I am closing my in office lab over losing staff. Not profitable enough to go thru training another. And running an office lab is an analog endeavour in a digital world with ehrs.
Anyway, I am making up orders for labs to give to patients, and realized that I cannot remember when I needed a BUN to make a decision. We track Creatinine closely, since rheumatologists can kill or fail to save a lot of kidneys if we're not careful. I'm writing a database to track orders and results, and I wonder if I should even allow an option of ordering a BUN.
What are the clinical scenarios that need the BUN as well as the Creatinine? I'm not worried about dehydration in my practice.
Just too lazy to research this in private, and too old to care about exposing my ignorance, so thought I'd ask for advice.
