which lab tube do you draw first
BLOOD CULTURES royal blue red light blue SST Gold green tan yellow pink pearl lavender. This tube is then discarded into the biohazard receptacle.
Free Printable Phlebotomy Order Of Draw Memory Card Healthytipsforhealthyliving Phlebotomy Order Of Draw Medical Assistant Student
Many phlebotomists u se a mnemonic device to make the memorization process a bit easier.
. However if the tube following the clot activator tube remained the coag tube as was the recommended order prior to 2003 carryover threatens the coag results. Tube manufacturers CLSI issued one single change in the order of draw when the venipuncture standard was revised in 2003. A mnemonic device is a phrase or saying that is easy to remember and relate back to in the future.
Failure to do so will result in a short draw which will be rejected by the lab. When should trough levels be drawn. LAB PRIOR TO BLUE CLEARBLUE Buffered sodium citrate 0105 M 32 glass 0109 M 32 plastic 3-4 tube inversions ensure proper mixing of anticoagulant with blood.
Which tube do you draw first. BLOOD CULTURES royal blue red light blue SST Gold green tan yellow pink pearl lavender. Standard order of draw.
Contains sodium EDTA for trace metal studies. Serum tubes that used to precede the blue-stopper. Which tube do you draw first for blood cultures.
Standard order of draw. GreenGray mottled Plasma Separator Tube PST with heparin. Collected first to obtain adequate volume minimize platelet clumping.
In this example the tubes that make the order of draw are. Lavender Tube contains K2EDTA additive used for hematology testing. Sodium Citrate Tube 45ml 89 Coagulation testing.
If coagulation testing is the only laboratory work that needs to be drawn the phlebotomist should first draw a plain red top tube to remove tissue fluid contamination. As you may already know blood must be drawn and collected in tubes in a specific order known as the Order of Draw. Red - Non-Additive - has clot activator 4.
And theres also one really other important point that I want to reiterate here. The guidelines cover order-of-draw recommendations which continue to be present in the guidelines as blood culture first followed by citrated tubes serum tubes heparin then EDTA with special emphasis on not collecting the EDTA tube before the serum tube. NO CLOTTING TIME REQUIRED PTINR PTT FIBRINOGEN DDIMER SPECIAL COAG FACTOR ASSAYS CALL COLLECTION PFA- 2 GLASS 45ML TUBES DO NOT SEND VIA TUBE SYSTEM ROYAL BLUE.
Oregon Region Laboratory Services Phone. For clot formation 10ml 2222 Digoxin Dilantin Drug Levels Homocystine. Unfortunately this order can be hard to remember for those in training and even those in the field.
When using a winged blood collection set is used and the first tube to be drawn is a citrate coagulation tube a discard tube non additive tube should Revised 62019 Attachment GMG-708-0002 Phlebotomy Venipuncture Procedure and GMG-700-0031 LIS Downtime Policy. Red Gel separator tube speckled or tiger top or gold 5. Contains acid citrate dextrose ACD solution.
Capillary tubes Used for whole blood tests andor point of care testing blood gasses. Fill test tube completely PT PTT TPT Protein S Protein C Proper mixing prevents clot formation Anti-Thrombin III Lupus Anti-Coagulant Serum Tube with clot activator 4ml 2219 Serum testing for chemistry tests. The order of draw is based on CLSI Procedures and Devices for the Collection of Capillary Blood Specimens.
This is necessary to avoid cross-contamination of additives between the tubes. Butterfly draw a discard tube to collect the air in the tubing into the discard tube. DO use a discard tube blue or white top tube if a butterfly is used and a blue top tube for coagulation testing would otherwise be the first tube drawn.
If a coag tube light blue is the only tube or the first tube to be drawn a 5 mL discard tube must be drawn first. What is the correct order of blood tubes. If a coag tube light blue is the only tube or the first tube to be drawn a 5 mL discard tube must be drawn first.
Yellow Section III 1 tube Extra tube Green Na Hep Section IV 1 tube each Green Li Hep Section V 1 tube each Lavender Section VI 1 tube each Gray. Well answer that for you in this. Remember were wanting to not contaminate tubes with additives or preservatives from other tubes.
Send whole blood in a royal blue-top tube. Blue top Tube contains sodium Citrate. This standard recommends that EDTA tubes be drawn first to ensure good quality specimen followed by other additive tubes and finally serum specimen tubes.
Laboratory Test Tube Color Selection Guide Boone Hospital Laboratory Correct order for drawing tubes. The red bottle is less common it is used for biochemistry tests requiring serum which might be adversely affected by the separator gel used in the yellow bottle. The list below lists the most commonly used blood collection tubes their additives and uses in laboratory.
Well first youll do your lavender top tube and then youll do your gray top tube. BLOOD CULTURES royal blue red light blue SST Gold green tan yellow pink pearl lavender. Approved Standard - Sixth Edition September 2008.
Blue Gold or Red Green Lavender or Pink For questions or for tests not listed please call the Laboratory at 815-3334 Note. If a coag tube light blue is the only tube or the first tube to be drawn a 5. Tube MUST contain venous blood only.
Phlebotomy Order Of Draw. With the consensus of all major US. CANNOT be collected via capillary collection method.
Some royal blue-top tubes do not contain EDTA. The first tube in the series will be under filled so a blank discard tube is needed prior to drawing the coagulation tube to ensure the proper blood to anticoagulant ratio. EDTA whole blood or plasma.
Send whole blood in a yellow-top tube. Standard order of draw. In this way what tests go in what color tubes.
ORDER OF DRAW CHART TUBES MUST BE DRAWN IN ORDER OF SEQUENCE 1 THROUGH 10 RED BLACK AS REQUIRED Red Section I 1 tube each Light Blue Section II 1 tube 1 tube each for all. Its a great way to remember order of draw OOD because you can modify the sentence to be most helpful to you. FREE Lab Value at.
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