Is nursing obligated to do blood draw on patient if PT is only discipline?

tktjRN · Jun 19, 2013

No , you can't go for a one time visit.. You have to go through the whole eval process.. My agency has our PTs do pt/iNRs by finger stick, otherwise your case manager will have to order the lab to draw it.

KittyLovinRN · Jun 20, 2013

As far as I've always been told and always obeyed, lab work is not a skilled need. I'm happy to do it while I'm there for other reasons but a one time visit just for that is out of the question.

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marylandlpn · Jun 20, 2013

I have a patient receiving PT only. I was asked to do blood draw for a patient only receiving PT at an ALF. Am I obligated to do blood work as one time visit?

To clarify. He is currently under our care for PT. the MD came into ALF and wrote orders for labs. Does it become our responsibility at that point to make sure the labs get drawn by sending in our RN?

jmn126 · Jun 20, 2013

The PT is the skill, medicare guidelines state thatbu can do lab work as long as there is a skill service being provided., the one rime visit or complete eval would be up to the agency. But it can be done.

KelRN215, BSN, RN · Jun 21, 2013

As far as I've always been told and always obeyed, lab work is not a skilled need. I'm happy to do it while I'm there for other reasons but a one time visit just for that is out of the question.
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Well that really depends. A good deal of my patients are on service for home labs BUT (and this a big but) they are oncology patients that have ports or central lines. The ones that have lines obviously need line care regularly and patients with ports would need them flushed once a month if they weren't being used so the presence of the line kind of justifies the skilled nursing need there. I am also talking about children and don't have many (or any) Medicare patients.

KittyLovinRN · Jun 21, 2013

Well that really depends. A good deal of my patients are on service for home labs BUT (and this a big but) they are oncology patients that have ports or central lines. The ones that have lines obviously need line care regularly and patients with ports would need them flushed once a month if they weren't being used so the presence of the line kind of justifies the skilled nursing need there. I am also talking about children and don't have many (or any) Medicare patients.

Completely agree about patients with lines but they are a different story and are on service for line care (like you said) which is a skilled need.

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ldyjstce · Jun 21, 2013

You are an RN at the assisted living facility? Your patient is inpatient for physical therapy/rehab? The rounding MD ordered lab work on this pt? What is the pt's background medical background? Did the MD provide a reason for requesting labs? Has the pt shown some type of decline medically? What is your facility's protocol on lab work? If you question the order, have you taken it to your superior? Many questions to answer in order to give you a well informed answer.

marylandlpn · Jun 21, 2013

You are an RN at the assisted living facility? Your patient is inpatient for physical therapy/rehab? The rounding MD ordered lab work on this pt? What is the pt's background medical background? Did the MD provide a reason for requesting labs? Has the pt shown some type of decline medically? What is your facility's protocol on lab work? If you question the order have you taken it to your superior? Many questions to answer in order to give you a well informed answer.[/quote']
This is home health forum. So i am a home health nurse, LPN. Have you read the rest of the forum? My superior declined us doing the labs for whatever reason. My previous director had us provide these types of services for patients already under care.