Do Schools have an Ethical Responsibility to Provide Primary and/or Emergency Care?

Ruth K. Rosenblum*
*Lecturer, DNP Program Coordinator, Department of Nursing, San Jose State University, CA.
Periodicity:November - January'2012
DOI : https://doi.org/10.26634/jnur.1.4.1526

Abstract

Schools and school nurses are frequently asked to care for medically fragile students who have complex medical needs including administration of emergency medications given by injection or per rectum. Since all children are entitled to a free and public education in the least restrictive environment, school personnel must be prepared to accept these students and deliver safe, appropriate care at school. This paper explores whether schools have an ethical responsibility to provide primary and/or emergency care at school. Legal precedent to date has supported children receiving necessary care; however school administration and school nurses sometimes question the ability to safely provide the care.  Additionally, in many cases nurses are mandated to train unlicensed personnel to perform these procedures.  If schools have an ethical responsibility to provide medical care, then does the legal liability override the ethical duty? The Lagana-Duderstadt Deontological-Ethical Model is used to explore this question.

Keywords

Ethics, Ethical model, Schools, Emergency care, Liability, School Nurse

How to Cite this Article?

Rosenblum, R.K. (2012). Do Schools have an Ethical Responsibility to Provide Primary and/or Emergency Care?. i-manager’s Journal on Nursing, 1(4), 1-8. https://doi.org/10.26634/jnur.1.4.1526

References

[1] American Academy of Pediatrics. (2003). Guidelines for the administration of medication in school. Pediatrics, 112, 697-699.
[2] American Nurses Association. (2001). Code of Ethics for Nurses with Interpretive Statements, Silver Spring, MD: American Nurses Publishing.
[3] Behrmann, J. (2010). Ethical Principles as a Guide in Implementing Policies for the Management of Food Allergies in Schools. The Journal of School Nursing. 26: 183-193.
[4] Cavanaugh, R and Strickland,C.J. (2011).Developing an Integrated Anaphylaxis Education Curriculum for School Nurses. The Journal of School Nursing.27, 197-208.
[5] Cicutto L, Julien B, Li NY, Nguyen-Luu NU, Butler J, Clarke A, Elliott SJ, Harada L, McGhan S, Stark D, Vander Leek TK, Waserman S. (2012). Comparing school environments with and without legislation for the prevention and management of anaphylaxis. Allergy; 67, 131–137
[6] Drezner JA, Rao AL, Heistand J, Bloomingdale, MK, Harman, KG. (2009). Effectiveness of emergency response planning for sudden cardiac arrest in United States high schools with automated external defibrillators. Circulation, 120, 518–25.
[7] Hone-Warren, M. (2007). Exploration of school administrator attitudes regarding do not resuscitate policies in the school setting. Journal of School Nursing, 23, 98-103.
[8] Lagana, K. (2000). The “Right” to a Caring Relationship: The Law and Ethic of Care. Journal of Perinatal and Neonatal Nursing, 14(2), 12-24.
[9] Lagana, K. and Duderstadt, K. (1995). Ethical decisionmaking for perinatal nurses. March of Dimes Birth Defects Foundation, White Plains, NY.
[10] National Association of School Nurses (2006). Position Statement: Delegation. Silver Spring, MD: Author.
[11] Oberle, K. and Tenove, S. (2000). Ethical issues in public health nursing. Nursing Ethics, 7, 425-438..
[12] O'Dell, C. and O'Hara, K. (2007). School nurses' experience with administration of rectal diazepam gel for seizures. Journal of School Nursing, 23, 166-169
[13] Olympia, R.P., Wan, E., and Avner, J.R. (2005). The preparedness of schools to respond to emergencies in children: A national survey of school nurses. Pediatrics, 116,e738.e745.
[14] Solum, L.L. and Schaffer, M.A. (2003). Ethical problems experienced by school nurses. Journal of School Nursing, 19, 330-337.
[15] United States Department of Education. History of the IDEA. Retrieved January 9, 2012, from http://www2.ed.gov/ print/policy/speced/leg/idea/history.html.
[16] Wood, S.H. (2003). Should women be given a choice about fetal assessment in labor? MCN, 28, 292-299.
[17] Service Ontario (2005). An Act to Protect Anaphylactic Pupils: Sabrina's Law Retrieved January 9, 2012 from http://www.elaws.gov.on.ca/html/statutes/ english/ elaws_statutes_05s07_e.htm..
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