Written consent or not, if the parents/legal guardians refuse an LP
whenever there is strong clinical suspicion of meningitis, the courts will
most likely find the practitioner liable for not diagnosing this condition
and not living up to the standards of care.
Being a children's advocate and representing the best interest of my
patients ( minors can not sign informed consents) I would get an emergency
Court Order from the on-call Judge if the parents would refuse consent for
an LP ( it happened only once in my carreer).
Therefore, in the pediatric practice, I do not beleive we need special
consents for this procedure beyond the general consent for tests and
treatments the parents sign at presentation to the ER.
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