correct order of blood draw tubes
Be sure you have the correct tube. CANNOT be collected via capillary collection method.
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Insufficient mixing can result in inaccurate test results and the need to re-draw.
. Collect the blood into the containers in the order listed below for evacuated systems. All BD Vacutainer tubes require immediate mixing following collection. DRAW ORDER TUBE TOPSTOPPER COLOR TUBE TYPE 1 Blood cultures 2 Light Blue Citrate 3 RedGoldTigerSerum 4 GreenHeparin 5 LavenderEDTA 6 GrayOxalate Here is a mnemonic device to help you remember.
8 rows Blood Draw Order Tube Color NameAdditive of Inversions. The correct order of draw should be followed to eliminate the risk of additive cross-contamination during venipuncture and to reduce the risk of clotting in the EDTA or other anticoagulant microcollection tubes. Do not package frozen specimens with non- frozen specimens.
There are light green and dark tubes. A trained phlebotomist using the correct order of draw ensures they obtain a quality sample to be used for diagnostic purposes to provide accurate results. Always follow facility policy first.
When a patient requires blood tests often more than one tube is required. For venipuncture procedures using plastic or glass tubes the recommended order of draw is blood cultures sodium citrate tubes serum tubes with or. Your tube is the PLAIN tube.
When collecting diagnostic blood specimens by venipuncture into evacuated tubes the order of draw is b ased on Clinical and Laboratory Standards Institutes CLSI standard H3-A6 from November 2007 as follows. Cross-contamination of tube additives resulting in spurious results eg. Blood Gas Syringe EDTA tubes Sodium Citrate tubes all other anticoagulant tubes SerumClot tubes.
Discard tube 3 mL no additive must be used ONLY if drawing a citrate blue tube with a tube holder and butterfly needle. Draw Royal Blue top tubes in the order indicated by the additive. Pour off serum or plasma into a properly labeled plastic tube before freezing.
Below is the correct order of draw per the CLSI venipuncture standard GP41 Note. Thus the order of draw follows the broad principles of. A trained phlebotomist using the correct order of draw ensures they obtain a quality sample to be used for diagnostic purposes to provide accurate results.
Sodium Citrate Tube 45ml 89 Coagulation testing. Blue top Tube contains sodium Citrate. Yellow Section III 1 tube Extra tube Green Na Hep Section IV 1 tube each Green.
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. Each tube is differentiated by the tube additive and color. DRAW ORDER TUBE TOPSTOPPER COLOR TUBE TYPE 1 Blood.
Lavender Tube contains K2EDTA additive used for hematology testing. READ YOUR TUBE LABEL GREEN TOP HEPARIN NOTE. This lecture goes over the correct order of blood draw in sequence.
For needle and syringe order of draw refer to Prompt Document. Collect Aerobic then Anaerobic. One step in this process is the action of blood collection.
Capillary tubes Used for whole blood tests andor point of care testing blood gasses. Collected first to obtain adequate volume minimize platelet clumping. Tube MUST contain venous blood only.
Remembering correct phlebotomy order of draw can be easy if you use a mnemonic or memory tool to make the tube colors and types stand out. 7 mL No additive - Red strip on label -. Blood Collection order of draw for tubes and bottles Tube Type Tests Instructions Blood Culture Bottles Blood Culture Ensure aseptic technique.
Blood Group Coombs ESR Tubes must be spun within 4 hr. Do not freeze whole blood unless specifically indicated by the specimen requirements. The order to fill blood tubes is.
BD Life Sciences - Preanalytical Systems. Order of Draw When Using Evacuated Tubes. 1 Blood cultures yellow SPS sterile 2 Light blue buffered sodium citrate tube 3.
Blood cultures Be Light. Correct mixing technique is to gently invert each tube 180ยบ and back by the recommended number of times shown on the right hand side of the table. Guys Gray All Other Tube.
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. Dark green tubes are both Sodi-um and Lithium heparin. The Royal Blue EDTA tube is very sim-ilar.
Specimens must remain frozen during shipment. The correct order for filling tubes is important when collecting more than one collection type. Order of draw is the tube sequence a certified phlebotomist needs to follow while collecting blood.
442192 442265 442194 Blood Cultures Aerobic followed by anaerobic - if insufficient blood for both culture bottles use aerobic bottle only. Blue top for coagulation studies. BD BACTEC Plus Aerobic medium 442192 Blue Cap and bottle BD BACTEC Lytic Anaerobic medium 442265 Purple Cap and bottle BD BACTEC.
Each tube is differentiated by the tube additive and color. And Order of Draw see end of page __Cap. Show your support with an ICU Advantage sticker.
I also include nursing pearls and tips on blood collection to help save you time. Order of draw is the tube sequence a certified phlebotomist needs to follow while collecting blood. These blood tubes may contain different additives which may affect certain results should they contaminate another tube.
Do not freeze glass tubes. For clot formation 10ml 2222 Digoxin Dilantin Drug Levels Homocystine. Blood culture bottles.
Recommended Order of Draw. Used only to remove air from tubing. HttpsadvicusupportThis lesson covers the correct order of draw for blood collection.
When collecting blood via a capillary collection method heelfinger prick or when using a syringe and siphoning the bloods directly into the tubes the Order of Draw in order is. Gel tube Be sure that RPR Serology chemistry Testing Send Out Testing Heavy Metals NOTE. However the initial evidence that.
For this reason an order of draw was established.
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