Western Dubuque Community School District
Address: 310 4th St. SW, PO Box 68 | Farley, IA 52046
Phone: (563) 663-9626
Fax: (563) 744-3093
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Health Services
Thank you for checking in with our District's Health Services web page. Here you will find valuable information provided by the professional nursing staff at Western Dubuque that you can use to educate yourself and your child.
IMPORTANT Vaccination Requirement: 
The Menactra (meningitis) vaccine is required for students enrolling in 7th and 12 grades.

The Iowa Department of Public Health made changes to the Iowa Immunization Law beginning with the start of the 2017-18 school year. This change requires Meningococcal (A,C,W,Y) vaccine for all students enrolling in 7th and 12th grades in addition to previous vaccination requirements.  Students entering 7th grade will also need the Tdap booster (pertussis/whooping cough).

*For students entering 7th grade (born after September 15, 2004), they will be required to have one dose of meningococcal vaccine (after the age of 10) to enter school

*For students entering 12th grade (born after September 15, 1999), they will be required to have two doses of meningococcal vaccine to enter school, or one dose if received when the student was 16 years of age or older.

There is no grace/extension period for this new vaccine requirement, what this means is that the law requires students be excluded from school if they have not received the immunization by the first day of school.

Please contact your healthcare provider as soon as possible to schedule these vaccinations. As a reminder please have your provider send an updated immunization record to school OR bring the updated record to school prior to the start of the school year. 

If questions contact your school’s health office or read additional Meningococcal Vaccine Secondary School Requirement information or Frequently asked Questions about this new requirement.

This No Shot, No School video is another helpful resource.
Administration of Medication to Students:

Students may be required to take prescription and/or over-the-counter medication during the school day. Medication shall be administered by the school nurse, or in the nurse's absence, by a person who has successfully completed an administration of medication course reviewed by the Board of Pharmacy Examiners. The course is conducted by a registered nurse or licensed pharmacist. A record of course completion will be maintained by the school district. All medication must be kept in a secured area of the nurse's office. The exception is for students who have demonstrated competence in administering their medication for asthma or other airway constricting illnesses. These students may possess and self-administer the required medication provided an annual self-administration of medication form is completed and on file in the health office.

Prescription medication will not be administered without the completed Medication Permission Form from the health care provider that includes parental signature. All prescription medication must be in the original container which is labeled by the pharmacy or the manufacturer, with the name of the child, name of the medication, the time of day when it is to be given, the dosage and the duration. When administration of the medication requires ongoing professional health judgment, an individual health plan will be developed by the licensed health personnel, the student, and the student's parents. A written record of the administration of medication procedure must be kept for each child receiving medication including; the date, student's name, prescriber or person authorizing the administration, the medication and its dosage, the name, signature and title of the person administering the medication, the time and method of administration, and any unusual circumstances, actions or omissions. Administration of medication records shall be kept confidential.

A limited selection of over-the-counter medications will be available and administered as needed for students in PreK-12 grades based on student self-assessment. Students who request over-the-counter medication must have written approval from their parent or guardian on file with the school nurse before the student can receive the non-prescribed medication. Annual written parent/guardian approval is required. Parent/guardian contact will be made by the person administering the medication prior to administration, to confirm dosage for students in PreK-6 grades. An administration log of over-the-counter medication will be maintained at each school. Emergency protocol for medication-related reactions will be in place.

Parent Contact Regarding Health Issues:

Periodically parents ask what criteria are used to notify parents that their child was in the health office during the course of the school day. As most of you are aware, we do not have full-time coverage in the health office. Not every child that comes to the health office is seen by the school nurse and students often come to the health office to rest with minor headaches, stomachaches and to take ice packs for bumps and bruises. When it is apparent a child has a significant health problem, every attempt will be made to contact a parent/guardian but you will not be called each time your child is in the health office.

A significant health problem would include the following situations:

· A child who is vomiting

· A child with recurrent diarrhea stools

· A child with a fever 101 or higher

· A child with difficulty breathing

· A child sustaining an injury or other illness that may require medical attention

· A child with a health concern that does not allow them to perform in the classroom similar to their peers per teacher report

· Parent will always be contacted before administering any over-the-counter medications as per school policy

Students will be playing outside during recess and physical education classes and we encourage students to engage in all types of activities. Exercise and a break from class have been proven of benefit for children in many ways both physically and mentally. Similar to outdoor play at home, students here also experience minor bumps, bruises, and scrapes while playing and parents will not be notified of every incident. In most cases we will try our best to contact you if your child experiences a significant bump on the head or face. In the event your child has special health care considerations, this will be taken into account and staff will be instructed on proper procedure via a written Healthcare Plan.

Please understand that with the number of students visiting the health office in a given day it is impossible to contact every parent and may cause problems for some to be repeatedly contacted while at work. We also have non-medical personnel working with students who can not be expected to make medical decisions so often it is a judgment call.

The health and safety of our students is our primary concern and we will do everything possible to keep this a priority in our schools. Together we will continue to work to make our schools a healthy and safe learning environment for all. Feel free to contact your school's nurse if you have any questions.

Physical Exams / Sports Participation:

Students desiring to participate in athletic activities or enrolling in pre-kindergarten or kindergarten shall have a physical examination by a licensed health care provider and provide proof of such an examination to the school district. Athletic physicals and fees for participation in 7-12 sports are due on or before the first day of practice. Forms are available in all school offices and at registration.

There is a risk of being injured that is inherent in all sports. That risk of injury may be severe, including the risk of fractures, brain injuries, paralysis or even death. Because of recent lawsuits around the nation all schools in Iowa are being asked to notify all parents of such risks and make available movies of such injuries for all parents to watch. In addition, all parents must sign a student's participation and parental form (available at the schools) before their son/daughter will be able to participate.


Vision screening is conducted annually for students in grades Kindergarten through 5 and in 7th grade. Hearing screening is conducted for students in grades pre-kindergarten, kindergarten, 1st, 2nd & 7th. Students in other grades with previous known losses, new students and some special education students also are checked. If you do NOT want your child to be screened for vision or hearing, it is your responsibility to notify the school nurse or principal in writing before the screening takes place. Screening for height, weight, and body mass index will also be conducted. You will be notified if your child does not satisfactorily pass a screening test. Again, if you do not wish your child to participate in height/weight/body mass index screenings, parent or guardian must notify either the school nurse or principal in writing at the beginning of each school year. If we do not hear from you, this is considered your consent for participation.

At this time we do not have any confirmed cases of mumps in Western Dubuque and will continue to work with the Dubuque County Health Department, Iowa Department of Public Health (IDPH), and the State Hygienic Lab (SHL) to monitor the situation. Mumps is a contagious disease that is preventable through proper vaccination. The current recommendation is for all Iowans to check their immunization status to make sure two doses of MMR (measles, mumps, rubella) vaccine were received. At this time there is no recommendation for a third dose. If questions arise please contact your health care provider.

Mumps is spread through the air by droplets of saliva from an infected person, typically if the individual coughs sneezes or talks. With exposure to an infected person symptoms usually begin 12-25 days later. Common symptoms are:
• Fever
• Headache
• Muscle aches
• Tiredness
• Loss of appetite
• Swollen and tender salivary glands under the ears or jaw. This can be on one or both sides of the face.

If you develop these symptoms, contact your health care provider for further instructions. For more information regarding the mumps click on the Mumps Fact Sheet link below or visit http://idph.iowa.gov/cade/disease-information/mumps.
Emergency Information:

Emergency information is kept on file for each school-aged child. Parents/guardians need to update the information at registration. Parents/guardians are asked to keep all offices updated during the school year regarding changes in emergency contact information, home address, and home/work phone numbers. Changes in emergency information may also be made via e-mail to Mary Boge at [email protected].

For students taking medication during the school day, Medication Permission Forms should be completed at registration and given to the school nurse or secretary before the first day of classes.


Parents/guardians are asked to notify the school by 8:30 AM if your child is absent. Messages may be left 24 hours a day. Because of safety concerns, phone calls will be made to parents of all absent students not called in by a parent.


Please do not send an ill child to school. Students should be fever free for 24 hours (temperature <101 degrees), without the aid of fever reducing medications, before returning to school. Parents will be notified and students sent home with any of the following: fever over 101°, vomiting, diarrhea, body rash of unknown origin, untreated impetigo or untreated ringworm. Please report all communicable diseases to the school nurse. Following directives issued by the State Department of Health, the school nurse will advise you on when your child may return to school.


In cases of injury at school, every attempt will be made to notify the parents as soon as possible and they will be involved in the decision of whether a student needs further assessment by a healthcare provider. If it is apparent to school personnel that an injury needs immediate medical care EMS may be contacted upon the discretion of the involved school personnel and parents will be notified as soon as possible. When in doubt concerning urgency, we will consider it urgent and contact the healthcare provider or the ambulance.


The Iowa Immunization Law states for any child to attend public or private school in Iowa, or to be home schooled, he/she must be fully immunized against diphtheria, pertussis, tetanus, poliomyelitis, rubella, rubeola, chicken pox, hepatitis B, and other immunizations.

Exemptions from the immunization requirement will be allowed only for medical or religious reasons recognized under the law. The student must provide a valid Iowa State Department of Health Certificate of Immunization Exemption to be exempt.

Pediculosis (Head Lice):

Parents are the key to looking for and treating head lice. Personal hygiene or cleanliness in the home or school has nothing to do with getting head lice. Schools will not do mass screens for head lice but instead will screen on an individual basis or by referral from parents/guardians, or school staff. Families are responsible to carry out the treatment protocol including nit removal. It is also their responsibility to share information regarding lice exposure with school personnel and other close contacts as appropriate.
Source: cdc.gov/parasites/lice/head/schools.html and idph.iowa.gov.
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