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Managing DNR requests in the school setting

C C Costante1

  • 1Office of Health Services, Baltimore County Public Schools, Towson, Maryland, USA.

The Journal of School Nursing : the Official Publication of the National Association of School Nurses
|February 13, 1999
PubMed
Summary

School districts face Do Not Resuscitate (DNR) orders for students with serious medical needs. School nurses must lead policy development and implementation for these critical medical decisions.

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Area of Science:

  • Pediatric Healthcare
  • Medical Ethics
  • School Nursing Policy

Background:

  • Increasing prevalence of students with serious medical conditions in educational settings.
  • Need for clear protocols regarding Do Not Resuscitate (DNR) orders within schools.
  • Legal and ethical complexities surrounding DNR orders for minors.

Purpose of the Study:

  • To examine the current national landscape of Do Not Resuscitate (DNR) policies in schools.
  • To identify key legal considerations for implementing DNR orders in educational environments.
  • To outline critical issues for school nurses managing DNR orders.

Main Methods:

  • Review of existing state and district-level Do Not Resuscitate (DNR) policies.
  • Analysis of legal frameworks pertaining to medical decision-making for students.
  • Identification of practical challenges and best practices for school-based DNR management.

Main Results:

  • Significant variation exists in current national Do Not Resuscitate (DNR) policies for schools.
  • Legal considerations involve parental rights, student assent, and healthcare provider responsibilities.
  • Effective management requires clear communication, standardized procedures, and nurse leadership.

Conclusions:

  • School nurses are pivotal in establishing and executing Do Not Resuscitate (DNR) policies.
  • Comprehensive policies must address legal, ethical, and practical aspects of DNR orders in schools.
  • Proactive leadership by school nurses ensures student safety and adherence to medical directives.
Keywords:
Death and Euthanasia

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