order of draw pdf

Some tubes have either liquid or powdered anticoagulants or powdered glass. When collecting blood using a syringe and a transfer device is used.


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If drawn out of order test results can be significantly different or incorrect.

. 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. HENRY FORD HEALTH SYSTEM ORDER OF DRAW AND COLLECTION TUBE CHART Collection tube MUST be filled to the line. As W hen after Consequences if not mixed Tubes Wth antzoagulants dot Specimen otten reed to be redrawn.

Precautions sh ould be followed when drawing multiple tubes to prevent clotting or contamination. Order of Draw Color of Tube Blood Culture Bottles 1st 2nd 3rd Uses Identify presence of aerobic or anaerobic bacteria. Citrate tube blue Fill to mark as the ratio of blood to anticoagulant is critical.

With blood but the discard tube dæs not need to completely filled. Order of Draw Draw specimens only into tube colors indicated on order labels. See below the order of draw chart currently in use as best practice guidelines.

SPECIMEN LABELING REQUIREMENTS All specimens submitted to the laboratory must be individually labeled. Always follow facility policy first. Specimen labels may be ordered from Laboratory Services please call Client Services.

Draw one green and one orange bottle for adults. Use the chart below to quiz yourself on the proper order of draw. Serum gel gold serum no gel tube red 4.

Order Of Draw Quiz. Blue If using a butterfly draw a blue waste tube Black top o ESR CBC etc. The Order of Draw is designed to eliminate the possibility of cross contamination that may result in erroneous results.

Color Description_____Instructions___ Blood culture bottles Contains anticoagulants and preservatives to culture bacteria. Sed Rate Westegren Sed Rate sion Fill tube to line. Then simply go down the list in order and recite each tube color and its respective description.

For venipuncture procedures using plastic or glass tubes the. Order of Draw for Multiple Tube Collections Designed for Your Safety Handle all biologic samples and blood collection sharps lancets needles luer adapters and blood collection sets according to the policies and procedures of your facility. Order of Draw To avoid cross-contamination of additives between tubes blood tubes must be drawn in a specific order.

Phlebotomy Order of Draw Below is the correct order of draw per the CLSI venipuncture standard GP41 Note. Order of Draw. Blood Gas Syringe EDTA tubes.

D-Dimer 1 Fibrinogen 1 Heparin Partial Thromboplastin Time or APTT Prothrombin Time PT includes INR Protein S 1 Protein C 1 Antithrombin III 1 Factor Assays 1 Factor 2 1 Factor 5 1. This step will ersure to-additive ratio. The above order of draw is to be followed.

One yel-low for pediatrics TB Fungal collect yellow isolator tube PT APTT Coagula-tion Studies green NOTE. 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. Obtain appropriate medical attention in the event of any exposure.

Proper specimen collection and handling is a critical part of obtaining a valid laboratory result. To check your answer simply click on the respective color and description cell the. 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.

Phlebotomy Guidelines and Order of Draw. And Order of Draw see end of page __Cap. PHLEBOTOMY ORDER OF DRAW souræ_ When using a collection set for and a coagulation citrate is the first tube to be drawn a discard tahe be drawn first The discard tube must used to fill collectim set tubings dead space.

If using butterfly use a lt. Draw in the sequence specified on the following table. Click the ShowHide All button to hide the tube color and descriptions.

BD Vacutainer Order of Draw When drawing blood directly or transferring from a syringe into vacutainer tubes it is extremely important to follow the specified order of draw. Processing Of Tubes Why Most tubes contain an additiee cg dot that to t Tutes Ath such as EDTA need to maed to ensure the spirren and back. The ability to draw multiple tubes from a single venipuncture is accomplished by the use of the VACUTAINER holder a multi-sample valve needle and a selection of VACUTAINER collection tubes.

ESR tube black 5. 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. That arrangement is the order of draw.

Order of Draw 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. Order of Draw Special Instructions Two patient identifiers must be on all specimens full name date of birth ID etc The sequence below is the order the evacuated tubes must be filled to prevent specimen or additive cross contamination For specimen requirements including storage and transport temperatures consult our. Order of Draw VACUETTE Blood Collection Tubes based on CLSI GP41-ED7 Sodium CitrateCTAD Serum with and without Separator Blood Culture EDTA with and without Separator Glycolytic Inhibitor Other additives Heparin with and without Separator If a winged blood collection set is used the first tube in the series will be under-filled.

Light blue top tube. The recommended order of draw when drawing several. ORDER OF DRAW FOR BLOOD COLLECTION Collect blood into containerstubes in the following order.

BLOOD COLLECTION TUBES THE ORDER OF DRAW Version 82018 072010. Mix 8 to 10 times immediately after collection to prev ent clotting. For Pediatric Tubes.

Explain the reason why the test tubes used in a multiple draw of blood samples are arranged following the proper order of draw-The reason why the test tubes are arranged following the proper order of draw is to prevent the cross-contamination of chemicals into other tubes which may cause errors in testingThis process is called reflux which means the chemical can move. Lithium Heparin tube green 6. White top No additive tube.

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. The order is universal for glass and plastic tubes and irrespective of whether samples are drawn with a tube holder or syringe. Blood Culture Bottles 2.

Specimen Collection Procedures The purpose of the document is to share the standard criteria for venous blood collection for medical laboratory testing.


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