that maintains an Internet Web site shall post prominently on the Web site: 1. A list, in English and Spanish, of: a. The immunizations required by TDSHS for admission to public school; b. Any immunizations or vaccines recommended for public school students by TDSHS. The list must include the influenza vaccine, unless TDSHS requires the influenza vaccine for admission to public school; and DATE ISSUED: 5/8/ of 16

2 APPLICABILITY EXCEPTIONS MEDICAL REASONS REASONS OF CONSCIENCE A student who has not received the required immunizations for reasons of conscience may be excluded from DATE ISSUED: 5/8/ of 16 c. Health clinics in the District that offer the influenza vaccine, to the extent those clinics are known to the District; and 2. A link to the TDSHS Internet Web site where a person may obtain information relating to the procedures for claiming an exemption from the immunization requirements. The link must be presented in the same manner as the information provided under paragraph 1. Education Code The vaccine requirements apply to all students entering, attending, enrolling in, and/or transferring to the District. 25 TAC 97.61(a) Immunization is not required for admission to the District: 1. If the student submits to the admitting official: a. An affidavit or a certificate signed by the student s physician (M.D. or D.O.) who is duly registered and licensed to practice medicine in the United States and who has examined the student. The affidavit or certificate must state that, in the physician s opinion, the immunization required is medically contraindicated or poses a significant risk to the health and well-being of the student or any member of the student s household. Unless it is written in the statement that a lifelong condition exists, the exemption statement is valid for only one year from the date signed by the physician. or b. An affidavit signed by the student or, if a minor, the student s parent or guardian stating that the student declines immunization for reasons of conscience, including a religious belief. The affidavit will be valid for a twoyear period. The affidavit must be on a form obtained from the TDSHS and must be submitted to the admitting official not later than the 90th day after the date the affidavit is notarized.

3 school in times of emergency or epidemic declared by the commissioner of state health services. or MILITARY DUTY PROVISIONAL ADMISSION COMPLETION OF VACCINATIONS REVIEW OF STATUS HOMELESS STUDENT TRANSFER STUDENTS MILITARY DEPENDENTS 2. If the student can prove that he or she is a member of the armed forces of the United States and is on active duty. Education Code (c), (c-1), (f); Health and Safety Code (a), (d)(2),.0041; 25 TAC A student may be provisionally admitted or enrolled if the student has begun the required immunizations. The student must have an immunization record that indicates the student has received at least one dose of each age-appropriate vaccine specified in the regulations. To remain enrolled, the student must continue to receive the necessary immunizations as rapidly as medically feasible. The student must complete the required subsequent doses in each vaccination series on schedule and provide acceptable evidence of vaccination to the District. A school nurse or school administrator shall review the immunization status of a provisionally enrolled student every 30 days to ensure continued compliance in completing the required doses of vaccination. If, at the end of the 30-day period, a student has not received a subsequent dose of vaccine, the student is not in compliance and the District will exclude the student from school attendance until the required dose is administered. A student who is homeless, as defined in the McKinney-Vento Homeless Education Act, shall be admitted temporarily for 30 days if acceptable evidence of vaccination is not available. The school shall promptly refer the student to appropriate public health programs to obtain the required vaccinations. [See FD and FDC] A student can be enrolled provisionally for no more than 30 days if he or she transfers from one Texas school to another, and is awaiting the transfer of the immunization record. A military dependent can be enrolled provisionally for no more than 30 days if the student transfers from one school to another and is awaiting the transfer of the immunization record. [See FDD] DATE ISSUED: 5/8/ of 16

4 The collection and exchange of information pertaining to immunizations shall be subject to confidentiality provisions prescribed by federal law. Education Code (e), art. IV, C; 25 TAC 97.66,.69; Atty. Gen. Op. GA-178 (2004) EVIDENCE OF IMMUNIZATION IMMUNIZATION RECORDS A student shall show acceptable evidence of vaccination before entry, attendance, or transfer to the District. 25 TAC 97.63(2) Vaccines administered after September 1, 1991, shall include the month, day, and year each vaccine was administered. The following documentation is acceptable: 1. Documentation of vaccines administered that includes the signature or stamp of the physician or his or her designee, or public health personnel; 2. An official immunization record generated from a state or local health authority, such as a registry; or 3. A record received from school officials including a record from another state. 25 TAC Serologic confirmations of immunity to measles, rubella, mumps, hepatitis A, hepatitis B, or varicella are acceptable. Evidence of measles, rubella, mumps, hepatitis A, hepatitis B, or varicella illnesses must consist of a valid laboratory report that indicates either confirmation of immunity or infection. A written statement from a parent, legal guardian, managing conservator, school nurse, or physician attesting to a child s positive history of varicella disease (chickenpox) or varicella immunity is acceptable in lieu of a vaccine record for that disease. [See the form on TDSHS s Web site at /docs/c-9.pdf]. 25 TAC Not later than the 30th day after a parent or other person with legal control of a student under a court order enrolls the student in the District, the parent or other person, or the District in which the student most recently attended school, shall furnish to the District a record showing that the student has the required immunizations. Education Code (a)(3), (a-1) DATE ISSUED: 5/8/ of 16

5 Each district shall keep an individual immunization record during the period of attendance for each student admitted. The records shall be sufficient for a valid audit to be completed. The records shall be open for inspection at all reasonable times by TEA, local health departments, or the TDSHS. Education Code (a); 25 TAC TRANSFER OF RECORDS ANNUAL REPORT CONSENT TO IMMUNIZATION Each district shall cooperate in transferring students immunization records to other schools. Specific approval from students, parents, or guardians is not required before transferring those records. Education Code (b) The District shall submit annual reports of the immunization status of students, in a format prescribed by TDSHS, to monitor compliance with immunization requirements. All districts shall submit the report at the time and in the manner indicated in the instructions printed on the form. Education Code (c); 25 TAC In addition to persons authorized to consent to immunization under Family Code Chapters 151 (parents) and 153 (conservators), the following persons may consent to the immunization of a child: 1. A guardian of the child; and 2. A person authorized under the law of another state or a court order to consent for the child. Family Code (a) The district in which the child is enrolled may give consent to the immunization if: 1. The persons listed above are not available; and 2. The district has written authorization to consent from a person listed above. Family Code (b)(5) The District may not consent for the child if it has actual knowledge that a person listed above has: 1. Expressly refused to give consent to the immunization; 2. Been told not to consent for the child; or 3. Withdrawn a prior written authorization for the District to consent. DATE ISSUED: 5/8/ of 16

6 Family Code (c) CONSENT BY CHILD DUTY TO PROVIDE INFORMATION FORM OF CONSENT LIABILITY A child may consent to the child s own immunization for a disease if the child is pregnant or is the parent of a child and has actual custody of that child, and the Centers for Disease Control and Prevention recommend or authorize the initial dose of an immunization for that disease to be administered before seven years of age. Consent by a child to immunization is not subject to disaffirmance because of minority. A health-care provider or facility may rely on the written statement of the child containing the grounds on which the child has capacity to consent to the child s immunization. Family Code A district that consents to immunization of a child shall provide the health-care provider with sufficient and accurate health history and other information as set forth in Family Code (e). Consent to immunization must meet the requirements of Family Code (a). [See ] The District has the responsibility to ensure that the consent, if given, is an informed consent. The District is not required to be present when the immunization is requested if a consent form has been given to the health-care provider. Family Code (f),.102 A district consenting to immunization of a child is not liable for damages arising from an immunization administered to a child authorized under Family Code Subchapter B except for injuries resulting from the district s own acts of negligence. Family Code IMPLEMENATION: The parents will provide a current record of state required immunizations for each student prior to enrollment. Immunizations are available to students from local health providers and health departments. The school nurse shall maintain and update these records within the district s data base and screen for needed immunizations throughout the school year. Brady ISD DATE ISSUED: 5/8/ of 16

7 PHYSICAL EXAMINATIONS FFAA REPORTS SEXUALLY TRANSMITTED DISEASES AND HIV PENALTIES EXCLUSION COMMUNICABLE CONDITION DEFINED BY RULE COMMUNICABLE DISEASE DESIGNATED BY COMMISSIONER School authorities, including the Superintendent, principal, teacher, school health official, or counselor, shall report to the local health authority those students attending school who are suspected of having a notifiable condition, as defined by state law and the Texas Department of State Health Services (TDSHS). If there is no local health authority appointed or if the District is outside the jurisdiction of a local health authority, the report shall be made to the regional director. 25 TAC 97.2(d),.5(a); Health and Safety Code A local school authority shall report a child attending school who is suspected, based on medical evidence, of having a sexually transmitted disease (STD) and/or is an HIV-exposed infant in accordance with 25 Administrative Code If the local school authority, or an individual listed under 25 Administrative Code (1), (3), or (4), does not make the required report, an individual listed under 25 Administrative Code (2), including a professional nurse, a health professional, a peace officer, and a parent or guardian, must report a person who has or is suspected of having an STD and/or is an HIV-exposed infant. 25 TAC 97.5(a)(3),.132(2), (5) [See FFG(LEGAL) regarding reports to the Department of Family and Protective Services] School authority means the Superintendent or the Superintendent s designee. Health and Safety Code (10) A person commits a Class B misdemeanor if the person knowingly fails to report a reportable disease or health condition under Health and Safety Code Chapter 81, Subchapter B. Health and Safety Code A principal shall exclude from attendance any child having or suspected of having a communicable condition listed in 25 Administrative Code 97.7(a) until the readmission criteria for the condition are met. 25 TAC 97.7(a) A principal shall exclude from attendance any child having or suspected of having a communicable disease designated by the commissioner of health as cause for exclusion. Any child excluded DATE ISSUED: 5/8/ of 16

8 for reason of communicable disease may be readmitted, as determined by the health authority, by: 1. Submitting a certificate of the attending physician, advanced practice nurse, or physician assistant attesting that the child does not currently have signs or symptoms of a communicable disease or to the disease s non-communicability in a school setting; 2. Submitting a permit for readmission issued by a local health authority; or 3. Meeting readmission criteria as established by the commissioner. 25 TAC 97.7(b) (c) Note: The TDSHS Recommendations for the Prevention and Control of Communicable Diseases in a Group-Care Setting, including the Communicable Disease Chart for Schools and Child-Care Centers, detailing symptoms and treatment information regarding several diseases, as well as exclusion and readmission criteria, is available at e/resources/. BACTERIAL MENINGITIS TEA shall prescribe procedures by which each district shall provide information relating to bacterial meningitis to its students and their parents each school year. The procedures must ensure that the information is reasonably likely to come to the attention of the parents of each student. The agency shall prescribe the form and content of the information. With the written consent of TEA, the District may provide the information to its students and their parents by a method different from the method prescribed by the agency if the agency determines that method would be effective in bringing the information to the attention of the parents of each student. Education Code DATE ISSUED: 5/8/ of 16

9 STUDENT ILLNESS 1. Procedures shall be established by the administration to ensure that proper attention is given to any student who becomes ill during the course of a school day. ACCIDENTS INVOLVING STUDENTS EMERGENCY TREATMENT FORMS PURCHASING MEDICATION ADMINISTERING MEDICATION PROVIDED BY PARENT DATE ISSUED: 5/8/ of Emergency procedures shall be established by the administration to ensure proper attention for any student injured at school. Records shall be maintained on all accidents that require the attention of a medical doctor. 3. Each year, students and parents shall complete and sign a form that provides emergency information and authorizes school officials to obtain emergency medical treatment, as provided by law. 4. The District shall not purchase nonprescription medication to administer to a student. No employee shall give any student prescription medication, nonprescription medication, herbal substances, anabolic steroids, or dietary supplements of any type, except as provided in (EXHIBIT) and as provided below. 5. Employees authorized by the Superintendent or designee may administer to students: 4. Prescription medication in accordance with legal requirements, for a period of up to 15 days. [See (LEGAL)] A written request by the parent and a physician or other health-care professional with authority to write prescriptions shall be required when the medication must be administered or must be kept at school for a longer period. As required by law, all prescription medication shall be labeled in English and shall include the student s name, the dosage, the date of the prescription, and the name of the prescribing health-care provider. 5. Nonprescription medication, upon a parent s written request, when properly labeled and in the original container. A written request by the parent and a physician or other health-care professional with authority to write prescriptions shall be required when the medication must be administered or must be kept at school for more than 15 days. As required by law, nonprescription medications shall be labeled in English and must be approved by the Food and Drug Administration. The parent/guardian permission note must

10 include the time, interval, and dosage appropriate for the age and weight of the student. PSYCHOTROPICS 1. Except as permitted by Education Code , an employee shall not: Recommend to a student or a parent that the student use a psychotropic drug; Suggest a particular diagnosis; or Exclude the student from a class or a school-related activity because of the parent s refusal to consent to psychiatric evaluation or examination or treatment of the student. DATE ISSUED: 5/8/ of 16

11 Brady ISD STUDENT WELFARE FFA 1) GENERAL REQUIREMENTS 2) DEVELOPMENT OF GUIDELINES AND GOALS 3) NUTRITION GUIDELINES 4) COMPETITIVE FOODS 1. DEFINITIONS School day shall be the midnight before to 30 minutes after the official school day. DATE ISSUED: 5/8/ of 16 The purpose of the District wellness policy is to identify nutrition and physical activity goals and nutrition standards to: Educate students by providing knowledge and skills that promote health; Equip students to be physically active and to adopt healthy nutrition choices; and Prepare students to Excel in achieving their academic potential as productive lifelong learners. The District shall follow nutrition guidelines that advance student health and reduce childhood obesity and shall promote the general wellness of all students through nutrition education, physical activity, and other school-based activities. Recognizing that nutrition and physical activity enhance education, the District is committed to providing a positive learning environment that supports the development of lifelong wellness practices. The District shall develop nutritional guidelines and wellness goals in consultation with the District school health advisory council (SHAC) and with involvement from representatives of the school administration, the Board, school food service, school health services, parents, students, and the public. The District shall ensure that nutritional guidelines for reimbursable school meals shall be at least as restrictive as federal regulations and guidance, and that all foods available on each campus are in accordance with the Texas school nutrition policies found in the Texas Agriculture Code. All elementary and intermediate schools shall comply with the competitive food guidelines described below. Competitive food shall mean any food provided to students outside of the school meal program.

12 2. TIME AND PLACE RESTRICTIONS 3. FOODS SOLD 4. EXEMPTIONS FOR SCHOOL EVENTS 5. EXEMPTIONS DURING STATE TESTING 6. EXEMPTIONS FOR FIELD DAY 7. EXEMPTIONS FOR FIELD TRIPS, ATHLETIC, UIL, BAND, AND OTHER COMPETITIONS 5) OTHER GUIDELINES Elementary and intermediate school campuses shall not serve competitive foods, or provide access to them through indirect sales, to students anywhere on the school campus from 30 minutes before to 30 minutes after meal periods except for those foods made available by the food service department. All foods sold to students on campus during the school day shall comply with the nutrition standards established by the United States Department of Agriculture s (USDA s) Smart Snacks in School guidelines. Each campus shall be allowed five free days during which the entire campus shall be exempt from the competitive food guidelines in this wellness policy. The dates of the five free days shall be submitted to the child nutrition director prior to the first day of school each year. Any food item sold to students on these days must still comply with the USDA s Smart Snacks in School guidelines. Competitive food guidelines shall not apply to students who are participating in state testing. Only students participating in state testing shall be exempt from these guidelines. Any food items sold to students on these days must still comply with the USDA s Smart Snacks in Schools guidelines. Competitive food guidelines shall not apply to students who are participating in a field day activity. Only students participating in the field day activity shall be exempt from these guidelines. Any food items sold to students on these days must still comply with the USDA s Smart Snacks in Schools guidelines. Competitive food guidelines shall not apply to students who leave campus for campus-approved field trips or to travel to athletic, UIL, band, or other competitions. The school day shall be considered to have ended for these students. School activities, athletic functions, and the like, that occur after the normal school day shall not be covered by this policy. In addition to the legal requirements, the District shall: Article I. Ensure all foods and beverages provided or sold to students during the school day comply with the state and local food safety and sanitation regulations. Article II. nutritious snacks. Provide teachers with education regarding DATE ISSUED: 5/8/ of 16

13 1) WELLNESS GOALS 2) NUTRITION EDUCATION 1) PHYSICAL ACTIVITY Article III. Ensure that food is not withheld from students as punishment. Article IV. Ensure that all foods sold for schoolsponsored fund-raising activities comply with the USDA s Smart Snacks in Schools guidelines. The District has adopted, in accordance with law, CATCH, a coordinated health program with a nutrition education component [see EHAB and EHAC] and uses a health course curriculum that emphasizes the importance of proper nutrition [see EHAA]. In addition, the District establishes the following goals for nutrition education: Article V. Students shall receive nutrition education that fosters the adoption and maintenance of healthy eating behaviors, including information concerning liquid intake during exercise. Article VI. Nutrition education shall be a Districtwide priority and shall be integrated into other areas of the curriculum, as appropriate. Article VII. Staff responsible for nutrition education shall participate in professional development activities. Article VIII. The District shall continue to use CATCH, a coordinated school health program, in accordance with state guidelines. Article IX. Educational nutrition information shall be shared with families and the general public to positively influence the health of students and community members through the District s website, PTA newsletters, and the school marquees. Article X. The school tower gardens shall remain under the school nutrition department care. The school nutrition department will partner with various grade levels to provide opportunities for planting, harvesting, taste testing, maintaining and tours. The produce that is harvested shall be used to enhance the cafeterias fresh produce. Documentation of all tours and harvests must be maintained along with pictures of student participation. The District has adopted, in accordance with law, CATCH, a coordinated school health program with physical education and physical activity components, and offers at least the required amount of physical activity for all grades [see EHAB and EHAC]. DATE ISSUED: 5/8/ of 16

14 DATE ISSUED: 5/8/ of 16 In addition, the District establishes the following goals for physical activity: Article XI. The District shall provide an environment that fosters safe and enjoyable fitness activities for all students, including those who are not participating in competitive sports. Article XII. Physical education classes shall daily emphasize moderate to vigorous activity on all BISD campuses. Programs will include Fitness grams, Ready Bodies, Fun run feet to encourage participation by students in the district. Article XIII. Students shall be encouraged to drink water prior to, during, and following physical activities. Students will be encouraged to bring extra water during events with prolonged physical activity such as field days. Article XIV. Before school and after school physical activity programs will be offered to all students in the district and students will be encouraged to participate. Programs including morning workout programs, punt, pass and kick competitions and activities with big brother/big sister programs will provide opportunities for students to be physically active. Article XV. Teachers and other school staff will receive training throughout the school year thru wellness s/challenges, SHAC meetings, CATCH curriculum to help promote enjoyable life-long physical activity for themselves and students. Article XVI. The District shall continue to use CATCH, a coordinated school health program, in accordance with state guidelines and will integrate physical activities where appropriate in daily curriculum in the classroom. Article XVII. Time allotted for physical activities shall be consistent with state standards. Article XVIII. The District will encourage parents within the district to support their children s participation in physical activity thru information sent home in weekly newsletters, volunteer opportunities in Field Day and Class Olympics. Article XIX. The District will encourage students, parents, staff and community members to use the District s recreational facilities that are available outside of the school day by allowing access for the community to the track facility, playgrounds and to en-

15 courage Brady Youth Sports Foundation the opportunity to utilize the recreational facilities of the school district for practices and games. 1) SCHOOL- BASED ACTIVITIES 1) HEALTH SERVICES PROGRAM 2) IMPLEMENTATION The District establishes the following goals to create an environment conducive to healthful eating and physical activity and to express a consistent wellness message through other school-based activities: Article XX. Sufficient time shall be allowed for students to eat meals in lunchroom facilities that are clean, safe, and comfortable. Article XXI. shall be promoted. Employee wellness education and activities Article XXII. Wellness education for students and their families shall be promoted. Article XXIII. Each school shall establish a wellness committee to develop and implement wellness goals for the campus instructional improvement plan. The District shall establish, maintain, and periodically evaluate a health services program that is coordinated with other student services and related instructional programs to focus on health-related needs of students and their families. The District program shall maintain liaison with community health resources. Nothing in this policy shall be construed to suggest establishment of school-based health clinics in the District. The coordinator for health/physical education, collaborating with the District wellness committee and the SHAC, shall oversee the implementation of this policy and shall develop administrative regulations for periodically measuring the implementation of the wellness policy. The SHAC shall serve as an advisory resource in the implementation of the wellness policy and the principal or designee of each school shall ensure compliance with the wellness policy. DATE ISSUED: 5/8/ of 16

16 DATE ISSUED: 5/8/ of 16