Coding, Classification and Reimbursement

RN ordered Labs

  • 1.  RN ordered Labs

    Posted 02-11-2019 14:15
    Our Chief of Staff wants to produce "standing orders" for our RNs to follow when seeing patients, both in the room during a scheduled appt and through triage when they are deciding if patient should see on-call provider. Basically, he wants to say "If any patient comes in with these three symptoms, automatically order a strep test". Is this allowed?
    I thought the provider needed to see the patient to determine which tests are necessary. Am I missing something? Or is this acceptable practice?

    Megan Lee
    Process Improvement Officer; Assistant Coder

  • 2.  RE: RN ordered Labs

    Posted 02-11-2019 19:12

    The medical staff can approve "protocol" orders based upon a specific symptom/scenario.  The order would ultimately still need to be signed off.  Protocol orders must be reviewed annually.  There are probably a lot more "rules" but it is possible.


    Terry Clark, RHIA, CCS

    Director, Corporate Coding NTX

    Baylor, Scott & White



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