• Try to redirect the caregiver to the priority at hand
• “I am here to help your son but I need you to tell me what happened”
• If the situation is non-urgent, you may opt to let the parent dictate care, giving a sense of control
• Example, stable child with mild asthma exacerbation, say “normally we would start an albuterol treatment, would you like us to start now or wait to see the ER physician?
• Remember, you can only let them dictate care if it will not have an adverse effect on the child
• If the caregiver persists in interfering with the medical care of the critically ill or injured patient, they must be removed
• The welfare of the child supersedes the right of the parent to refuse care