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Do Not Resuscitate/Do Not Intubate Orders (DNR/DNI)
Type: School Board Policy
Section: 500 STUDENTS
Code: 518
Adopted Date: 1/11/1994
Revised Date(s): 02/12/2007, 05/09/2011, 06/19/2015, 02/12/2018, 07/13/2021
Reviewed Date(s): 01/11/1994, 12/08/1997, 06/09/2003, 02/12/2007, 05/09/2011, 06/08/2015, 02/12/2018, 06/15/2021, 04/09/2024
Attachments:

I. PURPOSE

The purpose of this policy is to provide guidance to school district staff and parents or guardians in regard to Do Not Resuscitate/Do Not Intubate orders (DNR/DNI).

II. GENERAL STATEMENT
 
The school district recognizes that it is serving students with complex health needs. The school district also recognizes that school 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.

A. The primary mission of the school district is education. Moorhead Area Public Schools recognizes that the Do Not Resuscitate/Do Not Intubate orders (DNR/DNI) 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. DNR/DNI orders shall not be incorporated into a student's Individualized Education Program (IEP), Individualized Health Plan (IHP) or 504 plans.
 
B. School district staff will provide reasonable emergency care and assistance when a student is undergoing a medical emergency during school or school activities.

C. Moorhead Area Public Schools staff will activate emergency medical services (911) as soon as possible when a student is undergoing a medical emergency during school or school activities. 

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

E. Notwithstanding this school district policy, IEP, IHP and Section 504 teams must develop individualized medical emergency care plans when appropriate in accordance with state and federal law.

F. 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 provided a copy of this policy.


Legal References:
29 U.S.C. 794 et seq. (Rehabilitation Act of 1973, 504)
42 U.S.C. 12101-12213 (Americans with Disabilities Act) 

Cross References:
Moorhead School Board Policy 602: Special Education Programs
MSBA/MASE Model Policy 518 (DNR-DNI Orders)