Considering the most common tubes used by nurses for venipuncture here is the proper order of blood draw. Since tubes with clot activators can interfere with the results tubes with light blue stopper or shield must be used before those that have red gray stopper gray yellow stopper gold shield red shield and orange shield tubes.
Phlebotomy Tubes Order Of Draw Phlebotomy Order Of Draw Phlebotomy Study
Light green lithium heparin.
Order of blood draw tubes. Red clot activator. The procedure above can be followed using a 10 ml waste instead of 20ml. The draw order for specimen tubes is as follows.
1 blood cultures yellow sps sterile 2 light blue buffered sodium citrate tube 3. Blood culture tubes are usually at the top of the order of draw to avoid contamination of the blood collected. The phlebotomy order of draw should also remain the same despite whether the tubes are glass or plastic.
According to the clinical laboratory standards institute clsi the specific order in which the tubes are filled should be the same regardless of whether a vacutainer sleeve method or a syringe draw and transfer method is used. Yellow acd solution. It is important to take the blood cultures first to prevent contamination from the additives of the other blood tubes.
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. There are seven tubes which make up the order of draw. Light blue sodium citrate.
If using serum trace element tube with clot activator please collect after serum tubes use 2 identifier for patient identification. When collecting diagnostic blood specimens by venipuncture into evacuated tubes the order of draw is b ased on clinical and laboratory standards institute s clsi standard h3 a6 from november 2007 as follows. Order of draw when using evacuated tubes.
The order of draw is followed in every venous blood collection. In phlebotomy this term has special meaning as it is the order in which certain tubes can be used. Just prior to drawing the light blue tube as the last tube draw one ml into a discard light blue to prevent cross contamination from the additive of a tube that was previously drawn.
Gold sst plain tube w gel and clot activator additive green and dark green heparin with and without gel lavender edta pink blood bank edta gray oxalate fluoride list updated 02 11 2019. Gold sst mint green. Multiple tube collections blood culture bottles to be drawn if required before blood tubes trace element.
Color varies blood cultures. Drawing the minimum specimen volume should be the norm for pediatric patients. Blood draw order tube color description show hide all.
They are listed by chemical additives that have been introduced to the tube by the manufacturer to perform a specific function when mixed with the blood. Gray sodium flouride. Blood culture tube or bottle.
The correct order of draw follows. O for pediatric patients one must consider the maximum draw volume that is allowed. Dark green sodium heparin.
Blue tube for coagulation sodium citrate red no gel.
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