Do Not Resuscitate/Do Not Intubate (DNR/DNI) Orders Policy

Philosophy:

The District recognizes that it is serving students with complex health needs. The District also recognizes that District staff may be confronted with requests to withhold emergency care of a student in the event of a life threatening situation at school or school activities or be presented with Do Not Resuscitate/Do Not Intubate (DNR/DNI) orders. The purpose of this policy is to provide guidance to District staff and parents or guardians in these situations.

General Considerations:

  1. The primary mission of the school district is education. DNR/DNI Orders are medical documents. School district staff will not accept or honor requests to withhold emergency care or DNR/DNI orders. The school district will not convey such orders to emergency medical personnel.

  2. District staff will provide reasonable emergency care and assistance when a student is undergoing a medical emergency during school or school activities.

  3. District staff will activate emergency medical services (911) as soon as possible when a student is undergoing a medical emergency during school or school activities.

  4. The parent/guardian will be notified of the emergency as soon as possible.

  5. Parents/guardians who request that emergency care be withheld for their child or who present DNR/DNI Orders, shall be advised of and shall be given a copy of this policy.

Special Considerations:

  1. School personnel who are part of the hospital ambulance staff will be considered as school employees during such emergencies and will conduct themselves in accordance with this policy.

  2. The parent/guardian is responsible for contacting the emergency medical personnel and to follow emergency medical personnel requirements for filling and maintaining DNR/DNI orders.

  3. Notwithstanding this school district policy, IEP and Section 504 teams must develop individualized medical emergency care plans for students when indicated in keeping with state and federal law.

Legal References:

  1. 29 U.S.C. § 794 et. seq. (Section 504 of the Rehabilitation Act of 1973)
  2. 42 U.S.C. §§ 12101-12213 (Americans with Disabilities Act)

Policy History:

  1. Originally Adopted -- December 20, 1993
  2. Reviewed/Updated -- July 17, 2000
  3. Reviewed/Updated -- March 4, 2004
  4. Reviewed/Updated -- ___/___/___