ANA on the FrontlineFrom the Ethics InboxLegal & Ethics

Navigating competing ethical and civil-legal obligations

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By: Response by Ian D. Wolfe, PhD, RN, HEC-C

I’m a school nurse at an elementary school where I’ve cared for a student with an ongoing illness who now has been enrolled in hospice. Part of the child’s plan of care includes a do not attempt 
resuscitation (DNAR) order. The school district is 
refusing to honor this order. What can I, as a nurse and employee of the district, do for this child?

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