Order of Draw 1. Citrate phosphate dextrose (CPD) Good luck! A. Coagulation B. PSTs C. SSTs D. Oxalate/fluoride 3. Phlebotomy Abbreviations List & Study Tool, Phlebotomist Salary - Plus Tips To Double The Pay, Phlebotomist Resume Sample Plus Free Template. Tube end of needle has retractable sleeve to prevent leakage Well, if you work somewhere nurses are responsible for collecting blood work then you might want to continue reading! Prevents cells from continuing to metabolize substances Additive 2. Citrates One of the agents is to clot the blood while the other agent separates the plasma from the blood cells. It is not secure and will not work correctly. Blood Collection Equipment, Additives, and Order of Draw. phlebotomy This will help you remember the blood draw order along with the tube color when performing venipuncture. The long cylindical portion of a needle is a _______. The additive in this tube consists of two agents, lithium heparin, which serves as an anticoagulant of blood and plasma separator which separates plasma from the blood cells (just like the gold tube!). Medicines: Phlebotomy Technician Certification (CPT) Practice Quiz! 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. Phlebotomy Tube Colors And Additives Test Quiz. Inhibiting formation of thrombin Question: 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. Test in Order of Draw Tube Stopper Color and Additive 2. m is required to rotate the sphere through an angle of 0.85 rad and then maintain that orientation. As you may already know, blood must be drawn and collected in tubes in a specific order, known as the Order of Draw. What is the best type of tourniquet to use to perform the venipuncture? Effective for small or difficult veins (hands; Antiglycolytic Agents: substance that prevents glycolysis, the breakdown of glucose by blood cells. 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. Available in glass & plastic (plastic preferred for safety), Needle and Holder Units (continuation) All the best! ALL RIGHTS RESERVED. A, D 18 N 19 D 20 M 7. (wanAzman,et.al . An anticoagulant that prevents clotting by binding calcium & is used for coagulation tests because it does the best job of preserving the coagulation factors. Heparin 11. <> The color of cap is used to identify these additives. Safety device attached to the needle. Blood Draw Instructions Once you have chosen a vein release the tourniquet because leaving it on too long can cause damage to the patient's arm and the sample. into tubes without using syringe needle or removing Must be mixed immediately sanitizer dispenser Clean 2 x 2-in gauze pads folded in fourths are used to hold Department 3. Phlebotomy Technician Study Guide For NHA Certification. Min. You should now know the order to collect them in, when to use them and what additive is in each tube. rL=^ -?XhDclwh;iv. Define Phlebotomy practice and list the essential competencies for individuals performing blood collection procedures. Oct 19, 2017 - Explore Jo Patterson's board "Phlebotomy (Order Of Draw)" on Pinterest. 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 . 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. fill in your answer on the Skip to document Ask an Expert Common tests 4. 1. (A) shake, (B) vigorously, (C) mix, (D) hemolysis. Does not sterlize site, wipe in a circular motion from center out. endobj The additive it contains acts as an anticoagulant so blood does not clot and an antiglycolytic. We are confident that this quiz will turn out very useful to you. ( right ) and an evacuated tube holder by Laboratory tube collection is a process applied when withdrawing blood samples from patients before they get tested in the laboratory. : an American History (Eric Foner), Required by CDC/HICPAC & OSHA when performing, New pair must be used for each patient and removed, Non Sterile, disposable latex, nitrile, neoprene,, Glove liners may be used if gloves cause allergies or, Barrier hand creams help prevent skin irritation from, Prevents sepsis (microorganisms or their toxins in the blood), 70% isopropyl alcohol most common for routine blood, Can replace handwashing if hands are not visibly soiled, Operating Systems 1 (proctored course) (CS 2301), Seidel's Guide to Physical examination (043), Primary Care Of The Childbearing (NR-602), Professional Nursing Practicum (NUR - 4836C), Preparation For Professional Nursing (NURS 211), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 15 Anxiety and Obsessive-Compulsive Disorders, English 123- 3-4 Assignment Submission- Annotating Your Sources, Scavanger Hunt - Human anatomy scavenger hunt, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Applying the Scientific Method - Pillbug Experiment, Who Killed Barry mystery game find out who killed barry, Test Bank Chapter 01 An Overview of Marketing, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Tube holders blood collection system is a syringe combined with a needle [4]. Substances that prevent blood from clotting Learn all about blood culture bottles and how to properly collect them here. Cap, rotate and invert the microtainer to mix the blood collected. Use the same Order of Draw . gauge A number that relates to the diameter of the lumen of a needle. Name theadditive that prevents glycolysis. % 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 Do it! Red top (plastic): B; red top (glass): E, 10. Substances that prevent glycolysis (breakdown of glucose by blood Syringe transfer device: allows safe transfer of blood The best choice of equipment for drawing difficult veins is a : C 22 A J. A device that is qpplied or tid around thpatient's arm prior to venipuncture to compress the veins and restrict blood flow. Please come back using a newer web browser. Evacuated tubes Review our privacy policy. How much sediment does the Mississippi River move each year? The breakdown or metabolism of glucose (blood sugar) by blood cells. 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. 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. endobj PPT (pearl top): C and J (bottom of the tube should be colored yellow to represent gel), 7. Additionally, determine the distance h\bar{h}h from the water surface to the line of action of R. EDTA or oxalate anticoagulants are usually salts of this element, Phlebotomy Essentials 6th Edition Fill the microtainer tube (s) as needed, adhering to the order of draw. If no safety feature: use with safety needle Chapter 7 | Blood Collection Equipment, Additives, and Order of Draw Identify the importance of phlebotomy procedures to the overall care of the patient. 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. A substance that prevents blood from clotting. The collection tubes contain different types of additives, which are specific for the individual test(s). Used for collecting blood from small or difficult veins such as hand veins, elderly and pediatric patients. 2023 Clinical and Laboratory Standards Institute. viruses_ Glass particles used to enhance the coagulation process; a clot activator. Required by CDC/HICPAC & OSHA when performing Toll Free (US): 877.447.1888 2. _important duty of the phlebotomist_ Clotting factors (thrombin) <> Blood collecting equipment, additives, and order of draw. When collecting blood using a syringe and a transfer device is used; the above order of draw is to be followed. 1 0 obj 2x2 in square folded in fourths are used to hold pressure over the site. Love Light Blue Needle and Holder Units _Blood in an SST tube will eventually clot without mixing; however, when it is not_ A clear plastic disposable cylinder with a smaill threaded opening at one end (often called a hub) where the needle is screwed into it and a large opening at the other end where the collection tube is placed. 3. Ready to take the test? After stat hemoglobin and hematocrit (H&H) and protime finishing the Collection errors which produce hemolyzed specimens are both undesirable and preventable. Clot Activator: Substance that enhances coagulation in tubes to collect serum specimens. determinations Tubes made of materials free of trace element contamination 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. 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. Hypodermic needle 21 Lumen 131 22 . All rights reserved. Enter the email address you signed up with and we'll email you a reset link. nuclear mass, 91.9021 amu) is taken as typical of that occurring in a nuclear reactor, what mass of uranium-235 is required to equal 0.10% of the solar energy that falls on Earth in 1.0 day? Chemical substances or solutions regulated by the Environmental Protection Agency (EPA) that are used to remove or kill microorganisms on surfaces and instruments. 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 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. 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 . Multisample needle 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. Double-pointed and have threaded part screws into holder Premature loss of vaccum, removing the tube before the vaccum is exhausted, or stoppage of blood flow during the blood draw can result in an underfilled tube. Continuing without changing cookie settings assumes you consent to our use of cookies on this device. Like Light Green Has density between that of cells and serum or 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. 2 0 obj , Blood Collection Additives (continuation) Must be filled to within 90% of that volume for accurate results, Guide showing fill levels for sodium citrate tubes Phone: +1.610.688.0100 <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Order FOB Price; 10,000 . Last thing you want to do is have to redraw a sample (especially if your patient is a hard stick!). Needle & holder units New pair must be used for each patient and removed Used needles, lancets, and other sharp objects must be disposed of immediately in special containers. Acronyms are not set in stone, and you can create your own acronym to help you easily remember the order of blood draw. missing 6-1 knowledge drill! Welcome to my blog! An Advanced Phlebotomy Practice Test Quiz! 235U+01n56141Ba+3692Kr+301n. $.' 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. LAZATHEMES, Hello, hello my friends! Table for supplies The Blood Group System " [the clinical use of blood, the appropriate use of Blood Conserving Procedure The additive inside the tube stops the blood from clotting. Tubes can be changed while needle and plastic holder remain in place on patient's arm. A. Are chemical substances or solutions regulated by Environmental Protection Agency (EPA) that are used to remove or kill microorganisms on surfaces and instruments. phlebotomy standards are set by this institute, (plasma separator tube) Practice hygiene for the patient's protection. When wearing gloves, change them between each . Select theneedle that has the largest diameter. The draw order for specimen tubes is as follows: Blood culture; Blue tube for coagulation (Sodium Citrate) Red No Gel; Gold SST (Plain tube w/gel and clot activator additive) None B. Heparin C. EDTA D. Blood cultures 4. 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. Difference between antiseptics and disinfectants S.NO ANTISEPTICS DISINFECTANT 1. Antiseptics Numerous errors can occur during the collection and handling of blood specimens, which pose significant and avoidable risks to the patient and the phlebotomist. Prevents exposure to air or outside contaminants Kev Terms B 15 J C 16 1 3. This technical report is based on the experiences gained during my four months of Industrial Training at Orile Agege General Hospital, Lagos State. Volume of blood needed for test CLSI uses cookies to ensure the best website experience. Learn with flashcards, games, and more - for free. Phlebotomy Chairs Ravishing Red 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) caution and key point recognition. Place blood collection equipment away from patients, especially children and psychiatric patients. 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. When drawing blood from a patient you are expected to know which order to follow because a mix-up may give mixed results. ORDER OF DRAW . 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.