Do Not Attempt Resuscitation (Orders) in School. Position Statement. Revised

It is the position of the National Association of School Nurses (NASN) that schools and districts should establish DNAR policies, protocols, and practices that enable each student to receive best practice care, as designated by clear and specific directives for the individual, throughout the entire course of their condition while they are in school. Each student with a Do Not Attempt Resuscitation (DNAR) order benefits from having an Individualized Healthcare Plan (IHP) and an Emergency Action Plan (EAP), developed by the registered professional school nurse (hereinafter referred to as school nurse). As professionals who bridge education and health and who advocate for students, school nurses work closely with school teams, families, and students' healthcare providers to appropriately meet the special healthcare needs of students with a DNAR. This statement provides the background and rationale for NASN's position. [This Position Statement was initially adopted in 2014 and revised in June 2018.]