Madrid Community School
Madrid, Ia. 50156
The community of Madrid will work together to maximize the ability of all students to succeed in society!
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School Nurse - E-mail

Welcome to the Madrid School's Health Page

Dental Exam: A dental screening/or exam is required by the state for all incoming kindergarten and ninth grade students. The school is audited annually to determine our compliance with this recommendation. (download form).

Medication Permission : All medications/medical treatments given at school must be accompanied by a completed and signed medication permission form. All medication (over the counter and prescription) must be in the original container with the student’s name on it. Most pharmacies will provide an additional prescription bottle for use at school. At the secondary level only, some over the counter medications may be given with permission on the annual health update form. For all others the medication form must be used. (download form)

Athletic Physical: All students at the secondary level participating in sports must have a sports physical completed and on file annually. (download form)

Annual Health Update: This form is to be completed on each student enrolled in k-12 each year. It is also found on the back side of the enrollment form in the school’s enrollment packet. The form keeps us informed of health information that may affect a child’s academic success. (download form)

Concussion Form : Students participating in interscholastic athletics, cheerleading & dance and their parents/guardians: must annually sign the acknowledgement and return it to the school. Students cannot practice or participate in those activities until the form is signed & returned. (download form)

Student Asthma Card: Any child diagnosed with Asthma or Reactive Airway Disorder who carries inhalers or uses them at school or during school activities or who has inhalation treatments, must have this form completed and signed by a physician annually. The form provides us with permission for the child to carry the medication themselves and for us to treat. It also gives us guidelines for appropriate interventions for each child (download form)

Food Allergies: Any student with diagnosed food allergies must have both of the forms completed and signed by a physician annually. One form allows the food service staff to provide appropriate substitutes if necessary and the other form provides guidance for health and teaching staff to use in the event the child has an allergic reaction to food. (download form )

Peanut/Tree Nut Free Snacks - Please check the website ( for updates.

Nutrition Education and Promotion - Wellness Policy: The board promotes healthy students by supporting wellness, good nutrition, and regular physical activity as a part of the total learning environment. The school district supports a healthy environment where students learn and participate in positive dietary and lifestyle practices........

Infectious Disease Information: This chart will provide general overview of the most common infections seen in the school. It is not meant to take the place of a physician’s diagnosis, but may be helpful in determining when to seek medical care. (download chart)

Off to College. Many colleges require updated immunizations as part of the enrollment process. Many follow the CDC guidelines. Attached is an overview of those recommendations. (download form)

Vaccinations: Your child will be bringing home information about vaccinations that are available free of charge or at reduced cost. These vaccinations are available at clinics held during school and also during conferences. These include vaccines for influenza, meningitis (Menectra), tetanus, diphtheria, and pertussis (Tdap), and the bacteria that causes cervical cancer (Gardisil). Please complete the paperwork (all areas that need to be filled out are circled) and sign and return to your child’s school. If you have any questions, please call the school nurse at 795-3240.

Immunizations letter: (download letter)

Suggestions for a "Healthy and Happy School Year" from the National Association of School Nurses. (download form)

Links to Visit:

Children Health Topics: Diseases and Conditions
CDC Health and Safety Topics
MyPyramid (Nutrition)
Physical Activity Topics
Overweight and Obesity
• Health Information for Parents (First Aid and Safety)
Sports Injuries
Sport Injury Prevention Tips
Children Health Issues: Conditions
Iowa Department of Public Health
Keep Boone County Healthy
Free health clinics: Click on member clinics to find one near you
Information on mononucleosis
Free dental care offered for low-income families by Story County Dental Clinic
Complete educational, medical and disability evaluations offered by the University of Iowa Hospitals.

There is a new state requirement that ALL students entering 7th grade must have a Tetanus/Diptheria/Pertussis (Tdap) booster beginning 2013-2014 school year.

“There are only two things a child will willingly share—communicable diseases and his mothers age.”
Dr. Benjamin Spock

When to Keep Your Child Home from School
Guidelines from the school nurse:

We at the Madrid Community Schools feel strongly that good attendance is important to your child’s academic success. They have to be at school in order to learn. There also are important health reasons to keep your child home from school. Use the following guidelines to consider if it is appropriate to keep your child home from school. These have been developed from the recommendations of the CDC for exclusion for contagious diseases.

Fever- If your child has a temperature of 100 degrees or higher, DO NOT send them to school, even for just a little while or because you have given them fever reducing medication. Children must be fever free for 24 hours without the use of medication before returning to school.

Vomiting/Diarrhea- If the vomiting or diarrhea happens more than one time in a day, or if those symptoms are associated with an elevated temperature, you must keep your child home. Occasionally small children will vomit if they are anxious or excited. If this only happens once and there are absolutely no other symptoms, then it is possible to have them come to school. If vomiting happens more than one time, then the child should not return to school until they have been symptom free for 24 hours.

Skin Rashes- Any time a rash is associated with a fever, the child should remain home until there is a diagnosis indicating the presence of a communicable disease. Then guidelines for that disease would go into effect. If it is a spreading rash or a rash that has blister-like centers, the child should probably be seen by your doctor before sending them to school.

Sniffles and Coughs- Although it would be nice if all of us could stay home in bed when these symptoms appear, it really isn’t realistic to expect. Use these suggestions to determine if symptoms are bad enough to keep your child home. If the coughing is deep, frequent, has kept the child up most of the night, or is associated with additional breathing difficulties, please consider keeping the child home. Sniffles are a normal part of what we deal with at school, consider keeping your child home if the nasal drainage is heavy and green or yellow in color and the child is complaining of headaches, earaches, or sore throat associated with it. If there is a fever associated with the symptoms, they must stay home until they are fever free for 24 hours.

Ear Infections- Almost as common as colds in children are ear infections. Many children will have mild inner ear infections and will feel fine. For other children a raging inner ear infection can be extremely painful, can affect their balance, and their ability to focus in class. If your child is one of the latter, it might be better to keep them home for their sake. Many physicians no longer prescribe antibiotics for these infections. This is not a contagious disease, so it is up to the parents to make that call as long as the child is not running a fever and is not unduly uncomfortable.

Red Eyes- When the white part of the eye is red and especially when there is drainage or crusting around the eye, it usually means your child has conjunctivitis, also known as pink-eye. It may be just an allergic response, but your doctor is the person who can tell you that. Pink-eye is highly contagious, but easily treated with medication. Your child may return to school after 24 hours of treatment.

Head lice & Scabies- These small insects cause skin irritation that may become very itchy and infected if not treated. They also are contagious in close school quarters, and we seem to see them occur in waves of frequency. Both of these are common in children and do not in any way reflect on the cleanliness of the home environment. We do not advocate expensive or toxic treatments, but we have information available for parents if this condition is present. Please feel free to contact the nurse if you have questions.

Additional information: If you take your child to the doctor during school hours, please be sure to provide the school with the doctor’s note, indicating when the child was seen and if possible the diagnosis. This is beneficial to both your child and the school in meeting academic needs. Always contact the school when your child is going to be absent. If your child has been prescribed oral antibiotics, please be sure the school is aware of that so that they can be on the lookout for side-effects, such as nausea, diarrhea and fatigue. To help prevent these side-effects, consider giving your child either yogurt or a supplement with Lactobacillus acidophilus at home, during and after the course of treatment. It helps keep the intestinal flora balanced.

You are important teachers of your child. When they are ill, stress the importance of lots of fluids, rest, washing hands frequently and coughing into their elbow.

When in doubt about an illness, contact the school to find out if something has been going around or for additional guidance in whether to send your child to school. Our goals are the same. “What is best for your child?”