what is the order of a blood draw

This is why blood culture bottles have to be collected first before any other tubes Order of Draw Explained. Tightening the tourniquet before blood draw.

What Is The Order Of Draw In Phlebotomy Ehow Phlebotomy Study Phlebotomy Patient Care Technician

BLOOD COLLECTION TUBES THE ORDER OF DRAW Version 82018 072010.

. The order of draw tube colors in phlebotomy is as follows. Applying a warm compress to the puncture site before performing the procedure d. Draw one green and one orange bottle for adults.

Order of blood draw. Blood Gas Syringe EDTA tubes Sodium Citrate tubes all other anticoagulant tubes SerumClot tubes. Sodium Polyanethol Sulfanate AKA SPS Sodium Citrate N0 Additive Clot activator Heparin either sodium or lithium EthyleneDiamineTetraacetic Acid AKA EDTA Potassium Oxalate with Sodium Fluoride Color Yellow Blue Red SST Green Lavender Grey A Useful Order of Draw Mnemonic.

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. Order of Draw for Vacutainer Collection Tubes 1. CLSI Order of Draw CLSI order of draw is as follows.

The Order of Draw is designed to eliminate the possibility of cross contamination that may result in erroneous results. 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. Clearing Out Any Confusion.

Sed Rate Westegren Sed Rate sion Fill tube to line. When drawing blood What is the order of draw. 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 EDTA Tubes.

Yellow SPS Blood culture Light Blue - Sodium Citrate Plain Red No Additive Plastic Red Clot Activator Gold RedGray SSTGel wClot Activator. Draw blood collection tubes in the correct order to avoid cross-contamination of additives between tubes. These are references for those who would like to read more.

Approved Standard Sixth Edition October 2007. Choosing the best venipuncture site b. Draw samples in the correct order.

Blood collectors can avoid nerve damage during blood draw by. Shaking the tube vigorously may cause hemolysis of the blood separating of red blood cells. One yel-low for pediatrics TB Fungal collect yellow isolator tube PT APTT Coagula-tion Studies green NOTE.

Blood cultures should always be drawn first to avoid causing damage to the cultures. I appreciate your time today. It appears that the only exception to this rule is in drawing micro-containers from finger or heel punctures.

Seizure and death from potassium carrying over from EDTA into tube to be tested for K Medication errors when additives carry over into coag tubes falsely lengthening coagulation times and leading to unwarranted and life-threatening medication adjustments. Correct order of draw. The correct order of draw follows.

Blood Culture Bottles Used for bacterial and fungal cultures. Opinion paper by the European Federation for Clinical Chemistry and Laboratory Medicine EFLM Working Group for the Preananlytical Phase WG-PRE. Cornes M van Dongen-Lases E Grankvist K et al.

Light blue red light green green lavender pink grey yellow dark blue and royal blue. Does order of draw matter. It is based on CLSI Procedures for Collection of Diagnostic Blood Specimens by Venipuncture.

Sodium citrate tube eg blue closure Serum tubes including those with clot activator and gels eg red red-speckled gold closures. SPECIMEN LABELING REQUIREMENTS All specimens submitted to the laboratory must be individually labeled. To avoid cross-contamination blood must be drawn and collected in tubes in a specific order.

Must be drawn first to. Incorrect order of draw Consequence. Specimen labels may be ordered from Laboratory Services please call Client Services.

When a patient requires blood tests often more than one tube is required. SST red-gray or gold top. For this reason an order of draw was established.

As colour coding and tube additives may vary verify recommendations with local laboratories. ORDER OF DRAW If there is a concern regarding contamination by tissue fluids or thromboplastins then one may draw a non-additive tube first and then the light blue top tube. This is known as the Order of Draw.

These blood tubes may contain different additives which may affect certain results should they contaminate another tube. All tubes must be gently inverted 8 10 times to provide thorough mixing of additives. The recommended order is as follows.

Last draw - additive tubes in this order. What is the recommended order. Phlebotomy order of draw is the same for specimens collected by syringe tube holder or into tubes preevacuated at the time of collection.

Blue If using a butterfly draw a blue waste tube Black top o ESR CBC etc. Making as many sticks as necessary to find the best vein c. If the royal blue tube has a red strip on the label draw it first followed by the tube with the blue strip.

1 Blood cultures yellow SPS sterile 2 Light blue buffered sodium citrate tube 3. Blood Culture Tubes or Vials. Blood culture tube or bottle.

Blood culture tubes Sodium citrate tubes eg blue-stopper Serum tubes with or without clot activator with or without gel separator eg red- gold- speckled-stopper Heparin tubes with or without gel eg green-stopper EDTA tubes eg lavender-stopper Glycolytic inhibitor tubes eg gray-stopper.

Order Of Draw Medical Laboratory Phlebotomy Medical Laboratory Science