Lab refusing an NP order

Specialties NP

Published

I need a little input on a situation I find myself in.

I recently wrote an order for a lab (blood) test on myself. I called the lab ahead of time to make sure that they didn't have an issue with it and was given the all clear.

FYI, I'm only in this area (NY state) for a few more months and don't have a private provider to order the test for me. And, I don't really feel it's necessary to establish myself with a provider just to get this one test done. So....

I go to the lab last Monday and got drawn. The tests are batched, and were not run until Thursday. Thursday I called for the results, and was given the run-around about them not being able to release the results to me (the patient). I explained that I was the patient and the ordering provider, and that I would like the results.

I was sent up the chain to the lab manager who stated that "We do these things all the time for physicians ordering for themselves and it's getting out of hand. Now we have nurse practitioners doing it? I'll have to get back to you to see if this is acceptable."

I called back the next day for my results and she informed me that she discussed the issue with the lab director and that they decided that they would not run the test for me (a nurse practitioner).

I realize that it's not exactly kosher to treat yourself, but my question is this: Can a lab just refuse to perform a test ordered by a licensed health care provider? And, not only am I a licensed provider, but I'm also a paying customer.

I don't get this, and the more I sit and stew about it the more ticked off I get as I was given the distinct impression that if I were a physician, the test would have been done, and that this woman (the lab manager) is on a personal crusade against nurse practitioners.

Advice?

Suggestions?

Thanks in advance.

Up Vote Up Vote ×
Specializes in med/surg, cardiac/tele, critical care.

Sorry to hear about your predicament. I would think that as a paying customer, it shouldn't be an issue. The issue may come down to who ordered the test and If that order is valid, i,e, established procedure or policy. If this is the case then this lab woman may be in the right.

Up Vote Up Vote ×
Specializes in Education, FP, LNC, Forensics, ED, OB.

Yes, a lab can and do refuse to draw/perform labs if you do not have a lab provider #. I'm inclined to think that in this situation, this is not a valid order. You really need your own HCP to manage any medical condition you might have including ordering the proper labs.

Hope you are doing o.k. and this has resolved to everyone's satisfaction.

Up Vote Up Vote ×
+ Add a Comment