I agree.

Whatever the reason unfortunately, or fortunately, the patient has the right to 
refuse treatment.
Though in this case seems very silly.

Regards 
Tony Henwood JP, MSc, BAppSc, GradDipSysAnalys, CT(ASC), FFSc(RCPA) 
Laboratory Manager & Senior Scientist, the Children's Hospital at Westmead
Adjunct Fellow, School of Medicine, University of Western Sydney 
Tel: 612 9845 3306 
Fax: 612 9845 3318 
Pathology Department
the children's hospital at westmead
Cnr Hawkesbury Road and Hainsworth Street, Westmead
Locked Bag 4001, Westmead NSW 2145, AUSTRALIA 

-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Paula Pierce
Sent: Tuesday, 19 August 2014 7:16 AM
To: Nicole Tatum; Histonet
Subject: Re: [Histonet] Is there a Law for refusal of pathology services.

The tissue sample is proof that the surgery was done. 

If the patient does not want a diagnosis, a gross only should be done for 
medical-legal purposes.
 
Paula K. Pierce, HTL(ASCP)HT
President
Excalibur Pathology, Inc.
5830 N Blue Lake Dr. Please note new address!
Norman, OK 73069
405-759-3953 Lab
405-759-7513 Fax
www.excaliburpathology.com


________________________________
 From: Nicole Tatum <nic...@dlcjax.com>
To: "histonet@lists.utsouthwestern.edu" <histonet@lists.utsouthwestern.edu> 
Sent: Monday, August 18, 2014 4:03 PM
Subject: [Histonet] Is there a Law for refusal of pathology services.
 

Please help,



We had a patient today who had a punch bx of what is believed to be a clinical 
dermatofibroma.  The  patient stated they did not wish for the specimen to be 
sent for clinical testing. Our ARNP discussed the need for pathology at length 
and the patient stated she was a nurse and could sign a waiver denying 
pathology services.  I have googled and gooled trying to find any specific law 
or statue. I can only find information pertaining to research or donated 
tissue. Stating a person no longer has rights "or ownership"to the tissue once 
consented and removed, but this case is not for research.  Could someone pls 
share an actual law with me. Seems silly to consent to the surgery but not to 
the diagnosis. Im not sure what to do at this point. Have them sign a document 
on our company letterhead stating there denial of services? Hold the tissue 
hold long? Accession it but only do gross description? Charge anything? Any 
thoughts or imformation would be greatly
 appreciated.



Nicole Tatum HT BSH
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