We are an outpatient laboratory so no transfusion service, mostly OB panels. Our Echo has been operational for ~ 18 months and has saved me a full CLS FTE. This was one of the best decisions I made for our laboratory. Lab assistants do the routine maintenance and load the machine. Scientist spends minimal time (10-30 minutes/day, depending on experience) verifying QC and patient data. Voila! 30 OB screens completed! Clinicians are happy, my CEO is happy, I'm happy, and most of all, my board of directors is happy!