order of draw pdf

Instill heparin into an intermittent catheter 6. 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.

Lab Values Interpretation Cheat Sheet Part 2 Lab Values Medical Assistant Student Medical Student Study

See below the order of draw chart currently in use as best practice guidelines.

. If using butterfly use a lt. Epro Item Laboratory Use Bactec Aerobic grey cap 9617 Make certain to follow the blood culture procedure Bactec Anerobic orange cap 10595 using ChloraPrep One-Step - Item 22960 Bactec Peds pink cap 9616 Mix bottles by inverting 8 to 10 times. With blood but the discard tube dæs not need to completely filled.

And Order of Draw see end of page __Cap. Sodium Polyanethol Sulfanate AKA SPS Sodium Citrate. 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.

When collecting blood using a syringe and a transfer device is used. 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. For order of draw BD BD Logo and all other trademarks are property of Becton Dickinson and Company.

The Order of Draw is designed to eliminate the possibility of cross contamination that may result in erroneous results. Draw arterial blood for blood gases or ionized calcium 3. This step will ersure to-additive ratio.

Blue If using a butterfly draw a blue waste tube Black top o ESR CBC etc. Draw one green and one orange bottle for adults. Heparin either sodium or lithium EthyleneDiamineTetraacetic Acid AKA EDTA Potassium Oxalate with Sodium Fluoride.

Blood Gas Syringe EDTA tubes. 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. CLSI order of draw is as follows.

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. BLOOD COLLECTION TUBES THE ORDER OF DRAW Version 82018 072010. Draw blood from a central line 5.

Draw blood from an A-V fistula 7. Citrate tube blue Fill to mark as the ratio of blood to anticoagulant is critical. 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. If drawn out of order test results can be significantly different or incorrect. Blood Culture Bottles 2.

Draw blood from lower extremities except with a written physicians order 4. Test Tube Guide and Order of Draw Test Tube Alternate Test Tube Additive Vol. 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.

The above order of draw is to be followed. ORDER OF DRAW FOR BLOOD COLLECTION Collect blood into containerstubes in the following order. 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.

SPECIMEN LABELING REQUIREMENTS All specimens submitted to the laboratory must be individually labeled. 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. Serum gel gold serum no gel tube red 4.

Draw blood from an inpatient that does not have an identification band 2. Mix 8 to 10 times immediately after collection to prev ent clotting. Light blue top tube.

Always follow facility policy first. Sed Rate Westegren Sed Rate sion Fill tube to line. Order of Draw To avoid cross-contamination of additives between tubes blood tubes must be drawn in a specific order.

For venipuncture procedures using plastic or glass tubes the. 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. Lithium Heparin tube green 6.

Color Description_____Instructions___ Blood culture bottles Contains anticoagulants and preservatives to culture bacteria. ESR tube black 5. Some tubes have either liquid or powdered anticoagulants or powdered glass.

Phlebotomy Order of Draw Below is the correct order of draw per the CLSI venipuncture standard GP41 Note. Specimen labels may be ordered from Laboratory Services please call Client Services. 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.

Printed in USA 022002 VS5729-2 Blood Cultures 8 to 10 times Serum glass tube Citrate 3 to 4 times BD SST Gel Separator Tube 5 times BD SST Gel Separator Tube Serum plastic tube Heparin 8 to 10 times. Obtain appropriate medical attention in the event of any exposure. One yel-low for pediatrics TB Fungal collect yellow isolator tube PT APTT Coagula-tion Studies green NOTE.

That arrangement is the 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.

Blood Bottles Guide Geeky Medics