Abbott ID NOW Flu early call out reporting

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Hello all - do any of you use the ID NOW for flu testing with the early call out feature turned on? If so, how are you reporting? We do not have anything interfaced, so this will be all manual and this is the first year we are moving to ID NOW (from Binax cards). Our reporting method in the past was reporting both Flu A and Flu B - they were hard stops in Epic. if you didn't report both you couldn't finalize the test results. 
My boss wants us to use the early call out for ID NOW, so if Flu A is positive we can't report anything about Flu B. What are you doing? Do you put Test Not Performed? Do you leave it blank? Do you not use early call out?
Thank you!

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Hello Jill
Things to consider:
1. Does the analyzer perform both flu A&B at the same time? If the answer is yes then you can bill and should result both tests.
2. Manufacturer have any information concerning the rare patient that can test both A & B positive? Does the analyzer's algorithm preclude getting such a result.

Our institution uses the Quidel Sofia 2 analyzers that have an early read feature - we result and bill for both tests.  We have had the "unicorn" patient that is both flu positive. Repeated  test and one usually bears out. In the last 5 years  of use only 1 patient was a repeat positive for both for which a PCR test was sent out and confirmed only one of the flu tests.
Hope this helps!

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Jill Dwyer
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