I was fortunate enought to be the LAST group that had a "practical" exam. On our written test the board included 5 patient management questions. This type of question was going to replace the practical. The entire scenario was very subjective and fortunately, for me, it was not graded. The exam is made to be demanding, and it is my opinion that it is designed for those who attend formal SBB training programs. Experiential knowledge is not enoiugh to make it through. There is the "trivial pursuit" aspect to portions of it. But it can be done. I had a tech ask me if I thought she should take the test. I told her "yes, even if you don't pass, look at all the knowledge, practical and theoretical, you will be exposed to." Anyway, take it again if you want that credential. A lot of times, SBB blood bankers will band together and have an area wide training session for local testees. Our local ARC rep is very active in this process. Good Luck!