We use a combination of gel and tube testing where I work, and we're also in the process of training new-hires as well as retraining exsisting techs, and the procedure manuals need a good overhaul, so there's a lot of work to be done. I've volunteered to work on the manuals because I'm good at writing procedures and that will help me tremendously to get more comfortable in the Blood Bank, by actually writing them in a dummy-approach, step by step, me being the "dummy" LOL! Maybe once that occurs, I'll stop referring to the Blood Bank doorway as the "Portal to Hell", and the coat closet as "Lisa's Cry Room" !! LOL LOL! Seriously, though, I do know that it takes time and practice, but I also feel that you almost need a dedicated staff in the Blood Bank as your institution takes on more work--"floaters" and Per Diems who don't get in there on a regular basis are harder to sufficiently train, and that's what I'm finding with myself--I have many other responsibilities in the lab that I must attend to along with Blood Bank and I'm a good multitasker, but I just need to find a way to re-balance my job responsibilities. So for now, I study Blood Bank reading material during the day in between the rest of life, while my daughter is in school, and I work at night!