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Ouch! It is scary that there are people out there who don't know what they are doing. I don't know how to prevent it except vigilance and knowledge sharing on the part of those who do know. I've seen people just ignore reactions because they did not fit their preconceived idea. I did on one occasion refuse to have a second shift generalist in blood bank because he was not capable of interpreting antibody identification panels. He was a nice guy, but he was completely incapable as a blood banker.