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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