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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
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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.

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.
Keywords:
Death and Euthanasia

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  • 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.