Clinical Laboratory Standards Institute (CLSI), CLSIs GP41 Collection of Diagnostic Venous Blood Specimens, 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), EDTA tube with or without gel separator (eg, lavender, pearl, pink closures), Sodium fluoride/potassium oxalate glycolytic inhibitor (eg, gray closure). Gloves with powder not recommended Chemical substances or solutions regulated by the Environmental Protection Agency (EPA) that are used to remove or kill microorganisms on surfaces and instruments. plasma elderly & pediatric) the testing process, as glass particles have been known to plug the small-diameter Well, if you work somewhere nurses are responsible for collecting blood work then you might want to continue reading! Sterile tube (blood culture) 2. The discard tube must be a non-additive, no clot activator, or a coagulation tube. ETS needles are called ________ because they allow multiple tubes of blood to be collected during a single venipuncture. 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. 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. 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. What is the index of refraction of the plastic? Please come back using a newer web browser. 5 0 obj Inert clays (Celite) 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. Wasserman; Peter V. Minorsky), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. A special sequence in tube collection that is intended to minimize additive carryover or cross-contamination problems. Tests such as heparin levels or lithium drug levels. 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. 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. Do you have any tips and tricks when collecting blood that you can share in the comments below? (A) OSHA, (B) needle, (C) safety, (D) safety, 2. Tubes with different additives are used for collecting blood specimens for specific types of tests. Name the additive present in the light blue Tube. Table for supplies 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) viruses_ No cotton balls, Adhesive item used to cover collection site after bleeding has stopped. (A) microclots, (B) hematology, (C) recollected, 8. Fill the microtainer tube (s) as needed, adhering to the order of draw. Get instant access to our latest tools and our must-read site updates: Phlebotomy Notes: Pocket Guide To Blood Collection. Evacuated tubes fill with blood automatically because there is a ____________ (negative pressure) in them. tubing in some analyzers_ Slides Acronyms are not set in stone, and you can create your own acronym to help you easily remember the order of blood draw. *Tip: Bookmark this page for future reference by pinning it as an image! Adjustable armrests What additive is present in the gray tube? 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. 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. Total Cards 56 Subject Nursing Level Not Applicable Created 11/16/2011 Click here to study/print these flashcards . Numbers vary by manufacturer; consult manufacturer instructions <> The additive in the gold tube contains two different agents. 7 0 obj missing 6-1 knowledge drill! Any type of glove To check your answer, simply click on the respective color and description cell (the grayed out box to the right of the order draw number) and it will appear. Needle & holder units Inversion count Don. 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) additive, (B) ratio, (C) inaccurate, 4. Could you pass this National Certified Phlebotomy Test? Tourniquets. The additive in this tube serves as an anti-coagulant which stops blood from clotting. Very important wen collecting a coagulation tube. 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 Got another one for you t, A few of you said you wanted a part two of this on, Hello my beautiful nursing friends! Needle and holder permanently attached Clotting factors (thrombin) Can replace handwashing if hands are not visibly soiled, General Blood Collection Equipment and Supplies (continuation) Phlebotomy: Worktext and Procedures . Good luck! Phlebotomy order of draw is the same for specimens collected by syringe, tube holder, or into tubes preevacuated at the time of collection. Unfortunately, this order can be hard to remember for those in training and even those in the field. What is the best type of tourniquet to use to perform the venipuncture? (A) plasma, (B) serum, (C) potassium, (D) potassium, (E) cells, 7. A hypothetical CD player uses a laser with =880nm\lambda=880 \mathrm{~nm}=880nm in air. Non Sterile, disposable latex, nitrile, neoprene, Clean 2 x 2-in gauze pads folded in fourths are used to hold Order of draw 24 Potassium oxalate Descriptions A Additive used in blood culture collection B. Anticoagulant commonly used to preserve coagulation factors C. Anticoagulant commonly used with an antiglycolytic agent D. Question: 1) Chapter 7 Blood Collection Equipment, Additives, and Order of Draw Key Terms 20. A disposable tourniquet because after it has been . Coagulation tubes with arrows indicating fill levels; a growth An additive that preserves glucose & inhibits the growth of bacteria. endobj B 24 B 25 F Mat hing 6-3: Course Hero is not sponsored or endorsed by any college or university. Needle & Straps disposal containers & biohazard bags, Venipuncture Equipment (continuation) "5Nu|Ah An automobile cooling system holds 18L18 \mathrm{~L}18L of water. Good fit is essential Title: Blood Collection, Equipment, Additives, and Order of Draw Author: Elwood Rolle Created Date: The best choice of equipment for drawing difficult veins is a : Blood cultures should always be collected first to prevent the risk of any contamination from other tubes or additives. 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. Labeling equipment 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. Use the chart below to quiz yourself on the proper order of draw. PSTShop is the best online medical supply store for finding discount medical & dental supplies and medical & dental equipment at the lowest price. 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 Students learn proper technique for physicians' offices and outpatient clinics. 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. Hangzhou Ciping Medical Devices Co., Ltd: Verified Supplier Lets talk BLOOD COLLECTION LAB TUBES! Order of Draw 1. Royal blue-top tube. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. holder ( B ), Venipuncture Equipment (continuation) Blood collecting equipment, additives, and order of draw. E-mail: customerservice@clsi.org, Home | Sitemap | Privacy Policy | Terms of Use | Common tests 4. * the higher the guage number, the smaller the actual diameter of the needle. An anticoagulant commonly used with the antiglycolytic agent sodium fluoride. Name theadditive that prevents glycolysis. 4 0 obj Anticoagulants Vanishpoint: automated in-vein retraction 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. _as a unit after use and never be removed from the needle and reused_ 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 Not for use on children under 2, Special container used to dispose of needles, lancets and other sharp objects immediately after use. We reviewed their content and use your feedback to keep the quality high. 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? I hope you learned more than what you knew before about these lab tubes. Third - non-additive tube (red top) Last draw - additive tubes in this order: SST (red-gray or gold top). Min. Obsolete - do NOT need to know! Avoid excessive pressure that may squeeze tissue fluid into the drop of blood. Industrial Equipment & Components; Instruments & Meters; Light Industry & Daily Use; Lights & Lighting; Manufacturing & Processing Machinery; . A type of needle that allows multiple tubes to be collected with a single venipuncture. Whole-blood specimen Additive that prevents clotting Evacuated tube Available in glass & plastic (plastic preferred for safety), Needle and Holder Units (continuation) Allow multiple tubes to be collected in a single venipuncture _important duty of the phlebotomist_ Watch Substances that prevent blood from clotting Phlebotomy order of draw is the same for specimens collected by syringe, tube holder, or into tubes preevacuated at the time of collection. PST (light-green or green/gray stopper): D and J (bottom of the tube should be colored, 8. Love Light Blue Preserves glucose for up to 3 days and inhibits bacterial Available in different sizes & volumes (A) antiseptic, (B) microorganisms, (C) sterilize, 6. All Rights Reserved. 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 A closeup of the expiration date on a blood specimen tube. 2. Sodium fluoride (most common) Lavender-top tubes are used to collect _______________. Sometimes the trick to remembering a lot of information is to create an acronym. <>>> Use the same Order of Draw . 2003-2023 Chegg Inc. All rights reserved. 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. Identify the importance of phlebotomy procedures to the overall care of the patient. **Chapter 7: Blood Collection Equipment, Additives, and Order of Draw**, General Blood Collection Equipment and Supplies Traditional syringe system components Chemical substances used to kill microorganisms. Inside the plastic coating of a hypothetical CD the wavelength is 550nm550 \mathrm{~nm}550nm. An additive can be liquid, powder or spray-dried coating. *Tip: If you're looking for a pocket-sized guide to carry around with you in the field that gives you quick access to the Order of Draw and other vital information then you have to check out the best-selling Phlebotomy Notes: Pocket Guide To Blood Collection. Can also use paper, cloth, or knitted tape over folded gauze 10. Enter the email address you signed up with and we'll email you a reset link. Prevents exposure to air or outside contaminants Asheville-Buncombe Technical Community College, Intro to Phlebotomy Past Present etc KEY.doc, Module 3 Discussions - Troubles restaurant.docx, is made on both ends from manufacturer and retailer and total 800 cost is, Age Educational background Limited study skills Make sure font size is not too, Vijgen L Keyaerts E Mos E Thoelen I Wollants E Lemey P et al February 2005, accounting for litigation claims Laws and Regulations Generally Recognized to, Issue Under Delaware law do corporate directors owe a fiduciary duty of equal, Show parent Reply Re Question 3 Re Question 3 by Anjali DEVI Saturday 8 December, Proposed budget Detail proposed budget or financial constraints for the project, e egg 64 The largest cell of the embryo sac is the cell a antipodal b central c, Which step occurs immediately after he prepares the income statement Trial, C Topic Concept 185 Skill SynthesisEvaluation 89 What must characterize the XLP, Phlebotomy essentials chapter 4-3 answers?. Review our privacy policy. Allows numerous tubes to be collected with a single venipuncture What additive is in the yellow sterile tube? This means it will NOT further breakdown any glucose from the blood to ensure an accurate blood glucose result. Acid citrate dextrose (ACD) _OSHA regulations require that the tube holder with needle attached be disposed of_ most important part of venipunture procedure, test commonly ordered on geriatri patients if RA is suspected, capillary blood increased by warming site, digit not suggested for capillary collection, contaminating factor when doing capillary collections, regulations that establish standards for all laboratory facilities, organization that offers phlebotomy standards, Phlebotomy - Equipment, Additives, and Order, Jenna Ortega, Emma Myers, and Hunter Doohan A, Chapter 9-2 (Physiological effect and test), Phlebotomy Essentials | Midterm Review | Chap, Phlebotomy Essentials | Exam 6 | Final Review, Phlebotomy Essentials | Exam 5 | Final Review, Phlebotomy Essentials | Study and Review Ques, Winningham's Critical Thinking Cases in Nursing, Neuroscience- Chapter 10: Childhood Disorders. Glass (silica) particles 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. 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. Prevents cells from continuing to metabolize substances This tube is not used very often but when it is it accompanies an order for routine biochemistry. There is no additive inside this tube which means it will allow the blood to clot naturally.

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