which lab tube do you draw first

This is necessary to avoid cross-contamination of additives between the tubes. 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.

Draw Of Order Bar Chart Order Of Draw Alpha Laboratories Medical Diagnostics Division Phlebotomy Nursing Labs Order Of Draw

The list below lists the most commonly used blood collection tubes their additives and uses in laboratory.

. To avoid cross-contamination blood must be drawn and collected in tubes in a specific order. Used only to remove air from tubing. What is the correct order of blood tubes.

Sterile tubes coagulation tubes serum tubes heparin or plasma separator tubes EDTA tubes and glycolytic inhibitor or oxalate tubes. 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. Look at your lab tubes to see how much volume each tube will require.

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. Blue Gold or Red Green Lavender or Pink For questions or for tests not listed please call the Laboratory at 815-3334 Note. 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.

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. Laboratory Test Tube Color Selection Guide Boone Hospital Laboratory Correct order for drawing tubes. Lavender Tube contains K2EDTA additive used for hematology testing.

DO ensure that tubes with an indicated fill line or minimum fill line such as blue top tubes are appropriately filled. Standard order of draw. For clot formation 10ml 2222 Digoxin Dilantin Drug Levels Homocystine.

Lab tubes for information about which test goes into which. 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. SNH0005289 v190 First Issued.

Sodium citrate tube eg blue closure Serum tubes including those with clot activator and gels eg red red-speckled gold closures. I will review our hospitals general policy for drawing blood from a CVC or PICC line. Unfortunately this order can be hard to remember for those in training and even those in the field.

Capillary tubes Used for whole blood tests andor point of care testing blood gasses. The correct order of draw follows. A mnemonic device is a phrase or saying that is easy to remember and relate back to in the future.

Blood Culture Tubes or Vials. 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. Two 10 mL saline flushes.

With a tube holder and butterfly needle. Coagulation Tubes Blue-Top Tubes Serum Tubes without Clot Activator or Gel Red-Top tubes Serum Tubes with Clot Activator or Gel Gold or Tiger Top Tubes Heparin Tubes Green-Top Tubes. Please note that if Blood Culture bottles are collected the aerobic must b.

BLOOD CULTURES royal blue red light blue SST Gold green tan yellow pink pearl lavender. Serum tubes that used to precede the blue-stopper. Blood Tube Guide Order of Draw Reference Chart Implementation Tool Prompt Doc No.

This video describes the correct order of draw and how tube anticoagulants work. You will need the following. 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.

This is known as the Order of Draw. 10 mL empty syringes for your actual samples. 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. CANNOT be collected via capillary collection method. Gel-barrier tube is preferred send entire tube.

Which tube do you draw first. This tube is then discarded into the biohazard receptacle. Beside above what order should blood tubes be drawn.

Blood culture tube or bottle. 20082018 Page 1 of 3 Last Reviewed. Collected first to obtain adequate volume minimize platelet clumping.

First gather your supplies. 3 mL no additive must be used ONLY if drawing a citrate blue tube. Phlebotomy Order Of Draw.

Many phlebotomists u se a mnemonic device to make the memorization process a bit easier. Its a great way to remember order of draw OOD because you can modify the sentence to be most helpful to you. As you may already know blood must be drawn and collected in tubes in a specific order known as the Order of Draw.

Phlebotomy Tubes and Order of Draw. Blue top Tube contains sodium Citrate. They are to be drawn in the following order if using an evacuated tube system.

With the consensus of all major US. Well answer that for you in this. FREE Lab Value at.

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. Tube MUST contain venous blood only. In this example the tubes that make the order of draw are identified by color.

31012024 Collect the blood into the containers in the order listed below for evacuated systems. 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. 17012020 UNCONTROLLED WHEN DOWNLOADED Review By.

Tube manufacturers CLSI issued one single change in the order of draw when the venipuncture standard was revised in 2003.

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