How do you approach requests from facilities requesting a urinalysis (either on demand or PRN) for "behavioral changes"?

First, I would do a happy dance (discreetly, of course) because rather than asking me to prescribe a psychoactive medication, the facility thought about the possibility that a behavior change has an underlying medical cause. And before getting too distracted by the request for a UA, I would get more...

The answer to the request for a PRN order is a hard "No." That leads to reflex actions instead of thoughtful evaluation. It means that instead of seeking input from the physician or APP at the onset of an issue, we will only become aware of the change 1-2 days later.

Our triage team asks if there ar...