This system is also used for inpatients, outpatients, and home care. If veins in the arm cannot be used for venipuncture, the alternative veins lie in the dorsal side of the hands and wrist. Draw tubes, tests, additives and the order of draw learn with flashcards, games, and more for free. The order of draw is the same for specimens collected by syringe, tube holder, or into. We have memory tools such as bracelets, watches, and badges takes the guess work out of the order of draw. This prevents contamination of sample tubes with additives from previous tubes that could cause erroneous results. Due to the many coloredtop blood collection tubes, it can often be difficult to remember the correct order. If the royal blue tube has a red strip on the label, draw it first, followed by the tube with the blue strip. Phlebotomy order of draw and tube additives with answer key. When collecting multiple specimens, blood tubes should be drawn in the following order. Mix 810 times except for the light blue tube mix 45 times.
Managers and trainers looking for an inexpensive but uniquely educational gift for their students and staff can keep the recommended order of tube collection right at their fingertips. A phlebotomist must follow the standard order of draw phlebotomy to ensure that the tests are done in a proper way and the results are accurate. The order of draw is followed in every venous blood collection. A graph detailing this order of draw needs to be posted in every room that was phlebotomy to ensure even in case a phlebotomist forgets, she accurately draw the specimens and can instantly reference the graph. Phlebotomy technicians are healthcare professionals responsible for obtaining patient specimens. Phlebotomy order of draw and tube additives with answer key tpt. 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 type and amount of specimen required for the test. All questions 5 questions 6 questions 7 questions 8 questions. Venipuncture including order of draw purpose venipuncture use the chart below to determine proper order of draw and the proper inversion. For more information, click below or contact us at. Define physiology and anatomy of hemostasis terms flashcards.
Phlebotomy order of draw and study aid phlebotomy coach. Guidelines for drawing blood and best practices in phlebotomy. Phlebotomy order of draw flashcards create, study and. The order of draw pen is comfortable and attractive with the order of draw illustrated in full color on the barrel for easy reference. A mnemonic device is a phrase or saying that is easy to remember and relate back to in the future. There are certain critical steps needed in order to draw correctly and safely. Collect specimens for each printed container label. Download as ppt, pdf, txt or read online from scribd. Refer to the mlabs test catalog for specific specimen type and volume requirements. The order of draw in phlebotomy e phlebotomy training.
Start studying phlebotomy order of draw nha standard. The center for phlebotomy education offers order of draw pens and pocketsized reminders of the recommended order of draw along with 11 tips on specimen collection. I hope ill be able to explain to you what phlebotomy top gun is all about and what we try to do at our annual phlebotomy. Tubes should be inverted while other tubes continue to be filled. All sites edmonton zone order of draw gently mix each tube immediately after collection. Who guidelines on drawing blood service temporarily down. 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. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Order of draw evacuated tube collection and or fill from syringe. This worksheet will allow the user to color in the tubes and label the corresponding additives. Remember the order of draw with badges, bracelets and other phlebotomist gifts. If blood must be collected from below an iv site, a discard tube the same as the first tube drawn for analysis must be collected.
The importance of filling blood collection tubes in the proper order cannot be. Unfortunately, this order can be hard to remember for those in training and even those in the field. The term phlebotomy suggests the taking of blood only. Feb 12, 2020 additive contains the anticoagulant sodium citrate, which also prevents coagulation by binding calcium in the specimen different ratios general coagulation is also a part of hematology used for coagulation studies and determinations because it preserves the coagulation factors. Order of draw for multiple tube collections when collecting multiple specimens, blood tubes should be drawn in the following order. The order of draw is designed to eliminate the possibility of cross contamination that may result in erroneous results. A phlebotomy management case report article pdf available in biochemia medica 232.
The order of draw pen is comfortable to grip and attractively illustrates the order of draw in full color on the barrel for easy reference. They can perform various functions such as venipuncture, microcollection, and specimen processing and handling while maintaining patient safety and confidentiality. Order of draw bracelets are becoming popular with phlebotomy instructors, who purchase them as graduation gifts for their students. What is the order of draw tube colors in phlebotomy. Prompting the revision at the time was the industrywide substitution of glass collection tubes with plastic. Aug 23, 2016 4 fun phlebotomy order of draw mnemonics one of the most important sets of information a beginning phlebotomist must memorize is phlebotomy order of draw. Inventive phlebotomist creates order of draw bracelets to. Specimens must be collected in the appropriate collection container, kit or device, correctly labeled. Below is the correct order of draw per the clsi venipuncture standard gp41. Click the showhide all button to hide the tube color and descriptions. Order of draw gently mix each tube immediately after collection. Order of draw memory tools for phlebotomists in training the order of draw is an important part of phlebotomy. Phlebotomy technician ncpt certification national center.
Phlebotomy guidelines and order of draw specimen collection procedures proper specimen collection and handling is a critical part of obtaining a valid laboratory result. Phlebotomy order of draw explained e phlebotomy training. Weve compiled the above information in an easytounderstand infographic for you to easily save or share. Pdf to investigate whether incorrect order of draw of blood samples during phlebotomy causes in vitro potassium ethylenediaminetetraacetic acid edta. Specimens must be submitted either with a requisition or by computer order. In this example, the tubes that make the order of draw are identified by color. Discard tube 3 ml no additive must be used only if drawing a citrate blue tube with a tube holder and butterfly needle. The order of draw is different than what is used for regular venous phlebotomy. Clearing out any confusion phlebotomy is not just about drawing blood. Ms word cheat sheet shortcut typing tips microsoft microsoft word is the perfect way of getting thoughts down on digital paper, no matter whether they are. Phlebotomy order of draw below is the correct order of draw per the clsi venipuncture standard gp41 note. Similarly for a butterfly needle collection, if a black top tube excyte is the first.
Pdf incorrect order of draw could be mitigate the patient. In the era of lyophilized anticoagulants, order of draw is no longer important. The order is universal for glass and plastic tubes, and irrespective of whether samples are drawn with a tube holder or syringe. The order of draw tube colors in phlebotomy is as follows.
Lucienne therrien phlebotomy medical laboratory scientist biomedical science medical technology technology news technology innovations medical coding nursing tips lpn nursing nursing. 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. This subject is not only concerned with blood letting, but rather the whole range of skills and knowledge necessary for the collection of viable specimens for later analysis in a laboratory. Blood cultures should always be drawn first to avoid causing damage to the cultures. Draw of order flow chart lindsays hematologyorder of draw chart. Although there have been various modifications to the order of draw throughout the years, the current clinical and laboratory standards institute clsi recommendation has been in effect since 2003. Order of draw phlebotomy chapter 7 quiz proprofs quiz. 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. For an attactive pdf of this article for posting in your facility, visit our. Its a great way to remember order of draw ood because you can modify the sentence to be most helpful to you. A phlebotomy procedure which can also be called a venipuncture procedure or blood draw is the process of drawing blood. This is necessary to avoid crosscontamination of additives between the tubes.
If you pass and become certified, your career options are sure to increase and the chances of you getting a high paying job are high. Pdf effect of order of draw of blood samples during phlebotomy on. It is vital that the samples are not contaminated or tainted in any way, and should continue reading. Prompting the revision at the time was the industrywide substitution of.
Use the chart below to quiz yourself on the proper order of draw. Order of draw with more tubes october 25, 2017 wednesday morning phlebotomy video duration. Blood collection equipment, additives, and order of draw. As you may already know, blood must be drawn and collected in tubes in a specific order, known as the order of draw. 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. Blood must be drawn in a specific way to prevent crosscontamination and ensure test result accuracy. When drawing blood for multiple tube collections, it is important to take into consideration proper venipuncture technique and correct order of draw. It also covers proper care and handling of the specimen that will be used for laboratory testing or analysis. There have been a number of studies recently looking at whether order of draw. This guide shows you the step by step blood draw procedure process. Aug 29, 2018 all questions 5 questions 6 questions 7 questions 8 questions. Draw of order bar chart order of draw alpha laboratories. During a finger stick, the puncturing of the skin immediately begins the clotting process, so it is necessary to work quickly and accurately to fill edta or lavender tubes first, then fill the other tubes containing additives, leaving the other tubes that allow. Study guide for medca exam when blood is removed from the body, the blood clots and the liquid portion is called serum.
The instrument used to speed the removal of serum by spinning the blood is called a centrifuge. The label must be affixed directly to the container. 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. Patient id patient id patient id serum stopper color edta lavender 8 10 citrate light blue 3 4 sst with gel redblack 5 serum red 5 sodium fluoride gray 8 10 heparin green 8 10. Label every specimen container with the correct container label. When drawing blood from a patient you are expected to know which order to follow because a mix up may give mixed. Fletcher allen health center in burlington, vt bought the order of draw bracelets for our team of 44 phlebotomy staff, both inpatient and outpatient, according to lynn bryan of fletcher allen. The phlebotomy order of draw should also remain the same despite whether the tubes are glass or plastic. Phlebotomy order of draw nha standard flashcards quizlet.
Find this pin and more on the phlebotomy shop by marketlab, inc phlebotomy order of draw. Unfortunately for entrylevel phlebotomists or those in phlebotomy training, this process can be quite confusing and often difficult to remember. Specimens must be collected in the appropriate collection container, kit or device, correctly labeled and transported promptly to the laboratory. It is very important to follow this order of draw in order to avoid any lab. May 21, 2015 theres a special sequence which is to be utilized to prevent incorrect and pollution results. This worksheet will allow the user to color in the tubes and label the corresponding. Nov 06, 2019 this process is known as the order of draw.
Discard tube 3 ml no additive must be used only if drawing a citrate blue tube with a tube holder and. Many studies have proven that when blood collection tubes are filled in the wrong order, test results can vary, sometimes wildly, from the patients actual condition. 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. Here, you will learn about the basics of phlebotomy, principles of the procedures and the proper phlebotomy order of draw. Phlebotomy tube order of draw for venipuncture and dermal puncture worksheet. Before taking this test, read the instructions on how to complete the answer sheets. Order to draw tubes inversion number of times 1 blood culture bottles 8 10. Proper specimen collection and handling is a critical part of obtaining a valid laboratory result. If a patient shows any symptom related to the condition, royal blue draw will be requested.
1143 189 1387 1119 120 822 594 852 536 1054 149 390 536 23 451 51 77 1346 82 1311 1141 1284 1140 38 501 1326 907 86 1016 135 354 652 573 584 246 12 228 1410 1358 167 1266 1022