Which of these labs should be done for all new admissions?

  1. 0
    Cbc
    sma7
    pt
    hemogram
    cmp
    urinalysis
    fasting specimens
    ptt
    urine c& s
    ekg
    rhythm strip
  2. 18 Comments so far...

  3. 6
    Whichever ones are ordered?
  4. 4
    Which ever ones the doc orders...
  5. 7
    I hope that isn't a real question.

    Labs should only be drawn and focused on what the patient complaint is. To do anything else is just running unnecessary labs and wasting resources.
  6. 0
    Quote from tyvin
    Which ever ones the doc orders...
    At the place I work the LVN fills out this form for each new patient. I have to choose which labs are done for each new admission.

    EDIT: Before this job I also thought only doctors should choose what labs are done but I do not want to get in trouble and just learning as much as possible on each of these labs. We have to fill the form out for each new admission. :/
  7. 4
    Quote from NursingBro
    At the place I work the LVN fills out this form for each new patient. I have to choose which labs are done for each new admission.

    EDIT: Before this job I also thought only doctors should choose what labs are done but I do not want to get in trouble and just learning as much as possible on each of these labs. We have to fill the form out for each new admission. :/

    They call it 'practicing medicine without a license', which is a felony. Yes- everywhere nurses are allowed to use (unspoken/unwritten) discretion- but to determine what labs to draw on a form, without an order, is a tad risque?
  8. 1
    Weird? Well I guess it would depend on their medical diagnoses, meds, condition, etc
    loriangel14 likes this.
  9. 0
    Ideally, the patient's attending physician is the one who should be deciding which labs to order upon admission, which is why the nurse is expected to call the doctor and verify admission orders whenever a newly admitted patient arrives to the floor. "By the way, Doctor, which labs do you want drawn? Thanks!"

    The attending physician at the specialty hospital where I work always wants a CBC, CMP, and UA with C&S for all newly admitted patients, so we check off these labs until he actually rounds. After he rounds and lays eyes on the patient, he'll order additional labs on a physician's order sheet.
  10. 0
    Quote from TheCommuter
    Ideally, the patient's attending physician is the one who should be deciding which labs to order upon admission, which is why the nurse is expected to call the doctor and verify admission orders whenever a newly admitted patient arrives to the floor. "By the way, Doctor, which labs do you want drawn? Thanks!"

    The attending physician at the specialty hospital where I work always wants a CBC, CMP, and UA with C&S for all newly admitted patients, so we check off these labs until he actually rounds. After he rounds and lays eyes on the patient, he'll order additional labs on a physician's order sheet.
    CBC, CMP, and UA with C&S are the same ones they want me to check for each new admission. I will leave it like this and the doctor can add more labs if he wants.
  11. 2
    I would let the MD fill it out, period. You may or may not have the results of most of these from the ED.
    You could suggest that you have a standing order for admission testing that includes which ever labs an MD wants.
    Something to speak to your NM about.
    Be careful about pre-filling out orders. It could bite you in the butt.
    GrnTea and SoldierNurse22 like this.


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