Use the chart below to quiz yourself on the proper order of draw. Acronyms are not set in stone, and you can create your own acronym to help you easily remember the order of blood draw. Phlebotomy Chapter 7 Review - Blood Collection Equipment, Additives and Order of Draw Term 1 / 55 Which blood specimen additive can inhibit the metabolism of glucose by the cells? Draw Chapter 01 Order of Draw and Additives | Blood Collection FREE EbookOnline FOR Reading Online . Special chair Allow multiple tubes to be collected in a single venipuncture Total Cards 56 Subject Nursing Level Not Applicable Created 11/16/2011 Click here to study/print these flashcards . We've compiled the above information in an easy-to-understand infographic for you to easily save or share. A. Vacuum Blood Collection PT Tube Laboratory Test Sodium Citrate With Blue Top . Has density between that of cells and serum or plasma Phlebotomy: Worktext and Procedures . Heparin tube with or without gel plasma . Type of tube used in blood collection that has a premeasured vacuum & is color-coded to denote the additive inside. Volume - 3mlCap Colour - WhiteSize - 13 BD 362725 EST Plastic Tube 3ml with Pearlescent White Hemogard Closure 10 [Pack of 1000] Excl BD Vacutainer EST tubes may be used as a discard tube, to remove the dead space from the tubing of blood collection sets. Chapter 7 Blood Collection Equipment. The color of cap is used to identify these additives. Blood cultures should always be collected first to prevent the risk of any contamination from other tubes or additives. An anticoagulant solution available in two formulations (solution A & solution B) for immunohematology tests such as DNA testing & human leukocyte antigen (HLA) phenotyping, which is used in paternity evaluation & to determine transplant compatibility. Citrate phosphate dextrose (CPD) Volume of blood needed for test Obtaining Blood Samples From Peripheral Intravenous Catheters: Best Practice? Only blood culture tubes, glass nonadditive serum tubes, or plastic serum tubes without a clot activator may be collected before the coagulation tube. Transcribed image text: Chapter 7 Blood Collection Equipment, Additives, and Order of Draw 133 LABELING EXERCISES LABELING EXERCISE 7-1: TUBE STOPPER COLORS AND ADDITIVES Color the tube stoppers of the following us plastic per condus to the lot of tubes below. Boys Blood Culture 7. LAZATHEMES, Hello, hello my friends! Good luck! A disposable tourniquet because after it has been . A, D 18 N 19 D 20 M 7. Needle & Straps disposal containers & biohazard bags, Venipuncture Equipment (continuation) JFIF C Clean 2 x 2-in gauze pads folded in fourths are used to hold Needle & holder units Chapter-07_Answers.docx - 7 Blood Collection Equipment, Additives, and Order of Draw MATCHING MATCHING 7-1: KEY TERMS AND DESCRIPTIONS Key Terms and Chapter-07_Answers.docx - 7 Blood Collection Equipment,. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Safety device attached to the needle. Collection errors which produce hemolyzed specimens are both undesirable and preventable. Could you pass this National Certified Phlebotomy Test? Safe on human skin Academia.edu no longer supports Internet Explorer. % endobj The long cylindical portion of a needle is a _______. when done This tube is collected when testing for coagulation studies such as Von Willebrand disease (most common blood clotting disorder), Clotting factors, D-dimer to rule out thrombosis, Anti factor Xa to monitor patients on high dose low molecular weight heparin, Prothrombin time, etc. 3. This course introduces students to the basic skills of phlebotomy. A substance that prevents blood from clotting. Students learn proper technique for physicians' offices and outpatient clinics. DISCLAIMER: All opinions and thoughts are my own, strictly educational and not intended to be used as medical advice. To browse Academia.edu and the wider internet faster and more securely, please take a few seconds toupgrade your browser. The additive in this tube serves as an anti-coagulant which stops blood from clotting. Types Clot Activator: Substance that enhances coagulation in tubes to collect serum specimens. Marked with biohazard symbol and are puncture resistant, leakproof and disposable, Leakproof bags most commonly used to treansport blood and other specimens from collection site to lab. Gold Top ADDITIVE None MODE OF ACTION Serum separator tube (SST) contains a gel at the bottom to separate blood from serum on centrifugation USES Chemistries, Immunology and Serology Numbers vary by manufacturer; consult manufacturer instructions Vacuum blood collection tubes are widely used in hospital and clinic, but not everyone knows the correct sequence blood collection tubes order of draw. Inside the plastic coating of a hypothetical CD the wavelength is 550nm550 \mathrm{~nm}550nm. Well, if you work somewhere nurses are responsible for collecting blood work then you might want to continue reading! into tubes without using syringe needle or removing Determine the total force R exerted on the viewing window by the fresh water in the tank. Phlebotomy order of draw is the same for specimens collected by syringe, tube holder, or into tubes preevacuated at the time of collection. Bandages Usua. You can change these settings at any time, but that may impair functionality on our websites. Prevents cells from continuing to metabolize substances Substances that prevent glycolysis (breakdown of glucose by blood Ch. ALL RIGHTS RESERVED. In September 2020, the Clinical and Laboratory Standards Institute (CLSI) published the updated capillary standards (GP42-Collection of Capillary Blood Specimens).1 This was the first revision in 12 years.2 The standards provide guidance for proper capillary blood collection procedures and processes to ensure the safety of the patient as well . Preserves glucose for up to 3 days and inhibits bacterial No latex bandages. Love Light Blue Some tests require whole blood, plasma or serum for testing. Must be drawn prior to drawing a blue tube using a butterfly to preserve 9:1 ratio which can be thrown off because of air in the tubing, A chemical that kills or inhibits bacteria, Turning the wrist 180 degrees and back again, PLTW - Medical Interventions Final Exam Study, Julie S Snyder, Linda Lilley, Shelly Collins. The prevalence of hemolysis in blood collection is almost five times higher than that of other collection missteps, making it the most common reason for specimen rejection and recollection. cells) (A) plasma, (B) serum, (C) potassium, (D) potassium, (E) cells, 7. This tube is mainly collected when hematology studies. Bed or reclining chair PPT (pearl top): C and J (bottom of the tube should be colored yellow to represent gel), 7. How much sediment does the Mississippi River move each year? 3 0 obj Company Info. 1.071016kJ/min, 235U+01n56141Ba+3692Kr+301n^ { 235 } \mathrm { U } + _ { 0 } ^1 \mathrm { n } \longrightarrow _ { 56 } ^ { 141 } \mathrm { Ba } + _ { 36 } ^ { 92 } \mathrm { Kr } + 3 _ { 0 } ^ { 1 } \mathrm { n } When drawing blood from a patient you are expected to know which order to follow because a mix-up may give mixed results. School Asheville-Buncombe Technical Community College Course Title PBT 101 Uploaded By ChefSeahorse3438 Pages 10 Ratings 100% (1) endobj As you may already know, blood must be drawn and collected in tubes in a specific order, known as the Order of Draw. 2023 Clinical and Laboratory Standards Institute. Precipitating calcium Types: Home > . Age of patient Serum tube with or without gel or clot activator 4. Antiseptics . Additional Nursing Flashcards Cards Term Light Blue Tube 1. Additives and order of draw . blood collection system is a syringe combined with a needle [4]. holder ( A ), Safety needle and traditional tube Tubes made of materials free of trace element contamination Oct 19, 2017 - Explore Jo Patterson's board "Phlebotomy (Order Of Draw)" on Pinterest. SPS Blood Cultures - Blood Culture bottles (aerobic, anaerobic, and pediatric) Sodium Citrate Blue - When using a winged blood collection set and the first tube to be drawn is a coagulation tube, a discard tube must be drawn first. Syringe transfer device: allows safe transfer of blood At least 10 minutes of contact to be effective. may contain defects, and some studies may not provide an adequate barrier to viruses_ Clotting factors (thrombin) Blood Collection Tubes. <>>> Needle and holder permanently attached Commonly referred to as a butterfly Chapter 7 Notes - **Chapter 7: Blood Collection Equipment, Additives, and Order of Draw ** General - Studocu Chapter 7 Notes chapter blood collection equipment, additives, and order of draw general blood collection equipment and supplies carts and trays adequately Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew After stat hemoglobin and hematocrit (H&H) and protime finishing the Billable Contact Hours: 4 Search for Sections Chemical substances used to kill microorganisms. Evacuated tubes fill with blood automatically because there is a ____________ (negative pressure) in them. Size used depends on: A closed system in which the patient's blood flows through a needle inserted into a vein and then directly into a collection tube without being exposed to the air or outside components. However, the gold tube is used more frequently than this one. Everybody effectively learns and remembers in different ways. Common tests 4. I hope you learned more than what you knew before about these lab tubes. You should now know the order to collect them in, when to use them and what additive is in each tube. 70% Isopropyl Alcohol most common. An anticoagulant commonly used with the antiglycolytic agent sodium fluoride. Non Sterile, disposable latex, nitrile, neoprene, Here are the key terms, definitions, and much more related to the topic of Order of Draw, Additives, Test of blood collection tubes, which is simple and easy to learn with our flashcards. Heparin gel-barrier tube, ETS part that contains the tube during venipuncture, to use an alcohol-based cleansing solution, pertaining to the veins or blood passing through them, tight hand used to stabilize veins in the arm, point at which needle will enter the vein, layer of connective and adipose tissue below dermis. Royal blue-top tube. Name the 11 General Blood Collection Equipment and Supplies 1.Blood Drawing Station 2.Pbt Chair 3.Handheld PBT equipment carriers 4.Pbt carts 5.Gloves and Gloves Liners 6.Antiseptics 7.Disinfectants 8.Hand Sanitzers 9.Gauze Pads/ Cotton Balls 10.Bandages 11.Glass microscope slides (1-3 in), pen & watch Blood drawing station -table for supplies Order of Draw 1. Substances that prevent blood from clotting UNIT IV BLOOD COLLECTION, EQUIPMENT, ADDITIVES, AND ORDER OF DRAW Two types are: Principles of Blood Collection Handheld Carrier - is a carrier or tray used to contain enough equipment for numerous o Importance of Blood Collection blood draws. Then, simply go down the list in order and recite each tube color and its respective description. Greek Gray This tube is collected when checking for biochemistry tests such as urea and electrolytes, C-reactive protein (CRP), amylase assay, iron studies, creatine kinase (CK), lipid profile (cholesterols), endocrinology studies such as growth or sex hormones, microbiology and virology tests such as HIV and immunology tests such as rheumatology, thyroid antibodies and immunoglobulin. Substances that provide more surface for platelet activation *cut on a slant. How much heat does the water absorb if its temperature rises from 15C15^{\circ} \mathrm{C}15C to 95C95^{\circ} \mathrm{C}95C ? *1 or more specific functions, such as preventing clotting or preserving blood components. This report highlights how patients are being managed and also the several test carried out for patients such as: Full Blood Count (FBC), Packed Cell Volume(PCV),White Blood Cell Count, Differential Count, Stool Examination, Microfilaria, Widal (Typhoid test), Genotype, HIV, e.t.c. Light Blue-top tubes: Well, my friends! A place where you'll find tons of nursing tips, education and all things pediatrics nursing. Learn all about blood culture bottles and how to properly collect them here. _Blood in an SST tube will eventually clot without mixing; however, when it is not_ Fill the microtainer tube (s) as needed, adhering to the order of draw. endobj 1 inch is preferable because it is less intimidating to the patient, Safety feature of a needle that covers the needle after use. Identify the tubes needed to collect a CBC,PTT and STAT potassium by color and in the proper order of collection for a multitube draw: light blue top, green top, lavendar top . the testing process, as glass particles have been known to plug the small-diameter No cotton balls, Adhesive item used to cover collection site after bleeding has stopped. Slides Adjustable armrests Do you have any tips and tricks when collecting blood that you can share in the comments below? endobj The correct order of draw follows: Chapter 7: Blood Collection Equipment, Additives, and Order of Draw 137 Case Studies Case Study 7-1: Butterfly Use and Order of Draw Maria, who was recently hired in her first job as a phlebotomist, has been sent to the ICU to collect a it four times. Are substances used to prevent sepsis, which is the presence of microorganisms or their toxic products within the bloodstream. Used w. Potassium oxalate (anticoagulant) for rapid response Blood samples must be drawn by phlebotomists in a specific order to avoid cross-contamination of the sample by additives found in different collection tubes. Antiseptic. Industrial Equipment & Components; Instruments & Meters; Light Industry & Daily Use; Lights & Lighting; Manufacturing & Processing Machinery; . International journal of laboratory hematology, Critical Reviews in Clinical Laboratory Sciences, Human Factors: The Journal of the Human Factors and Ergonomics Society, New Zealand Journal of Medical Laboratory Science, veterinary technician large animal daily reference guide, Industrial placement/medical laboratory/ Rwanda, KNOWLEDGE ATTITUDE AND PRACTICE OF STANDARD OPERATING PROCEDURE BY PHLEBOTOMIST, Practical Procedures Practical Procedures, Medical Laboratory Student Industrial Report, Avoidance to wipe alcohol before venipuncture is not a source of spurious hemolysis, Sodium citrate blood contamination by K2 -ethylenediaminetetraacetic acid (EDTA): impact on routine coagulation testing, Prevention of hemolysis in blood samples collected from intravenous catheters, Hemolyzed specimens: a major challenge for emergency departments and clinical laboratories, Evaluation of sample hemolysis in blood collected by S-MonovetteR using vacuum or aspiration mode, The Efficacy of a Medical Virtual Reality Simulator for Training Phlebotomy, Factors Affecting Hemolysis Rates in Blood Samples Drawn From Newly Placed IV Sites in the Emergency Department, Lab Notes Guide to Lab and Diagnostic Tests (2005) -www, Molecular medicine ireland guidelines for standardized biobanking, Pediatric Blood Sample Collection From a Pre-Existing Peripheral Intravenous (PIV) Catheter. 2x2 in square folded in fourths are used to hold pressure over the site. An additive can be liquid, powder or spray-dried coating. (A) antiseptic, (B) microorganisms, (C) sterilize, 6. The acronym is Boys Love Ravishing Girls Like Dieters Love Greek Yogurt! The order of blood collection, depends on blood collection tube colors and tests, Below let we show the blood collection tube color guide for you. So, if you work in the medical industry, then you must take up the quiz below and see how well you know about this subject or do you need more practice on it. Evacuated tube system (ETS) A closed system in which the patient's blood flows directly into a collection tube through a needle inserted into a vein. Identify the importance of phlebotomy procedures to the overall care of the patient. techniques such as venipuncture, dermal puncture, arterial blood collection, and special . Name the additive present in the light blue Tube. 2011-2023 Phlebotomy Coach. A closed system in which the patient's blood flows directly into a collection tube through a needle inserted into a vein. Obsolete - do NOT need to know! Must be filled to within 90% of that volume for accurate results, Guide showing fill levels for sodium citrate tubes Chapter 4 Medical Terminology 69 KNOWLEDGE DRILL 4-3: TRUE/FALSE ACTIVITY The following statements are all false. Bringi, Hello again my nursing friends! This is necessary to avoid cross-contamination of additives between the tubes. Cross), Give Me Liberty! This will help you remember the blood draw order along with the tube color when performing venipuncture. STAT TEST(S) ORDERED: Chemistry Coagulation NH4 (Ammonia) D-dimer Bill (Birubin, total & direct) PT (protime) BMP (basic metabolic panel) PTT (partial thromboplastin time) BUN (Blood urea nitrogen) Hematology Chol (cholesterol) CBC (complete blood count) E1OH (alcohol) ESR (erythrocyte sed rate) Gluc (glucose) Hgo (hemoglobin) Lytes (electrolytes) H&H (hemoglobin & Hematocrity Lact (lactic acid lactate) RBC (Red blood cell count) PSA (prostatic specific antigen) WBC (White blood cell count) Other Type & Screen (erim specimen requested. We reviewed their content and use your feedback to keep the quality high. An inert (nonreacting) synthetic gel substance in some ETS tubes (e.g., SSTs, PSTs, & PPTs) that forms a physical barrier between the cells & serum or plasma when the specimen is centrifuged. An anticoagulant used in blood culture collection that also reduces the action of a protein called complement, which destroys bacteria, slows down phagocytosis (ingestion of bacteria by leukocytes), & reduces the activity of certain antibiotics. 2003-2023 Chegg Inc. All rights reserved. What is the best type of tourniquet to use to perform the venipuncture? When wearing gloves, change them between each . Blood collecting equipment, additives, and order of draw. Do you draw labs at your facility as a nurse or do you have a phlebotomy team that does it for you? Self-care in nursing seems to be a practice many nurses and nursing students do, Are you completely confused when it comes to choosing the right NCLEX Prep book? gloves Citrates What experience do you guys have with lab tubes? Tests such as heparin levels or lithium drug levels. Device applied or tied around a patients arm prior to venipuncture to compress veins and restrict venous blood flow, which distends, or inflates the veins. Feel free to switch it up to make it easy to remember for YOU. Clinical Laboratory Standards Institute (CLSI), CLSIs GP41 Collection of Diagnostic Venous Blood Specimens, 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), EDTA tube with or without gel separator (eg, lavender, pearl, pink closures), Sodium fluoride/potassium oxalate glycolytic inhibitor (eg, gray closure). Difference between antiseptics and disinfectants S.NO ANTISEPTICS DISINFECTANT 1. Any Hospital USA 1123 West Physician Drive Any Town USA Laboratory Test Requisition PATIENT INFORMATION: Name: Doe John T M Birth Date: 12/07/43 Identification Number 036152912 Referring Physician Smarte John Date to be collected: 08/28/2019 Time to be collected: Special Instructions. (wanAzman,et.al . Tube holders The higher the number, the smaller the diameter of the needle. Plasma,Serum,Whole blood: Draw Volume: 1-10ml: Application: Blood collecting/test: Rommended storage temper:: 4-25 OEM: Accept: Additives: None: Contact Now. Additives, and Order of Draw 139 SKILLS DRILLS SKILLS DRILL 7-1: REQUISITION ACTIVITY Identify the tests ordered on the following requisition List the tests below in the order of draw and Identify the stopper color and additive of the tubes that will most likely be collected for the tests indicated. Order FOB Price; 10,000 . Nonwinged Blood Collection Set Click the Show/Hide All button to hide the tube color and descriptions. Sheilds that cover the needle after use, blunting devices, and equipment with devices that retract the needle after use. ORDER OF DRAW . Red Top ADDITIVE None MODE OF ACTION Blood clots, and the serum is separated by centrifugation USES Chemistries, Immunology and Serology, Blood Bank (Crossmatch) 31. By Kimberlycook28 | Updated: Mar 22, 2022. Any substances placed within a tube other than the tube stopper or silicone coating, if any. Are chemical substances or solutions regulated by Environmental Protection Agency (EPA) that are used to remove or kill microorganisms on surfaces and instruments. Mainly used for clearing and discarding purposes, serum chemistry (red top) and blood donor screening, Also known as a Butterfly. Vacutainer Rapid Serum Tube (RST), Needle and Holder Units (continuation) Girls Gold Dieters Dark green phlebotomy standards are set by this institute, (plasma separator tube) Influence of blood specimen collection method on various preanalytical sample quality indicators, Special report Measurement of Variation in Videotaped Outpatient Phlebotomies A Model for Phlebotomy Improvement, Sample collection and platelet function testing, Quality Standards for Sample Collection in Coagulation Testing, Technological Advances in the Hemostasis Laboratory, Pre-analytical variability and quality of diagnostic testing. The BD EST tubes are plastic tubes and have no additive in them. Anticoagulants Last thing you want to do is have to redraw a sample (especially if your patient is a hard stick!). Tourniquets. missing 6-1 knowledge drill! The inner space of a blood vessel or tube. None; chemistry, blood bank, serology/immunology, Clot activator and gel separator; chemistry, Lithium heparin and gel separator; chemistry, Lithium heparin ,Sodium heparin; chemistry, Sodium fluoride and potassium oxalate, Sodium fluoride and EDTA, Sodium fluoride; chemistry, Sodium polyanethol solfonate (SPS); Microbiology, Acid citrate dextrose (ACD); blood bank/ Immunohematology. WARNING: We do not support Internet Explorer. Like Light Green There is no additive inside this tube which means it will allow the blood to clot naturally. Needle and Holder Units Phlebotomy Tube Colors And Additives Test Quiz. Usua. A substance that enhances the coagulation process. Give the names and abbreviations of three units of pressure. Ethylenediaminetetraacetic acid (EDTA) The point of a needle that is cut on a slant for ease of skin entry. We are confident that this quiz will turn out very useful to you. It follows the principle, which is most commonly known as the "order of draw." Different tests and biochemical assays require varying types of sample collection tubes. Glass (silica) particles Two methods of preventing clotting: Sodium fluoride (most common) Blood samples must be drawn by phlebotomists in a specific order to avoid cross-contamination of the sample by additives found in different collection tubes. Love Lavender 5 0 obj 3. Get instant access to our latest tools and our must-read site updates: Phlebotomy Notes: Pocket Guide To Blood Collection.