Consent by proxy for nonurgent pediatric care

Jonathan M. Fanaroff, William M. McDonnell, Robin L. Altman, Steven A. Bondi, Sandeep K. Narang, Richard L. Oken, John W. Rusher, Karen A. Santucci, James P. Scibilia, Susan M. Scott

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Minor-aged patients are often brought to the pediatrician for nonurgent acute medical care, physical examinations, or health supervision visits by someone other than their legally authorized representative, which, in most situations, is a parent. These surrogates or proxies can be members of the child's extended family, such as a grandparent, adult sibling, or aunt/uncle; a noncustodial parent or stepparent in cases of divorce and remarriage; an adult who lives in the home but is not biologically or legally related to the child; or even a child care provider (eg, au pair, nanny, private-duty nurse/nurse's aide, group home supervisor). This report identifies common situations in which pediatricians may encounter "consent by proxy" for nonurgent medical care for minors, including physical examinations, and explains the potential for liability exposure associated with these circumstances. The report suggests practical steps that balance the need to minimize the physician's liability exposure with the patient's access to health care. Key issues to be considered when creating or updating office policies for obtaining and documenting consent by proxy are offered.

Original languageEnglish (US)
Article numbere20163911
JournalPediatrics
Volume139
Issue number2
DOIs
StatePublished - Feb 2017

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Proxy
Pediatrics
Physical Examination
Nurses' Aides
Group Homes
Minors
Health Services Accessibility
Divorce
Child Care
Marriage
Siblings
Parents
Nurses
Physicians
Health
Pediatricians

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Fanaroff, J. M., McDonnell, W. M., Altman, R. L., Bondi, S. A., Narang, S. K., Oken, R. L., ... Scott, S. M. (2017). Consent by proxy for nonurgent pediatric care. Pediatrics, 139(2), [e20163911]. https://doi.org/10.1542/peds.2016-3911

Consent by proxy for nonurgent pediatric care. / Fanaroff, Jonathan M.; McDonnell, William M.; Altman, Robin L.; Bondi, Steven A.; Narang, Sandeep K.; Oken, Richard L.; Rusher, John W.; Santucci, Karen A.; Scibilia, James P.; Scott, Susan M.

In: Pediatrics, Vol. 139, No. 2, e20163911, 02.2017.

Research output: Contribution to journalArticle

Fanaroff, JM, McDonnell, WM, Altman, RL, Bondi, SA, Narang, SK, Oken, RL, Rusher, JW, Santucci, KA, Scibilia, JP & Scott, SM 2017, 'Consent by proxy for nonurgent pediatric care', Pediatrics, vol. 139, no. 2, e20163911. https://doi.org/10.1542/peds.2016-3911
Fanaroff JM, McDonnell WM, Altman RL, Bondi SA, Narang SK, Oken RL et al. Consent by proxy for nonurgent pediatric care. Pediatrics. 2017 Feb;139(2). e20163911. https://doi.org/10.1542/peds.2016-3911
Fanaroff, Jonathan M. ; McDonnell, William M. ; Altman, Robin L. ; Bondi, Steven A. ; Narang, Sandeep K. ; Oken, Richard L. ; Rusher, John W. ; Santucci, Karen A. ; Scibilia, James P. ; Scott, Susan M. / Consent by proxy for nonurgent pediatric care. In: Pediatrics. 2017 ; Vol. 139, No. 2.
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