A4 order of draw of blood collection tubes effective date. In phlebotomy, this term has special meaning as it is the order in which certain tubes can be used. Order of draw for multiple tube collections when collecting multiple specimens, blood tubes should be drawn in the following order. There are seven tubes which make up the order of draw. Order of draw phlebotomy technician the order of draw is one term you will encounter in your phlebotomy training program.
Blood samples must be drawn by phlebotomists in a specific order to avoid crosscontamination of the sample by additives found in different. Quest diagnostics blood collection stopperlabel color. Phlebotomy order of draw and tube additives worksheet. The recommended order of draw for plastic collection tubes is.
The order is universal for glass and plastic tubes, and irrespective of whether samples are drawn with a. Unfortunately, this order can be hard to remember for those in training and even those in the field. Phlebotomy order of draw below is the correct order of draw per the clsi venipuncture standard gp41 note. Phlebotomy order of draw and study aid phlebotomy coach. Phlebotomy order of draw tubes phlebotomy technician schools. Learn vocabulary, terms, and more with flashcards, games, and other study tools. When collecting multiple specimens, blood tubes should be drawn in the following order. See more ideas about phlebotomy, order of draw and phlebotomy order of draw. Below is the order of draw for tubes, additives in the tubes, and a brief description of common uses.
See below the order of draw chart currently in use as best practice guidelines. Blood samples must be drawn by phlebotomists in a specific order to avoid crosscontamination of the sample by additives found in different collection tubes. It is a term you will need to know and use every day in your job as a phlebotomist. Order of draw special instructions two patient identi. They are listed by chemical additives that have been introduced to the tube by the manufacturer to perform a specific function when mixed with the blood. From the quiz author quiz used to test your understanding of order of draw, additives in each tube, and department each tube is sent to. Order of draw memory guides for phlebotomists the order of draw can be hard to remember for phlebotomists. Ensure that tube additives are appropriate for testing requirements.
Phlebotomy order of draw is the same for specimens collected by syringe, tube holder, or into tubes preevacuated at the time of collection. The order of draw is one of the many skills you will learn in your phlebotomy training. The order of draw of blood specimens into additive. When tubes are filled according to the recommended order of draw, any additive carryover that may occur will have no significant impact on test results.
Order of draw products are designed to help train us to accurately organize the order of our tubes to protect the integrity of each specimen. Blood collection equipment, additives, and order of draw. This worksheet will allow the user to color in the tubes and label the corresponding additives. Order of draw phlebotomy worksheet phlebotomy technician. Tube order of draw, additive and testing department.
Read, sign and date document updates to acknowledge understanding of changes or amendments to the order of draw policy and forward acknowledgement to manager. A tube order of draw has been established when drawing multiple tubes to minimize carryover of additives which could affect laboratory results. Draw order tube topstopper color tube type 1 blood cultures 2 light blue citrate 3 redgoldtiger serum 4 green heparin 5 lavender oxalate edta 6 gray. This is necessary to avoid crosscontamination of additives between the tubes. Order of draw mixing chart separation clot spin pour into transport vial label with. Mar 21, 2017 phlebotomy order of draw and tube additives worksheet. Follow order of draw when performing capillary collection. Order of draw for multiple specimens beaumont laboratory. Blood collection,equipment, additives,and order of draw florida bd order of draw. Order of draw, stopper colors, and rationale for collection order 18 can you answer these phlebotomy tubes,tests, additives flashcards. Green mint green lithium heparin inversions lithium heparin and gel for in plasma inversionsseparation 10x 10x for plasma determinations in chemistry. The draw is used when there is an order to test deep vein thrombosis or blood clot in a deep vein, pulmonary embolism, stroke and other blood clotting disorders. The recommended order of draw for plastic vacutainer tubes is. When drawing blood from a patient you are expected to know which order to follow because a mix up may give mixed.
Proper specimen collection and handling is a critical part of obtaining a valid laboratory result. Assemble equipment needed for primary blood collections. Potassium oxalates, sodium fluorite, edta testing dept. The sequence below is the order the evacuated tubes must be. It is vital that the order is followed to avoid cross contamination of the additives within the tubes which may affect the accuracy of the test results. If a butterfly needle is used to collect blood, a purge tube plain red top tube, no additives should be used to ensure the tubing is filled with blood prior to the qtbplus blood collection tubes being used. Tube guide and order of draw mix by color closure inversions lavender additive k 2 edta inverting 10x laboratory use for whole blood hematology determinations. This is a free downloadable worksheet on the teachers pay teacher website. Phlebotomy order of draw and tube additives with answer key.
Phlebotomy tutorial for medical education webpathorder of draw. Order of draw bottlestopper additive for other blood, serum or plasma separation instructions, see the specimen collection and handling section of this directory quest diagnostics specimen collection tubes when using a winged blood collection set for venipuncture and a coagulation citrate tube is the first specimen to be drawn, a discard. Collaborative laboratory services phlebotomy order of draw and tube mixing. Blood collection tubes order of draw calgary lab services. All questions 5 questions 6 questions 7 questions 8 questions. Blood collection tubes order of draw pxsc460 order of draw and order of transfer attach 1 rev 1. Collaborative laboratory services phlebotomy order of draw. Depending on the tubes to be collected, follow the order below.
The results of potassium and calcium concentrations did not differ significantly between groups. A phlebotomist must be familiar with all the types of equipment in order to select appropriate collection devices for the type and condition of the patients vein and the. Order of draw phlebotomy chapter 7 quiz proprofs quiz. What is the order of draw, additives, test of blood. If a patient shows any symptom related to the condition, royal blue draw will be requested. Taking these factors seriously can lessen discomfort and complications for your patient, lessen procedure time, and prevent errors in diagnosis caused by cross contamination of additives between blood collection tubes. As you may already know, blood must be drawn and collected in tubes in a specific order, known as the order of draw. Tube 6 gray oxalate name the additives and the testing department. Blood cultures should always be drawn first to reduce the potential hazard bacterial. They are listed by chemical additives that have been introduced to the tube by the manufacturer to perform a. The following order of draw is an accepted laboratory standard.
The order of draw is the same for specimens collected by syringe, tube holder, or into tubes. Phlebotomy order of draw explained e phlebotomy training. A4 order of draw of blood collection tubes uw health. The order of draw is designed to eliminate the possibility of cross contamination that may result in erroneous results. The effect of order of draw when taking blood into tubes containing additive was investigated in 47 medical inpatients. The samples were analysed in the order in which they were withdrawn.
Order of draw, number of tube inversions, angle of tube insertion, fill levelratios k6. Tubes must be collected in the order indicated according to the tube additive in order to prevent contamination or interference from a. Phlebotomy blood collection tubes and additivesorder of draw. Prothrombin time protime, aptt and fibrinogen may be drawn in the same. Venous blood collection order of draw interior health authority. The basic order of draw followed by most phlebotomy laboratories is as follows. Specimen collection procedures the purpose of the document is to share the standard criteria for venous blood collection for medical laboratory testing. Order of draw the most current clinical and laboratory standards institute clsi guidelines recommends a single order of draw, whether using a multisample, evacuated tube system or drawing with a syringes.
Please practice handwashing and social distancing, and check out our resources for adapting to these times. This is an online quiz called order of draw additives department. Ca125, homocysteine, troponin 1, pthintact, afp, testosterone, prolactin and cortisol am and pm must be. Nha certified phlebotomy technician cpt detailed test plan. Only blood culture tubes, glass nonadditive serum tubes, or. When drawing blood for multiple tube collections, it is important to take into consideration proper venipuncture technique and correct order of draw. The order is universal for glass and plastic tubes, and irrespective of whether samples are drawn with a tube holder or syringe. This tube contains sodium citrate, and is used for coagulation assays.
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