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School Nurse Toolkit

Details

The toolkit is a working draft and may change. Questions? Reach out to Melissa Walker at melissa.walker@iowa.gov.

Published on September 11, 2025
; last updated on September 18, 2025

Section 11: The Iowa School Nurse

Table of Contents

Content Information

This section provides the school nurse resources, practice tools, program requirements, and support to promote student health and ensure a safe learning environment.

Book navigation for Section 11: The Iowa School Nurse

  • Bloodborne Pathogen
  • Clinical Laboratory Improvement Amendments (CLIA)
  • Common Childhood Illness Exclusion
  • Contracted Agency Nursing
  • Confidentiality
  • Delegation
  • Documentation of School Nursing Practice & Health Service Delivery
  • Drug & Alcohol Testing to Meet Federal Motor Carrier Safety Administration (FMCSA) Requirements: School Transportation
  • Early Childhood & Preschool Programs (Health Requirements)
  • Evaluator License (School Nurse Standalone)
  • Field Trips
  • Iowa Physicians Order for Scope of Treatment (IPOST)
  • Individual Health Plan (IHP) Development
  • IHP Component: Emergency Action Plan
  • IHP Component: Emergency Evacuation Plan
  • Influenza & Respiratory Disease Absenteeism Voluntary Reporting
  • Mandatory Reporter Training
  • Medicaid Presumptive Eligibility
  • Student Health Conditions (Complex Disease Management)

Book links for Section 11: The Iowa School Nurse

  • Section 9: Student Health Requirements

  • Up

  • Bloodborne Pathogen

Book Navigation Menu

  • Table of Contents
    • Section 1: How to use the School Nurse Toolkit
    • Section 2: Health Service Delivery Roles
    • Section 3: Delegation of Assisted Daily Living Skills (ADLS) by the School Nurse
      • Hand Hygiene
      • Wearing Gloves
      • Oral Care
      • Feeding (Oral)
      • Transfers & Mobility
        • Applying a Gait Belt
        • Slide Transfer Boards
        • Portable Total Body Lifts
        • Sit-To-Stand Devices
        • 1-Person or 2-Person Transfer to a Stationary Surface
        • 1-Person or 2-Person Transfer From a Stationary Surface to a Wheel Chair
        • Using a Walker
        • Using a Wheelchair
        • Assisting a Student On & Off the Bus or Vehicle
        • Range of Motion
        • Diapering
        • Weighing a Diaper
      • Incontinence Care
      • Prompting for ADLS
    • Section 4: Non-emergency Health Services
      • Bed Bugs
      • Bites (Animal & Human)
      • Blisters
      • Brain Health or Behavioral Issues
      • Bruises
      • Diarrhea
      • Ear, Nose & Throat Issues
      • Fever (accompanied by not feeling well)
      • Headache
      • Suspected Traumatic Brain Injury & Concussion Management
      • Head Lice
      • Menstrual Difficulties
      • Oxygen in School Programs
      • Splinters or Embedded Pencil Tips
      • Non-suicidal Self-injurious Behavior
      • Stomach Aches or Pains
      • Tooth Pain
      • Thermal Related Injuries (Heat & Cold Related)
      • Non-emergency Procedures
        • Application or Removal of Prosthetic or Orthotic Devices
        • Blood Glucose Monitoring
        • Carbohydrate Counting
        • Catheterization: Male
        • Catheterization: Female
        • Checking Ketones
        • First Aid Certification
        • Pulse Oximetry
        • Oral Suctioning
        • Vagus Nerve Stimulator
    • Section 5: Emergency Health Services 
      • Emergency Procedures for Illness or Injury
      • Emergency Management & Monitoring For Students with Special Health Needs Requiring Emergency Planning
      • Amputation: Limb or Digit
      • Automatic External Defibrillators (AED)
      • Adrenal Crisis
      • Allergic Reactions or Anaphylaxis
      • Asthma
      • Bleeding (Major or Catastrophic)
      • Blunt Force Injury to Chest
      • Cardiopulmonary Resuscitation
      • Child Abuse & Neglect
      • Choking
      • Fracture
      • Severe Low Blood Sugar
      • Poisoning & Overdose
      • Seizures
      • Shock
      • Suicidal Ideation or Behavior
      • Sickle Cell Crisis
      • Tooth (Permanent) Avulsed
      • Unconsciousness
    • Section 6: School Emergency Response Team (SERT)
      • SERT Activation
      • SERT Kits
      • Emergency Data Sheet
      • Debriefing
    • Section 7: Medicaid
    • Section 8: Medication Administration Delegation by the School Nurse 
      • Procedures for Medication Administration
        • Procedure Definitions
        • Procedures for Self-Administration
        • Procedure for Unusual Circumstance, Medication Action or Omission
        • Procedures for Individual or Population Use of Stock Non-Prescription Medication
        • Procedures for Needles & Sharps Safety
        • Procedures for Medication Emergencies
      • School Nurse Medication Delegation Instructions
      • Course Modules
      • The Medication Delegation Toolkit
      • Medication Labels for the Annual Skills Check
      • General Medication Administration Skills Checklist
        • Handwashing: Completed Before and After Medication
        • Tablets & Capsules
        • Sprinkles
        • Liquid Medication
        • Eye Drops & Eye Ointments
        • Topical Patches
        • Ear Drops
        • Confidentiality, Universal Precautions, Documentation & Reporting
        • Inhalers With or Without a Spacer
        • Epinephrine Auto-Injectors
        • Intravenous Medication Administration by the School Nurse
        • Awareness Training for Voluntary Stock Supply of Emergency Medications
        • Additional Medication and Health Service Modules
          • Rectal Diazepam
          • Intranasal Seizure Medication with an Atomizer
          • Buccal Seizure Medication
          • Insulin Administration by Injection
          • Insulin Pen Injection Skills
          • Insulin Pump Skills
          • Intranasal Medication
          • Glucagon Injection Kit
          • Glucagon Auto-Injector Skills
          • Nebulizer Skills
          • Gastrostomy Tube (GT) Medication & Feeding
          • Other Healthcare Devices
          • Other Topics: Medication Receipt, Storage, Waste & Minimization
          • Supplements
          • Medication on Field Trips
          • Medication Errors
      • Medication Administration Services Continuous Quality Improvement Practice
    • Section 9: Student Health Requirements
    • Section 11: The Iowa School Nurse
      • Bloodborne Pathogen
      • Clinical Laboratory Improvement Amendments (CLIA)
      • Common Childhood Illness Exclusion
      • Contracted Agency Nursing
      • Confidentiality
      • Delegation
      • Documentation of School Nursing Practice & Health Service Delivery
      • Drug & Alcohol Testing to Meet Federal Motor Carrier Safety Administration (FMCSA) Requirements: School Transportation
      • Early Childhood & Preschool Programs (Health Requirements)
      • Evaluator License (School Nurse Standalone)
      • Field Trips
      • Iowa Physicians Order for Scope of Treatment (IPOST)
      • Individual Health Plan (IHP) Development
        • First Steps When Using the Template: Determining the Pages Needed
        • Second Step: Completing the IHP Template
        • Nursing Assessment & Planning
        • Nursing Diagnosis Box
        • Nursing or Delegated Health Service Intervention Box
        • Nursing-Led Outcomes or Student-Led Goals
        • Difficulty Rating Scale
        • Importance Rating Scale
        • Nursing-Led Outcomes
        • Selecting a Goal Domain
        • Revision to Components of the IHP
      • IHP Component: Emergency Action Plan
      • IHP Component: Emergency Evacuation Plan
      • Influenza & Respiratory Disease Absenteeism Voluntary Reporting
      • Mandatory Reporter Training
      • Medicaid Presumptive Eligibility
      • Student Health Conditions (Complex Disease Management)
    • Section 12: School Based Health Centers
    • School Nurse Toolkit Website Links

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