Sample Emergency Department Policy for Pediatric DNR / DNAR

Resource Overview

• Provided as a sample ED policy providing a standardized approach to recognition, interpretation, documentation, and implementation of pediatric DNR / DNAR and partial code orders, emphasizing ethical, legal, and family-centered care.
• Covers order validation, shared decision-making, staff roles, emergency scenarios, hospice considerations, symptom management, and partial/resuscitation-limited orders.
• Includes clear documentation standards, communication protocols, family support strategies, staff guidance, and quality review recommendations.

How to Use This Resource

• Guide ED clinicians in honoring valid DNR / DNAR or partial code orders while maintaining patient comfort, family-centered care, and ethical compliance.
• Apply in emergent or end-of-life situations, including pediatric hospice presentations, ensuring coordinated care, symptom relief, and timely communication with families and consultants.
• Support staff education, decision-making, documentation, and quality assurance to reduce conflict, clarify responsibilities, and standardize care across the department.