The Approved Order Of Draw Flashcards
Blood cultures Sterile bottles (BCX)
Additive: nutrient broth
Sent to: microbiology
Sterilized w chloraprep
- never repalpate
- use end of swab stick to make divet to identify vein. Use butterfly needle
Test: x2 blood culture (2 bottles per arm)
Adults: 8-10ml
Children: 1-3ml
Newborns: 1ml
Collection method:
Aerobic is 1st
Anaerobic is 2nd
Light blue top
Additive: sodium citrate (anticoagulant)
Yields: plasma
Sent to: coagulation
Common tests: PT/INR, PTT, aPTT, D-Dimer (plasma)
- 9:1 ratio
-must be filled completely
-Inverted 3 to 4 times
Red top tube
Additive: glass- none, plastic- clot activator
Yields: serum
Sent to: chemistry
Common tests: pregnancy test, ETOH
- no anticoagulants (clots form 30-60 min)
Tiger top, gold top tubes
Additive: SST
Yields: serum
Sent to: chemistry
Common tests: CMP, BMP, HCG, lipids and cholesterol
- blood with clot
- invert 8-10x
Light green top tube
Additive: lithium heparin and thicotropic gel
Yields: plasma
Sent to: chemistry
Common tests: STAT Electrolytes “LYTES”, hCG, hCG qualitative, hCG quantitative
- inverted 8-10x
Dark green top tube
Additive: sodium heparin
Yields: plasma
Sent to: chemistry
Common tests: ammonia
- put on ice
- invert 8-10x
- test for patients who aren’t urinating
Pink top tube
Additive: potassium EDTA
Yields: plasma
Sent to: blood bank
Common tests: TSR and cross match
- spelling and DOB have to be perfect
- filled 2/3 or full
- invert 8-10x
Lavender/ dark purple tube
Additive: EDTA
Yields: PLASMA
Sent to: hematology
Common tests: ESR, sickle cell, CBC
- never spin lavender top
- invert 8-10x
Gray top tube
Additive: sodium fluoride and potassium oxalate
Yields: plasma
Sent to: chemistry
Common tests:
-OGTT: must be fasting
lactic acid: no tourniquet and put on ice
ETOH: don’t clean area with alcohol
-
Royal blue top
Additive: red stripe (none), EDTA (blue/ lavender stripe)
Yields: serum- red stripe, plasma- blue/lavender stripe
Sent to: toxicology
Common tests: lead poisoning, heavy metal toxicology
