I have designed the Transfusion Training Record to include a column with relevant procedures and methods doc references, and a column for staff member to sign and date that they have read them. This is reviewed annually at their performance appraisal. There is now always proof that docs have been read; if I update a procedure, I have list of staff names attached to the procedure, and they all have to sign and date as a record it has been read. Hope this helps. Cheers Lynda