which lab tube do you draw first

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. Laboratory Test Tube Color Selection Guide Boone Hospital Laboratory Correct order for drawing tubes.

Phlebotomy Order Of Draw Phlebotomy Order Of Draw

What is the correct order of blood tubes.

. As you may already know blood must be drawn and collected in tubes in a specific order known as the Order of Draw. This is necessary to avoid cross-contamination of additives between the tubes. SNH0005289 v190 First Issued.

31012024 Collect the blood into the containers in the order listed below for evacuated systems. Sodium citrate tube eg blue closure Serum tubes including those with clot activator and gels eg red red-speckled gold closures Heparin tube with or without gel eg dark green light green speckled green closures Also Know what blood tube colors are for which test. Blood Tube Guide Order of Draw Reference Chart Implementation Tool Prompt Doc No.

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. Lavender Tube contains K2EDTA additive used for hematology testing. When using a winged blood collection set is used and the first tube to be drawn is a citrate coagulation tube a discard tube non additive tube should Revised 62019 Attachment GMG-708-0002 Phlebotomy Venipuncture Procedure and GMG-700-0031 LIS Downtime Policy.

In this example the tubes that make the order of draw are identified by color. 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. Send whole blood in a royal blue-top tube.

For clot formation 10ml 2222 Digoxin Dilantin Drug Levels Homocystine. 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. 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.

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. Sodium Citrate Tube 45ml 89 Coagulation testing. The correct order of draw follows.

The list below lists the most commonly used blood collection tubes their additives and uses in laboratory. 20082018 Page 1 of 3 Last Reviewed. With a tube holder and butterfly needle.

Blue top Tube contains sodium Citrate. CANNOT be collected via capillary collection method. Standard order of draw.

When should trough levels be drawn. Capillary tubes Used for whole blood tests andor point of care testing blood gasses. Which tube do you draw first for blood cultures.

Standard order of draw. 3 mL no additive must be used ONLY if drawing a citrate blue tube. Blood culture tube or bottle.

This tube is then discarded into the biohazard receptacle. 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. EDTA whole blood or plasma.

Contains sodium EDTA for trace metal studies. Some royal blue-top tubes do not contain EDTA. Well answer that for you in this.

Which tube do you draw first. Used only to remove air from tubing. Unfortunately this order can be hard to remember for those in training and even those in the field.

A trough level is drawn immediately before the next dose of the drug is administered. Tube MUST contain venous blood only. FREE Lab Value at.

Many phlebotomists u se a mnemonic device to make the memorization process a bit easier. BLOOD CULTURES royal blue red light blue SST Gold green tan yellow pink pearl lavender. 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.

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

A peak level is drawn 1 to several hours after the drug is administered depending on the drug. Phlebotomy Tubes and Order of Draw. Its a great way to remember order of draw OOD because you can modify the sentence to be most helpful to you.

A mnemonic device is a phrase or saying that is easy to remember and relate back to in the future. 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. DO ensure that tubes with an indicated fill line or minimum fill line such as blue top tubes are appropriately filled.

Phlebotomy Order Of Draw. If a coag tube light blue is the only tube or the first tube to be drawn a 5. Send whole blood in a yellow-top tube.

17012020 UNCONTROLLED WHEN DOWNLOADED Review By. Collected first to obtain adequate volume minimize platelet clumping. BLOOD CULTURES royal blue red light blue SST Gold green tan yellow pink pearl lavender.

Contains acid citrate dextrose ACD solution.

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