Pediatric Do-Not-Attempt-Resuscitation Orders and Public Schools: A National Assessment of Policies and Laws
Kimberly, Michael B.
Forte, Amanda L.
Carroll, Jean M.
American Journal of Bioethics 2005 January-February; 5(1): 59- 65
Some children living with life-shortening medical conditions may wish to attend school without the threat of having resuscitation attempted in the event of cardiopulmonary arrest on the school premises. Despite recent attention to in-school do-not- attempt-resuscitation (DNAR) orders, no assessment of state laws or school policies has yet been made. We therefore sought to survey a national sample of prominent school districts and situate their policies in the context of relevant state laws. Most (80%) school districts sampled did not have policies, regulations, or protocols for dealing with student DNARs. A similar majority (76%) either would not honor student DNARs or were uncertain about whether they could. Frequent contradictions between school policies and state laws also exist. Consequently, children living with life-shortening conditions who have DNARs may not have these orders honored if cardiopulmonary arrest were to occur on school premises. Coordinated efforts are needed to harmonize school district, state, and federal approaches in order to support children and families' right to have important medical decisions honored.
Showing items related by title, author, creator and subject.
A Response to Selected Commentaries on "Pediatric Do-Not- Attempt-Resuscitation Orders and Public Schools: A National Assessment of Policies and Laws" Kimberly, Michael B.; Forte, Amanda L.; Carroll, Jean M.; Feudtner, Chris (2005-01)
Variation in Standards of Research Compensation and Child Assent Practices: A Comparison of 69 Institutional Review Board-Approved Informed Permission and Assent Forms for 3 Multicenter Pediatric Clinical Trials Kimberly, Michael B.; Hoehn, K. Sarah; Feudtner, Chris; Nelson, Robert M.; Schreiner, Mark (2006-05)
Murray, Robert D.; Antommaria, Armand H. Matheny (2010-05)Increasingly, children and adolescents with complex chronic conditions are living in the community. Federal legislation and regulations facilitate their participation in school. Some of these children and adolescents and ...