Dear flow group, This is an old topic but it keeps coming up in our institution (independent flow lab but in close proximity to the hospital) - what is the medical necessity to offer the flow cytometric fetal hgb test on a stat basis? We are currently staffed Mo-Fr 5am-9pm and Sa 9am-5:30pm, on call Su 8am-3pm for stat cases (acute leukemias and now potentially for fetal hgb). Currently the hospital is performing the KB test but is considering switching over to flow as it is the better test. However, since we don't offer the flow test 24/7, is there a need for them to continue offering the KB test during the off hours (and having even less comfort level for these rare occasions)? The question is also, is there ever a need to have the flow test (or the KB) done at 2am and does the obstretician base clinical management on these tests? Could this wait until the next morning when the flow tech can come in? I would appreciate any feedback regarding how other flow labs deal with this issue. Kind regards - Andrea Andrea Illingworth, MS Operational Director for Flow Cytometry and Clinical Trials Division Dahl-Chase Diagnostic Services 417 State Street, Suite 540 Bangor, Maine 04401 Phone: 207-941-8282 or 1-877-PNH-FLOW Fax: 207-941-8287 aillingworth@dahlchase.com<mailto:aillingworth@dahlchase.com>Received on Thu Feb 28 11:38:00 2008
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