We do not have any lab assistants only techs and phlebotomists. We only allow RNs and LPNs to pick up blood. The nurses go thru training during orientation and then yearly during nursing skills lab. All aspects of blood transfusions from picking up a unit of blood, to starting the transfusion, reaction signs and symptoms, using the blood warmer, documentation etc are covered and they are given a written test over it for documentation purposes.