Capillary blood sampling is an essential method of blood collection performed by medical professionals of all skill levels and disciplines with diverse titles such as phlebotomist, patient care technician, medical assistant, nurse, lab assistant, lab tech, med tech and many others. Today on The RN Educator we are talking laboratory tubes, the specific order in which you draw them and some common tests that you can run with each lab tube. Use the chart below to quiz yourself on the proper order of draw. Antiglycolytic Agents An automobile cooling system holds 18L18 \mathrm{~L}18L of water. 1. Unfortunately, this order can be hard to remember for those in training and even those in the field. Phlebotomy: Worktext and Procedures . The type of needle used with the syringe system. Avoid excessive pressure that may squeeze tissue fluid into the drop of blood. Chapter 10 | Capillary Puncture Equipment and Procedures, solutions used to kill microorganisms on surfaces and instruments, used to obtain blood when veins are very fragile, any substance added to an evacuated collection tube, agency that mandates and enforces safe working conditions, the time it takes to turn around test results, end of needle that is cut on a slant for ease of insertion, only clot activator is found in this plastic evacuated tube, (Clinical and Laboratory Standards Institute) (A) OSHA, (B) needle, (C) safety, (D) safety, 2. missing 6-1 knowledge drill! Inside the plastic coating of a hypothetical CD the wavelength is 550nm550 \mathrm{~nm}550nm. Any Hospital USA 1123 West Physician Drive Any Town USA Laboratory Test Requisition PATIENT INFORMATION Name John Birth Date: 12/07/43 Idenblication Number: 036159912 Referring Physician Smart John Date to be collected: 05/28/2019 Time to be collected Special Instructions: _STAT TEST(S) ORDERED Chemistry Coagulation NH4 (Ammonia) D-dimer Bili Bilirubin, total & direct) PT (protime) BMP (basic metabolic panel PTT (partial thromboplastin time) BUN (Blood urea nitrogen) Hematology Chol (cholesterol CBC complete blood count) EICH (alcohol ESR (erythrocyte sed rato) Gluc (glucose) Hg (hemoglobin) Lytes (electrolytes) H & H (hemoglobin & Hematorit) Lact (lactic acid/lactate) RBC (Red blood cell count) PSA (prostatic specific antigen) WBC (White blood cell count) Other Ty & Screen ( Specimen rested Evacuated Tubes Plasma additive micro-collection tubes, such as green (lithium heparin) light green (lithium heparin with gel), gray (sodium fluoride and potassium oxalate) Serum micro-collection tubes, such as red (no additive), gold (clot activator and gel) This is to ensure that specimens requiring anticoagulants are drawn first. Phlebotomy Technician Study Guide For NHA Certification. The end that attaches to the blood collection device. **Chapter 7: Blood Collection Equipment, Additives, and Order of Draw**, General Blood Collection Equipment and Supplies At least 10 minutes of contact to be effective. Then she fills the lavender top tube. Vanishpoint: automated in-vein retraction Coagulation Hematology Laboratory Department, Blood Collection Equipment, Additives, and Order of Draw, MATCHING 7-2: MATCH THE ADDITIVE WITH ITS PRIMARY FUNCTION, MATCHING 7-3: MATCH THE ADDITIVE WITH THE TYPE OF ACTION, LABELING EXERCISE 7-1: TUBE STOPPER COLORS AND ADDITIVES, 6. The discard tube must be a non-additive, no clot activator, or a coagulation tube. Single use, disposable, latex-free tourniquets 8. Order FOB Price; 10,000 . Slides This tube is mainly collected when hematology studies. Non additive B. Topics include point of care testing, venipuncture, blood collection, equipment, order of draw, specimen handling, and legal issues. ALL RIGHTS RESERVED. 7. 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What is the best type of tourniquet to use to perform the venipuncture? endobj ",#(7),01444'9=82. gauge A number that relates to the diameter of the lumen of a needle. DISCLAIMER: All opinions and thoughts are my own, strictly educational and not intended to be used as medical advice. Trivia Quiz, Grammar Quiz: Test your Grammar Knowledge with questions. So, we designed several learning tools below to help you learn the proper order of draw and easily remember it in the field. Evacuated tubes fill with blood automatically because there is a ____________ (negative pressure) in them. The additives may include anticoagulants ( EDTA, sodium citrate, heparin) or a gel with density between those of blood cells and blood plasma. Blood Collection Supplies Vitality Medical offers medical practitioners a wide variety of phlebotomy and blood collection supplies, including needles and tubes, lancets, bags, personal protective equipment, infection control items, tourniquets, gauze, bandages, tape, accessories, and much more. 7 Blood Collection Equipment, Additives and Order of Draw. Chapter 7 Blood Collection Equipment, 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. Clot Activator: Substance that enhances coagulation in tubes to collect serum specimens. SST (gold or red/black stopper): B and J (bottom of the tube should be colored yellow, LABELING EXERCISE 7-2: TUBE STOPPER COLORS AND ORDER OF DRAW, 2. (blue top), Substances that prevent blood from clotting, The breakdown or metabolism of glucose by white blood cells, Substance that enables coagulation intubes used to collect serum specimens, Chemical element present only in minute amounts, Order in which tubes are collected during a multiple-tube draw to prevent additive carryover. to eliminate exposure, Blood Collection Additives This will help you remember the blood draw order along with the tube color when performing venipuncture. <> The recommended order of draw is: First - blood culture bottle or tube (yellow or yellow-black top) Second - coagulation tube (light blue top). Contains a gel separator and clot activator. Sign up here . A place where you'll find tons of nursing tips, education and all things pediatrics nursing. PPT (pearl top): C and J (bottom of the tube should be colored yellow to represent gel), 7. We are back at it with an, Hello friends! The additive inside the tube stops the blood from clotting. *cut on a slant. Precipitating calcium Plasma,Serum,Whole blood: Draw Volume: 1-10ml: Application: Blood collecting/test: Rommended storage temper:: 4-25 OEM: Accept: Additives: None: Contact Now. vein and then directly into a collection tube Most commonly used to collect blood samples in venipuncture, they also used as urine collection tubes and as serum separator tubes. Trace Element-Free Tubes Glass particles used to enhance the coagulation process; a clot activator. An anticoagulant that prevents coagulation by binding or chelating calcium; it is used for hematology studies because it perserves cell morphology & inhibits platelet clumping. means of Luer adapter ( left ) _Decontamination of hands after glove removal is essential. Phlebotomy carts You can change these settings at any time, but that may impair functionality on our websites. Multisample needle Blue top coagulation tube 3. Needle & Straps disposal containers & biohazard bags, Venipuncture Equipment (continuation) (A) expiration, (B) date, (C) expired, (D) dropped, 3. 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. Comfortable Adjustable armrests Fill the microtainer tube (s) as needed, adhering to the order of draw. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Used with both ETS & syringe method 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. Aerobic microorganisms replicate in an oxygenated environment whereas, anaerobic microorganism thrive in reduce-oxygenated environments. Common sizes include 20-23 gauge, with 21 gauge being the standard for adult venipunctured, Specimen of plasma or serum that has broken blood cells in it, 1-1.5 length needles most common. 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? caution and key point recognition. Additives and order of draw . Love Lavender Sodium fluoride (most common) _OSHA regulations require that the tube holder with needle attached be disposed of_ The correct order of draw follows: 1 0 obj 3 0 obj Lavender-top tubes are used to collect _______________. Size used depends on: Have substances placed in them to perform a specific function such as prevent blood from clotting or to preserve certain blood components. Fax: +1.610.688.0700 Contain a 9:1 ratio of blood Review our privacy policy. Usua. 70% Isopropyl Alcohol most common. An anticoagulant commonly used with the antiglycolytic agent sodium fluoride. Continuing without changing cookie settings assumes you consent to our use of cookies on this device. Define Phlebotomy practice and list the essential competencies for individuals performing blood collection procedures. Run-ons, Comma Splices, And Fragments Quiz! Hand Sanitizers Determine the total force R exerted on the viewing window by the fresh water in the tank. (A) shake, (B) vigorously, (C) mix, (D) hemolysis. phlebotomy These sections have exposed me to the precautions, rules and regulations of the laboratory, how to diagnose patients and how the tests are being analysed. In a hematology tests, whole blood needs to be inspected therefore, common tests you will see with the lavender tube include but are not limited to complete blood count (CBC), Erythrocyte sedimentation rate (ESR), reticulocytes, Monospot test for Epstein Barre Virus (EBV), etc. Ravishing Red 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. Some pads have fluid-proof backing to prevent contamination 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? Department 3. Closed system. Double-pointed and have threaded part screws into holder When drawing blood from a patient you are expected to know which order to follow because a mix-up may give mixed results. Greek Gray You should now know the order to collect them in, when to use them and what additive is in each tube. This tube is not used very often but when it is it accompanies an order for routine biochemistry. coursework name: marisa royston date: row chapter 54 assisting in blood collection review of concepts answer the following questions. Clean 2 x 2-in gauze pads folded in fourths are used to hold <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Contains a gel separator and clot activator. Could you pass this National Certified Phlebotomy Test? 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. Safety device attached to the needle. Non Sterile, disposable latex, nitrile, neoprene, Tube end of needle has retractable sleeve to prevent leakage Blood cultures should always be collected first to prevent the risk of any contamination from other tubes or additives. Click the Show/Hide All button to hide the tube color and descriptions. A, D 18 N 19 D 20 M 7. An expanded appendix section provides helpful tips for collecting specimens from pediatric and other challenging patients. Used to prevent sepsis. 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 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. Last thing you want to do is have to redraw a sample (especially if your patient is a hard stick!). Vacuum blood collection tubes are widely used in hospital and clinic, but not everyone knows the correct sequence blood collection tubes order of draw. Used w. Potassium oxalate (anticoagulant) for rapid response There are many ways in which blood can be drawn from a vein, and the method used depends on the person's age, the equipment available, and the type of tests required. I have a post all about blood culture collection. gloves 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. used to obtain blood when veins are very fragile SST serum separator tube (gold top) additive any substance added to an evacuated collection tube OSHA agency that mandates and enforces safe working conditions TAT the time it takes to turn around test results bevel end of needle that is cut on a slant for ease of insertion dermatitis PST (light-green or green/gray stopper): D and J (bottom of the tube should be colored, 8. 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. Prevents exposure to air or outside contaminants Safe on human skin The Student Industrial Work Experience Scheme established by the Federal Government of Nigeria was aimed at exposing student of higher institution to acquire industrial skill and practical experience in their approved course of study and also to prepare students for the industrial work situation which they are likely to meet after graduation. Collects laboratory specimens to include blood, throat and nasal cultures, urine, urine drug screen and invasive nasopharyngeal swab collections, from patients of all ages in accordance with accepted laboratory standards, policies and procedures (operational and safety) in order to ensure optimal specimen . A special sequence in tube collection that is intended to minimize additive carryover or cross-contamination problems. Tourniquets. _as a unit after use and never be removed from the needle and reused_ Thixotropic Gel: non-reacting synthetic substance initially contained in or near the . Size & condition of patients vein 4 0 obj Additive 2. Phlebotomy Abbreviations List & Study Tool, Phlebotomist Salary - Plus Tips To Double The Pay, Phlebotomist Resume Sample Plus Free Template. Two methods of preventing clotting: determinations A personal-size bottle of hand sanitizer and a wall-mounted hand Glass (silica) particles . Substances that enhance coagulation in serum-separator tubes (SSTs) How much heat does the water absorb if its temperature rises from 15C15^{\circ} \mathrm{C}15C to 95C95^{\circ} \mathrm{C}95C ? Like Light Green Collection errors which produce hemolyzed specimens are both undesirable and preventable. By Kimberlycook28 | Updated: Mar 22, 2022. Got another one o, Hello, hello my friends! The additive in the gold tube contains two different agents. The recommended order is as follows: Blood culture tubes Sodium citrate tubes (e.g., blue-stopper) Serum tubes with or without clot activator, with or without gel separator (e.g., red-, gold-, speckled-stopper) B 24 B 25 F Mat hing 6-3: Course Hero is not sponsored or endorsed by any college or university. 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. This is necessary to avoid cross-contamination of additives between the tubes. Clinical Chemistry and Laboratory Medicine. Used for collecting blood from small or difficult veins such as hand veins, elderly and pediatric patients.