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phleb. order of draw

phlebotomy order of draw tubes. where they go and the additive

QuestionAnswer
Blood Cultures Color Varies Department: Microbiology ~ Draw First
Light Blue Additive: Sodium Citrate (anticoagulant) Department: Coagulation Test: PT (protime)/PTT (prothrombin time ~Plasma Tube
Red Additive: Clot Activator Department: Blood Bank Test: Drug & Hormone level ~ Chemistries, immunology, and serology (crossmatch) ~ Chemistry Tube ~ Any test that can use serum
Tiger Top Additive: SST (gel at the bottom to separate blood from serum during centrifugation) Department: Chemistry Test: BMP, CMP, TFF, Lipid panel, Therapeutic drugs, STDs, FBS ~Serum * Common use: high cholesterol*
Gold Additive: SST (gel at the bottom to separate blood from serum during centrifugation) Department: Chemistry Test: Chemistries, Immunology, and serology Serum ~Chemistry Tube
Light Green Additive: Lithium heparin Department: Chemistry Test: STAT electrolytes ~Anticoagulant ~ Plasma separated with PST gel at the bottom of tube.
Dark Green Additive: Sodium heparin Department: Chemistry Test: Draw electrolytes ~Plasma ~Chemistry Tube
Lavender Additive: EDTA (Anticoagulant) Department: Hematology Test: CBC, ESR, Malaria, DAT ~ Critical to rock tube after drawing specimen to prevent clotting
Gray Additive: Sodium Floride (Antiglycolytic) Test: Blood & Alcohol ~ GTT (time starts after patient drinks glucola) , FBS, 2-hour postprandial. *Requires Chain of Custody*
Yellow Additive: ACD Solution (SPS) Department: reference lab (lab or blood bank) Test: DNA * Requires chain of custody form*
Royal Blue Additive: EDTA Department: reference or chemistry lab Test: heavy metals (Aluminum, arsenic, copper, lead, iron, & zinc) ~ Draw Alone ~ Trace free tube
What's the order? Blood Cultures, Light Blue, Red, Tiger top, Gold, Light Green, Dark Green, Lavender, Gray, Yellow, Royal Blue
Created by: akeiram04
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