blood collection equipment, additives, and order of draw blood collection equipment, additives, and order of draw

Enter the email address you signed up with and we'll email you a reset link. Give the names and abbreviations of three units of pressure. A substance (other than the tube stopper or coating) such as an anticoagulant, antiglycolytic agent, separator gel, preservative, or clot activator placed within a tube. Most importantly, it describes the activities and my experience gained during the period of the training, it also stated the problems encountered and also gave suggestion for improvement of the scheme. A substance that prevents glycolysis, the breakdown or metabolism of glucose (blood sugar) by blood cells - e.g., sodium fluoride. Then she fills the lavender top tube. This tube is used a lot less commonly than the others but still used nonetheless. An automobile cooling system holds 18L18 \mathrm{~L}18L of water. Test in Order of Draw Tube Stopper Color and Additive 2. An anticoagulant that prevents coagulation by binding or chelating calcium; it is used for hematology studies because it perserves cell morphology & inhibits platelet clumping. 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. A. Heparin B. EDTA C. Sodium Fluoride (NaF) D. Oxalate Click the card to flip Definition 1 / 55 C. Sodium Fluoride (NaF) Click the card to flip Flashcards Learn Test Don. Can replace handwashing if hands are not visibly soiled, General Blood Collection Equipment and Supplies (continuation) <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Additionally, some tubes contain additives that preserve certain components of or substances within the blood, such as glucose. This is necessary to avoid cross-contamination of additives between the tubes. First tube will underfill because of air in tubing, so draw a few ml of blood into a nonadditive tube and discard. National Healthcare Association Phlebotomy Certification Practice Test! ALL RIGHTS RESERVED. This course introduces students to the basic skills of phlebotomy. Used over blood collection site once bleeding has stopped So, we designed several learning tools below to help you learn the proper order of draw and easily remember it in the field. Used to prevent sepsis. 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. Chemical substances used to kill microorganisms. viruses_ Home > . 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. A substance that enhances the coagulation process. 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. 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. Anticoagulants The blood to additive rataio is most critical for specimen collected in the tube: . Toll Free (US): 877.447.1888 Double-pointed and have threaded part screws into holder m is required to rotate the sphere through an angle of 0.85 rad and then maintain that orientation. gauge A number that relates to the diameter of the lumen of a needle. The end of the needle that attaches to the blood collection device; also the threaded end of a tube holder where the needle attaches. The additive in the gold tube contains two different agents. Review our privacy policy. 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. . Avoid using cotton balls, as they tend to stick (A) OSHA, (B) needle, (C) safety, (D) safety, 2. When collecting blood via a capillary collection method (heel/finger prick) or when using a syringe and siphoning the bloods directly into the tubes the Order of Draw (in order) is: Blood Gas Syringe, EDTA tubes, endobj 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. 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. A hypothetical CD player uses a laser with =880nm\lambda=880 \mathrm{~nm}=880nm in air. <> 5 0 obj Hand Sanitizers 11. ETS that allow multiple tubes of blood to be collected during a single venipuncture, Requires that the tube holder (hub) with needle attachment be disposed of as a unit, Evacuated tubes fill automatically because there is a negative pressure in them and will draw the exact amount of blood indicated on the label, An underfilled tubes caused by loss of vacuum, removing the tube too early, or stoppage of blood flow. Phlebotomy carts Nonadditive tubes used as a clear or discard tube. Must be filled to within 90% of that volume for accurate results, Guide showing fill levels for sodium citrate tubes Clinical Chemistry and Laboratory Medicine. When global standards are not fully implemented, it is more likely that patients will be injured during the procedure, biologically representative specimens will not be obtained from patients, and test results will not be comparable from one facility to another. Nowadays the order of draw using the closed blood collection system, however, Antiglycolytic Agents: substance that prevents glycolysis, the breakdown of glucose by blood cells. Comfortable Unfortunately, this order can be hard to remember for those in training and even those in the field. 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. Substances that enhance coagulation in serum-separator tubes (SSTs) (A) antiseptic, (B) microorganisms, (C) sterilize, 6. All rights reserved. What additive is in the yellow sterile tube? Some pads have fluid-proof backing to prevent contamination Sterile tube (blood culture) 2. Sometimes the trick to remembering a lot of information is to create an acronym. 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. Evacuated tube system. . Blood banks and blood typing, lab departments and personnel; Medical terminology and laboratory theory; Human anatomy and physiology of the circulatory system; Specimen collection, processing, and handling; Blood collection equipment, additives, and order of draw; Venipuncture specimen collection procedures; Capillary puncture equipment and . Use the chart below to quiz yourself on the proper order of draw. Laboratory tube collection is a process applied when withdrawing blood samples from patients before they get tested in the laboratory. Fill the microtainer tube (s) as needed, adhering to the order of draw. Required by CDC/HICPAC & OSHA when performing Circle the word (s) that make the, Phlebotomy essentials chapter 4 crossword-answers?. Types Bringing you anoth, 7 Self Care Tips for Nurses to Practice Today. Table for supplies 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. Tubes can be changed while needle and plastic holder remain in place on patient's arm. <> 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. When drawing blood from a patient you are expected to know which order to follow because a mix-up may give mixed results. Then she fills the lavender top tube. Nonwinged Blood Collection Set The collection tubes contain different types of additives, which are specific for the individual test(s). Gloves and Glove Liners commonly enclosed in sealed twist-off cheilds or covers, Typically sealed in sterile pull-apart packages. Girls Gold The order is universal for glass and plastic tubes, and irrespective of whether samples are drawn with a tube holder or syringe. blood collection system is a syringe combined with a needle [4]. 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. Red, red/gray gel/SST, orange/RST, or gold-top gel/SST, Tube stopper colors in the order of draw from left to right, KNOWLEDGE DRILL 7-1: CAUTION AND KEY POINT RECOGNITION, 1. The correct order of draw follows: The placement of tubes not listed here should take into consideration the potential for their additive to alter results obtained from the next tube if carryover were to occur. No latex bandages. Phlebotomy order of draw is the same for specimens collected by syringe, tube holder, or into tubes preevacuated at the time of collection. Clot Activator: Substance that enhances coagulation in tubes to collect serum specimens. Department 3. collection DISCLAIMER: All opinions and thoughts are my own, strictly educational and not intended to be used as medical advice. Tube holders Greek Gray Must be mixed immediately Phone: +1.610.688.0100 General Blood collection equipment and supplies Blood - Drawing Station Phlebotomy Chair Equipment carrier A new pair of gloves and glove liners Antiseptics Disinfectants . 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 Well, my friends! The additives may include anticoagulants ( EDTA, sodium citrate, heparin) or a gel with density between those of blood cells and blood plasma. Do it! I was opportuned to work in five (5) sections which are Phlebotomy Section, Hematology/Immunohematology Section, Serology Section, Clinical Microbiology Section, and Chemical Pathology Section. 7 Blood Collection Equipment, Additives and Order of Draw. Substances that prevent blood from clotting Hangzhou Ciping Medical Devices Co., Ltd: Verified Supplier School Asheville-Buncombe Technical Community College Course Title PBT 101 Uploaded By ChefSeahorse3438 Pages 10 Ratings 100% (1) 7 0 obj A closeup of the expiration date on a blood specimen tube. It is very important to collect the proper lab tubes in their specified order due to the potential risk of skewed or affected results. Do you draw labs at your facility as a nurse or do you have a phlebotomy team that does it for you? "5Nu|Ah Cap, rotate and invert the microtainer to mix the blood collected. (chemicals in the blood which are being measured). Green top, light-green top gel/PST, or green/gray gel/PST, 3. gloves 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. Glass particles used to enhance the coagulation process; a clot activator. When centrifuged, gel moves between cells and serum or Gentle mixing prevents hemolysis phlebotomy Determine the total force R exerted on the viewing window by the fresh water in the tank. Safety device attached to the needle. What additive is present in the light green tube? _OSHA regulations require that the tube holder with needle attached be disposed of_ Royal blue-top tube. Identify the additive present in the red tube. Obtaining Blood Samples From Peripheral Intravenous Catheters: Best Practice? The water level is even with the top of the window. What is the period of the oscillations that result when the sphere is then released? Inhibiting formation of thrombin Avoid excessive pressure that may squeeze tissue fluid into the drop of blood. Hospital acquired infection (old usage is nosocomial infection), The end that attaches to the blood collection device, Number indicated by the diameter of the lumen. Prevents sepsis (microorganisms or their toxins in the blood) regular draw tube (bottom) and a short draw tube (top). Winged infusion sets attached to a syringe polyethylene, & vinyl are acceptable Usua. This tube is collected when you want to see chemistry such as a toxicology, specific drug levels, bacterial and viral serology, immunology such as antibodies and more. 2 0 obj An additive that preserves glucose & inhibits the growth of bacteria. Evacuated tubes simplify blood collection. 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) Weve recognized this and created a handy guide using multiple proven study techniques. This helps break the information down into easy to remember chunks, with just enough info in each chunk to help you remember the bigger picture. Invert immediately after collecting. endobj Non additive B. Adjustable armrests Lets talk BLOOD COLLECTION LAB TUBES! Feature royal-blue stoppers, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chapter 7: Blood Collection Equipment, Additives, and Order of Draw, General Blood Collection Equipment and Supplies, Keeping carts and trays adequately stocked with supplies is an, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. 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A type of needle that allows multiple tubes to be collected with a single venipuncture. Love Light Blue The breakdown or metabolism of glucose (blood sugar) by blood cells. 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. Needle & holder units **Chapter 7: Blood Collection Equipment, Additives, and Order of Draw**, General Blood Collection Equipment and Supplies A substance that inhibits the growth of bacteria & is used to clean the skin. This is extremely important when collecting blood because if you use the wrong tube your results can be greatly affected or simply not have the ability to run a test. Special chair Mainly used for clearing and discarding purposes, serum chemistry (red top) and blood donor screening, Also known as a Butterfly.