7. Annual health fitness screening outcomes for grade levels as appropriate.

Transcription

1 WELLNESS REGULATION IMPLEMENTATION AND MONITORING The District Coordinated School Health Committee and the School Health Advisory Council (SHAC) comprised of the District Instructional Services in conjunction with Health Services, Food and Child Nutrition Services, Physical/Health Education, Parental Involvement and Communications Departments shall provide guidance and act in an advisory capacity for oversight of the Student Wellness Regulation. The Superintendent of Schools or designee will ensure compliance with established District wide wellness policies. The Coordinated School Health Committee shall advise administration with recommendations for the development of administrative procedures for periodic measurement of progress on implementation and goal achievement as stated in the wellness policy [ (Local)]. The Superintendent of Schools or designee will provide an Annual Report to the Board of Trustees on the Wellness Policy Initiatives to include: 1. Integration of a standardized health curriculum program that incorporates nutrition education; 2. Teacher training to ensure classroom implementation of the required health education standards; 3. Promotion of physical activity initiatives; 4. School menus information; 5. Wellness Policy Scorecard for each campus [ (Exhibit)]; 6. Youth Risk Behavior Surveys (YRBS) conducted biannually; and, 7. Annual health fitness screening outcomes for grade levels as appropriate. The District Wellness Policy and Regulation will be reviewed and updated by the District Coordinated School Health Committee and the School Health Advisory Council (SHAC) as needed, but no less than bi-annually. NUTRITION EDUCATION The District shall implement a state approved healthy curriculum as part of the Coordinated School Health Program that emphasizes the importance of proper nutrition. Additionally, the District shall establish the following goals for nutrition education: DATE ISSUED: 8/25/ of 12 -X

2 1) maintenance of healthy eating behaviors; 2) nutrition education integrated at all levels across the curriculum; 3) professional development activities to prepare teachers to effectively deliver scientific-based nutrition information; 4) coordinated nutrition messages in the cafeteria and school community; 5) family and school community material to positively influence the health of students and community members; and, 6) adhere to state and federal guidelines and USDA Biosecurity Guidelines for School Foodservice. NUTRITION GUIDELINES AND ENVIRONMENT The Coordinated School Health Committee (CSHC) shall recommend age-appropriate guidelines for healthy food and beverage choices during the regular and extended school day that follow Healthier US School Challenge criteria, Dietary Guidelines for Americans, and meet federal, state and local nutrition and health requirements [See COB (Regulation)]. The goal is to create a healthy school environment that encourages and reinforces healthy eating and shall not be dependent on revenue from high fat, low-nutrient dense foods to support school programs. The following goals were established to create a healthful eating and physical activity environment: 1. Meal time schedule based on enrollment, cafeteria serving and seating capacity to minimize wait time and allowing sufficient time to eat. 2. Minimum recommended eating time after being served: a. 10 minutes for breakfast b. 20 minutes for lunch 3. Schedule lunch as close to midday as possible with special consideration of time between meals for the elementary students. 4. Dining room facilities are maintained for safety, cleanliness, comfort, and provide for adequate seating. 5. Students are always provided an opportunity to eat, even if meetings or activities are scheduled during meal time. 6. Hand washing is facilitated. DATE ISSUED: 8/25/ of 12 -X

3 7. Water is available during meals and encouraged throughout the day. FOOD SAFETY AND SECURITY COMPETITIVE FOODS USDA Biosecurity Guidelines for School Foodservice shall be followed to ensure food and facility safety and security. Hazard Analysis and Critical Control Points (HACCP) plans and guidelines shall be implemented by the Food and Child Nutrition Services to maintain food safety. Access to food service facilities shall be limited to authorized personnel [See GKD (Regulation)]. Ice machines must be secured and handled by authorized personnel, to prevent cross contamination and risk of tampering [ (Exhibit)]. All foods made available on school campus shall comply with state and local food, safety, and sanitation regulations. Individually packaged items from approved vendors are recommended for safety and sanitation purposes. Competitive Foods are defined as foods and beverages sold or made available to students that compete with the school s operation of the National School Lunch Program, which includes the Seamless Summer Option and After School Care Program, and/or School Breakfast Program. This definition includes, but is not limited to, food and beverages sold or provided in vending machines, in school stores, or as part of school fundraisers [ COB (Regulation)]. Competitive foods are not allowed in elementary schools during the regular or extended school day, if state or federally funded. Competitive foods are allowed thirty minutes after the end of the last lunch period in middle school. High school competitive foods are not allowed before school or during meal periods with exception of the Career and Technology Education Marketing Stores. All competitive foods sold in permitted Career and Technology Marketing Stores and vending machines or given away must comply with state and federal nutrition standards and portion size limits [COB (Regulation)]. FUNDRAISING ACTIVITIES School fundraisers include food sold by school staff, students, student groups/clubs, parents or parent groups, or any other person, company or organization, and/or affiliated organizations, must comply with State and Federal competitive food rules in time, place, portion size, nutrient content as well as Healthier US School criteria during the regular and extended school day if state or federally funded. These groups/organizations are encouraged to engage in fundraisers that reinforce healthy behaviors. DATE ISSUED: 8/25/ of 12 -X

4 VENDING MACHINES CONCESSIONS INSTRUCTIONAL USE CLASSROOM CELEBRATIONS REWARDS AND INCENTIVES Companies providing vending machines to District schools are required to comply with Wellness policy and regulations on competitive foods including nutrition standards, hours of operation and placement of machines. Campuses are encourages to follow Wellness Policy and Regulation at all times and in all locations that are not regulated by the Wellness Policy or Regulation. See [COC (Regulation)] for further managerial requirements for vending machines. Concessions at school-related events outside the school day are encouraged to include healthy options, to offer plain water and limit portion sizes to those recommended in state and federal nutrition standards and Healthier US School criteria. Food may be used for instructional purposes as long as they are not foods of minimal nutritional value (FMNV Food provided to students as part of a cultural heritage event for instructional or enrichment purposes are allowed. FMNV may not be given during meal times in areas where school meals are being served or consumed, and regular meal service must continue to be available to all students in accordance with federal regulations. While allowed, this should be on an occasional basis. Foods restricted by foods of minimal nutritional value are permitted for classroom student birthday parties. These must be scheduled after the end of the lunch period for the designated class, so that they do not replace a nutritious meal. Campus procedures on these events may be more restrictive than the regulation. Food and beverages shall not be used as a reward or withholding as a punishment, with the exception of such specification in a student s individualized education plan (IEP) or 504 Accommodation Plan. AFTER SCHOOL PROGRAM SNACKS Sale of competitive food is not allowed during any meal period, including when after school snacks are served, if state or federally funded. When allowed, all competitive foods for sale outside of the school meals program during the regular and extended school day must meet the state and federal nutrition standard and Healthier US School criteria. ADDITIONAL HEALTHY DATE ISSUED: SNACK 8/25/2008 IN- 4 of 12 FORMATION -X

5 Elementary school students may be provided one healthy snack per day outside of designated meal time, to include standardized achievement test days. The snack must comply with state and federal nutrition standards and may not be a food of minimal nutritional value. Packaged snacks must be in single size servings. Parents may provide their own child(ren) with snacks during the school day with no restrictions. DISTRICT EXEMP- TION DAYS SCHOOL MEALS NUTRITION PROMO- TION Foods of minimal nutritional value and other restricted foods are allowed on three District identified days per year. The identified days are the last day of October or the preceding Friday, the last day before Winter Break and Valentine s Day or the preceding Friday. These snacks may not be allowed during meal times in areas where schools meals are being served or consumed. Regular meal service must continue and be available to all students on the three designated days. The Dallas ISD Food and Child Nutrition Services will provide school meals to students each day that school is in session, as well as a la carte items consistent with the state and federal regulations as well as the meet the Healthier US Schools criteria and adhere to or exceed USDA Food Security Guidelines. Healthy eating promotion activities may include visual cues, marketing materials, food service line placement, and incentives to encourage healthy food selection. In addition, wellness information will also be promoted at school activities. HEALTH EDUCATION The District Health and Physical Education Department shall implement in accordance with the law, a Coordinated School Health Program to include Health Education consistent with nutrition, exercise, and prevention. Campuses will utilize Health Education Curriculum Planning Guides to deliver sequential and developmentally appropriate curriculum that includes state requirements [EHAA (LEGAL), EHAA (LOCAL), and EIF (LOCAL)]. The Health and Physical Education and Health Services Departments will coordinate teacher and nurses sharing of data results. The District will encourage parents to support their children s participation in physical fitness activities, to be active role DATE ISSUED: 8/25/ of 12 -X

6 models, and to include physical activity in family events. The District will recommend time management strategies and ageappropriate sleep requirements. The District will promote assistance/resources in stress reduction and/or management. Health Education will provide and encourage peer education that encourages positive life style changes that help students with energy balance between calorie intake and energy expenditure. PHYSICAL EDUCA- TION The District Curriculum and Instruction and Health and Physical Education Departments shall implement, a Coordinated School Health Program that meets the requirements of the law [EHAB, EHAC, and EIF (LOCAL)]. Physical education and physical activity components shall offer at least the required amount of physical activity for all grades. In addition, the District establishes the following goals for physical activity that fosters safer and enjoyable fitness activities for all students, including noncompetitive activities and special needs students. Physical education curriculum will address lifelong health and wellness in the form of activities that promote such learning and behavior and will not disproportionately emphasize team sports. Campuses will utilize Physical Education Curriculum Planning Guides (CPG) to teach sequential and developmentally appropriate curriculum. Physical education classes will emphasize daily, moderate to vigorous activity at least 50% of class time. PHYSICAL ACTIVITY: OPPORTUNITIES Qualified physical education staff provides developmentally appropriate physical education instruction. Staff development will be available for teachers, coaches, and other identified schools staff designed to promote and encourage, life-long physical activity for themselves and students; to be able to administer CPR/AED, to ensure the capability of handling emergencies. Physical fitness assessments will be conducted annually. [See A] All students in elementary schools should have an opportunity to engage in unstructured recess daily, weather/space permitting, in addition to 135 minutes per week of state-required structured physical activity that is provided in Dallas ISD via three 45-minute Physical Education classes per week. It is recommended that either recess or physical education, but not both, should be scheduled prior to lunch each day, unless medically precluded. Recess may not reduce the required 20 minutes for eating lunch. Recess should be supervised by DATE ISSUED: 8/25/ of 12 -X

7 individuals who have received training on best practices of free play and other relevant issues. The District will encourage all classroom teachers to integrate physical activity into the academic curriculum (e.g., brain breaks, energizers, etc.) where appropriate. The District will encourage students, parents, staff, and community members to use the District s recreational facilities that are available outside the school day. PHYSICAL ACTIVITY: PUNISHMENT Before and after school physical activity programs will be offered and students will be encouraged to participate in a safe monitored area. School and/or community personnel working in the school shall not use physical activity/physical education as punishment; nor will physical activity/education be withheld except for physical health reasons, Individualized Education Plan, or 504 Accommodation Plan implementation [FO(LOCAL)]. HEALTH SERVICES School health services shall be considered as part of the educational program of the students of Texas. These services shall be provided to all students through local education agencies, in accordance with State Board rules, standards established by the Texas State Department of Health, and applicable laws. The District shall ensure appropriate coordination of school health services, other student services, and related instructional programs. The program of school health services shall be maintained in accordance with the following requirements: 1. The school health services program shall be devised and described in accordance with State Board rules and policies approved by the Board. 2. School health services shall be addressed by policies of the Board, and these policies shall address: a. Exclusion and reporting of students or employees who have communicable diseases. [See D] b. Emergency care of the sick. [See C and section 3e following] c. Immunization. [See B] d. Reporting child abuse. [See FFG] DATE ISSUED: 8/25/ of 12 -X

8 e. Authority to make health appraisals of students. [See A] f. Administration of medication by school personnel. [See C] 3. School health services shall include the following special functions designed to enhance and improve the learning process of students: a. Planning, development, and evaluation: In order to make the District school health program more effective, the nurse in each school shall work with the principal and appropriate classroom teachers in planning the local building program for students. The nurse and homeroom teachers shall make a schedule whereby health evaluations may be accomplished with the minimum of interruption to the classroom programs. It may be necessary at times for students to be called from basic subjects in which case the nurse shall notify the teacher in advance and shall limit the student s absence from class to a minimum. Appraisal of the school health program is necessary to measure the completeness and effectiveness of the program. The evaluation should point up its strengths and weaknesses in terms of the degree to which it has met departmental and Districtwide goals. The minimum data base shall be the annual statistical report of health services compiled from Districtwide health professional activities, including the student health assessment activities form. b. Health counseling, which shall be a helping relationship designed to assist students and parents in meeting health care needs, consisting of the following components: (1) Crisis intervention for situations involving drug abuse, suicide threats or attempts, or other indications of acute stress. (2) Health maintenance, providing information and support in coping with illness and disability and consumer options for making health care choices. Health counseling shall be provided to students identified through the health appraisal process, a DATE ISSUED: 8/25/ of 12 -X

9 MENTAL HEALTH RE- LATED ACTIVITIES referral by the principal, teacher, parent, self, or special education department. (2)(3) The District Counseling Services, Psychological and Social Services, Special Education, Youth and Family Centers and departments shall implement coordinated instruction and service delivery of mental health related activities to include: (a) required topical guidance lessons at the appropriate grade levels; (b) respond to referrals for social, emotional and behavioral needs for all students as appropriate and with prior written consent of parent/legal guardian; (c) (d) (e) (f) classroom instruction and counseling service as specified in students Individual Education Plan or 504 Accommodation Plan; family counseling and psychiatric services to any students with prior written consent of parent/legal guardian; staff training on Developmental Assets, HIV, Human Growth and Sexuality and Positive Behavior and Intervention support related topics upon request and as deem appropriate; participate in informational events for students, staff or parents as deemed appropriate; (g) consultation to teachers, students, and parents regarding mental health issues as deemed appropriate; (h) training and implementation of the Suicide Risk Assessment/Risk of Violence Assessment and planning for students who are at risk for suicide or acts of violence; (i) crisis team response to any campus experiencing a death and/or crisis involving student s staff or parents, and, Formatted: Font: Bold DATE ISSUED: 8/25/ of 12 -X

10 (j) bullying prevention activities and respond to request for interventions in accordance with board policy [ FFI (LOCAL)]. c. Screening, which shall be done at prescribed grade levels and with designated student groups. [See A (LOCAL)] d. Prevention and control of communicable diseases: The school nurse staff shall be responsible for maintaining immunization records of protection levels to reduce incidence of preventable diseases and shall follow Texas Department of State Health guidelines for control of diseases not amenable to immunization. Pediculosis and scalp ringworm screening shall be conducted for early identification and control. e. Provision for emergency cases: Temporary and immediate care of the seriously ill or critically injured student shall be administered in the following manner: (1) The nurse or other responsible person shall remain with the sick or injured student at all times. (2) The student s parents shall be contacted by the principal s office. (3) When parents cannot be contacted within a reasonable period of time, Youth Action Center staff shall be contacted to assist in locating a responsible family member. (4) When parents cannot be located, District staff may refer to the emergency form for information about family choice of physician, hospital, and persons who may be called in an emergency. (5) In extreme emergency, the city or county emergency medical service shall be called and the student shall be taken to a hospital emergency room, in accordance with C. The family shall be billed by the city and emergency ambulance service. (6) A copy of the Student Emergency Form shall be taken to the hospital room by a school staff member, in the absence of the parents. DATE ISSUED: 8/25/ of 12 -X

11 (7) When parents cannot be located, a school staff member shall go to the hospital and remain at the hospital with the student until the parent or other responsible family member arrives. (8) In case of emergency, the nurse shall telephone a report of incident to the central school health services as soon as possible. f. Consultation and coordination with other student services and related instructional programs shall focus on the health-related needs of students and their families. The school health service staff shall enhance the educational setting of students by working cooperatively with educators, families, and community agencies. g. Liaison with community health resources: The school health staff shall be familiar with all health and medical resources and shall cultivate a two-way communication and productive work relationship with community personnel. h. Referral with follow-up which is vital to care for acute and chronic health conditions: The nurse shall notify appropriate building staff of students with significant medical defects and health program adjustment. i. Health appraisal of students: The nurse s inspection of the student shall evaluate: head, eyes, ears, nose, mouth/throat, chest/breast, abdomen, musculoskeletal system, skin, nutrition, height, weight, speech, general behavior, and blood pressure. j. Maintenance of student electronic health records: A cumulative, kindergarten grade 12, student health record that serves as a supplement to the student s scholastic cumulative record shall be maintained. Health record entries shall be made only by the nurse or nurse aide staff, and attention shall be given to the quality and authority of all health data entries. [See FL] Electronic health record screens relating to immunizations, vision, and hearing, as well as spinal screening, shall be completed by Health Service personnel. HEALTH ROOM The clinics and all their compartments shall be carefully designed to make them functional in delivering the diverse health services required for students. The objectives of the health program can be most effectively accomplished when use of the clinics is limited to the purpose for which they are intended, namely: DATE ISSUED: 8/25/ of 12 -X

12 1. Emergency care for acutely ill and seriously injured students. 2. Screening procedures necessary to determine health status of the students. 3. Privacy for students being screened and for parents, teachers, and students in conference. Clinics shall not be used for the following: 1. Storage of nonmedical supplies and equipment such as photocopy machines, PTA supplies, etc. 2. Dressing room for school programs or lost and found storage. 3. Office space for data controllers, computer record controllers, office clerks, teacher aides, or other nonhealth personnel. 4. Retreat for discipline cases when physical illness or injury is not involved. 5. Vending machines, coffee pots, or hot plates. 6. Staff lounge or lunch room. 7. Passageway to other facilities. Building managers shall consult with school health services personnel when clinic sites are being built or remodeled. DATE ISSUED: 8/25/2008 REVIEWED: 12 of 12 -X