Healthy children are optimal learners. The District Nurse works with students, families, staff and the community to ensure that children's health needs are met so that they can attend school and be healthy and ready to learn. Student services include a variety of supports for students to help eliminate any barriers to learning that a student may encounter over the course of their pre-kindergarten to 12th-grade education. These supports are for both students and families and include services provided in collaboration with community agencies.

Ways to Prevent the Spread of Viruses


*after using bathroom *before every meal or snack

*after recess and PE *after coughing, sneezing, or blowing nose

*after handling garbage or animals

2. Keep hands to yourself

3. Cough or sneeze in your elbow

4. Use tissue to blow your nose, throw tissue in garbage, wash hands

5. Use a napkin at lunch, not your pants/shirt

6. Avoid touching your nose, eyes, and mouth

7. Use your own supplies when possible

8. Drink plenty of water (OK to carry water bottle when needed)

9. Get some fresh air and daily physical activity!

Too Sick for School

Each day parents are faced with a decision: should they keep their student home or send them ill to school. A student should remain home when he or she:

  • Vomits or has diarrhea within the last 24 hours
  • Has oral temperature higher than 100.0 degrees
  • Coughs almost constantly or complains of difficulty breathing

Keeping a sick student home prevents the spread of illness at school. It allows the student opportunity to rest and recover. A ill student cannot learn effectively and is unable to participate in a meaningful way.


In accordance with the State of Iowa and Howard County Departments of Public Health, Howard-Winneshiek CSD has implemented a plan that will support families by emphasizing prevention, early detection, and education in the management of head lice.

Family involvement is very important in preventing head lice outbreaks and families must actively participate at home in the treatment of head lice. Our goal is to support families and keep students in school.

Students with head lice will not be excluded from school. Treatment is recommended before returning to school.

For more information visit the Iowa Department of Public Health websiteOpens a New Window. or the Centers for Disease Control and Prevention websiteOpens a New Window.


Just an important reminder regarding ALL medications including over the counter medications  (i.e. Tylenol, Ibuprofen, cough or allergy medication, cough drops etc) per our school board policy, Student Medication Administration,  “Medication shall be administered when the student’s parent or guardian provides a signed and dated written statement requesting medication administration, AND the medication is in the original labeled container, either as dispensed or in the manufacturer’s container.”  With the start of a new school year approaching, PLEASE make sure a medication form is signed and that you supply any medication your child may need.  If you have any questions, please feel free to contact the office. 712-663-4313.

Click this link for Health Forms

Health Care Requirements for Kindergarten Entry (Eye exam also needed for 3rd grade)

Listed below are Kindergarten requirements needed before the start of school!

*      Lead testing: All Iowa children must have proof of a blood lead test before starting kindergarten

*      Dental screening: Children entering kindergarten need one screening or dental exam completed

*      Eye screening: Children entering kindergarten and 3rd grade need one screening or exam completed

*      Physical Exam: recommended yearly for all children of elementary school age

*      Immunizations:  Routine immunizations are given after four years of age but before school entry. These immunizations include: the MMR, DTaP, Varicella, and Polio vaccinations. Please check with your primary health care provider or local public health for a review and update of immunizations to meet school-age requirements.

If you have any questions regarding health requirements or how to access services, please call Lori Hoch, RN, at Crawford County Home Health, Hospice, and Public Health at 712.263.3303.


Forms can be picked up at the school offices or Click this link: Health Forms

  • Applies to Kindergarten
  • Screening must occur no earlier than age 3 but prior to age 6
  • Screenings can only be performed by: dentist, dental hygienists, physicians, nurses, or physician assistants


  • Applies to 9th grade                             
  • Screening must occur within previous year of enrollment
  • Screening can only be performed by: dentist or dental hygienists

Iowa Department of Public Health 1-866-528-4020



                                                            Reminder of other requirements:  

  • The Iowa Department of Public Health administrative requires tetanus, diphtheria, and pertussis (Tdap) vaccines for students enrolling in 7th grade. The change will require a one-time booster dose of tetanus, diphtheria, and acellular pertussis -containing vaccine for applicants in grades 7 and                  above, if born on or after Sept. 15, 2000. For more information go to IDPH Bureau of TB & immunization website.
  • • Senate File 419 Vision Screening:  Students should be screened for vision impairments at least once before enrollment in kindergarten and again before third grade.

..          Meningitis- students are required to have been vaccinated ONCE prior to 12th grade IF they rec’d first   dose AFTER age 16.  TWICE IF they rec’d first dose PRIOR  to  AGE 16…..

  • • Background checks will be done on all school employees and every five years after.
  • • School physicals before the kindergarten year and for extra curricular activities

Medication Authorization

The parent or guardian or other responsible adults must deliver the medication directly to the nurse or principal. Controlled substances must be counted with the nurse or in her absence, the principal, at the time of delivery.

Medications must be brought into school in an original over-the-counter container or an original pharmacy container labeled with the name of the student, name of prescribing physician, date of original prescription, name, and strength of medication and directions for administering. No more than a 45 school day supply of medication will be kept in school.

Administration of Medication at School

The State of Iowa has definitive regulations regarding the administration of medication in schools. If it is necessary for your child to take medication during school hours, these are the steps for you to follow to facilitate the procedure and to meet the State regulations:

The prescribing physician or dentist, licensed to practice in this or any other state, or advanced practice registered nurse (APRN) or physician assistant (PA), must submit a written order for each medication. Forms for these orders are available from the school's health office.