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1st in order of draw
Yellow Tubes
Which tube is sterile?
Yellow Topped Tubes
Additive for Yellow Tubes
SPS, ACD
Common Test for Yellow Tubes
Blood Cultures
Department: Yellow Tubes
Microbiology
Inversion: Yellow Tubes
8-10 times
Specimen: Yellow Tubes
Whole Blood
2nd in order of draw
Light Blue Tubes
Additive: Light Blue Tubes
Sodium Citrate
Common Test: Light Blue Tubes
PT, APTT, Coagulation Studies
Department: Light Blue Tubes
Coagulation Studies
Inversion: Light Blue Tubes
3-4 times
Specimen: Light Blue Tubes
Plasma
3rd in order of draw
Red Tubes
Additive: Red Tubes
None
Common Test: Red Tubes
Immunology, Serology, Blood Bank
Department: Red Tubes
Chemistry
Inversion: Red Tubes
5 times
Specimen: Red Tubes
Serum
4th in order of draw
Tiger (speckled) Topped Tubes
Additive: Tiger (speckled) Topped Tubes
Clot Activator
Test: Tiger (speckled) Topped Tubes
CMP, Endocrine, Immunology, Serology
Department: Tiger (speckled) Topped Tubes
Chemistry
Inversion: Tiger (speckled) Topped Tubes
5 times
Specimen: Tiger (speckled) Topped Tubes
Serum
5th in order of draw
Gold Tubes
Additive: Gold Tubes
Thrombin (Causes blood to clot in
Common Test: Gold Tubes
STAT
Department: Gold Tubes
Chemistry
Inversion: Gold Tubes
5-6 times
Specimen: Gold Tubes
Serum
6th in order of draw
Green Tubes
Additive: Green Tubes
Heparin
Common Test: Green Tubes
STAT Chemistry Test, Ammonia Electrolytes, ABGs
Department: Green Tubes
Chemistry or Molecular Lab
Inversion: Green Tubes
8-10 Times
Specimen: Green Tubes
Plasma
7th in order of draw
Lavender/Purple Tubes
Additive: Lavender Tubes
EDTA
Common Test: Lavender Tubes
CBC, ESR, Hemaglobin
Department: Lavender Tubes
Hematology
Inversion: Lavender Tubes
8-10 times
Specimen: Lavender Tubes
Whole Blood
8th in order of draw
Gray Tubes
Additive: Gray Tubes
Sodium Fluoride and Potassium Oxalate
Common Test: Gray Tubes
Lactic Acid, Blood Alcohol Levels, FBS, Glucose Tolerance
Department: Gray Tubes
Chemistry
Inversion: Grey Tubes
8-10 times
Specimen: Grey Tubes
Plasma
Additive: Tan Tubes
K2, EDTA
Test: Tan Tubes
Lead
Department: Tan Tubes
Chemistry
Inversion: Tan Tubes
Chemistry
Specimen: Tan Tubes
Plasma
Additive: Royal Blue
Heparin, EDTA, None
Common Test: Royal Blue
Toxiology, Trace Metal
Department: Royal Blue
Chemistry
Inversion: Royal Blue
8-10 Times
Specimen: Royal Blue
Plasma or Serum
Additive: Black Tube
Sodium Citrate
Common Test: Black Tubes
ESR
Department: Black Tubes
Chemistry
Inversion: Black Tubes
8-10 times
Specimen: Black Tubes
Whole Blood
1st vein of choice
Median Cubital
2nd vein of choice/1st vein of choice for obese patients
Cephalic
3rd vein of choice
Basilic
1st choice area to stick for a venipuncture
Antecubital area.
Point Of Care
In a patient's home/bedside
What does NAACLS stand for?
National Accrediting Agency for Clinical Laboratory Sciences.
What does PPE stand for?
Personal Protective Equipment
Verbal Communication
The actual words spoken, the pace and tone of voice.
What does STAT mean?
Short Turn Around Time
What is quality control?
Daily controls that are used in analytical testing to determine acceptable ranges of test results.
Iatrogenic Anemia
Too much blood loss from a blood draw.
Negligence
Failure to act or perform duties according to the standards of the profession.
Assault
The threat of carrying out bodily harm.
Battery
Actually touching or hurting someone.
Fomites
Germs/doorknobs.
Standard of Care
Is typically defined as the level and type of care that a reasonably competent and skilled health care professional, with a similar background and in the same medical community, would have provided under the circumstances that led to the alleged malpractice; measuring stick.
Informed Consent
Voluntary permission by a patient to allow touching after given information.
Implied Consent
Sticking arm out.
How long should you wash your hands?
15 seconds
How long should patient's wait if they are dizzy?
20 minutes
What does HIPAA stand for?
Health Insurance Portability and Accountability Act.
What's HIPAA?
Protects security, privacy and confidentiality of personal health information.
What does CLIA stand for?
Clinical Laboratory Improvement Amendments.
What's CLIA?
Federal guidelines that regulate all clinical laboratories across the U.S.
Nosocomial
Hospital acquired infections.
What does BBP stand for?
Blood Born Pathogens.
Universal Precautions
Treat all blood as if it was infected.
Chain of Infection
The process by which infections are transmitted; source - mode - host.
Standard Precautions
A set of safe guards designed to reduce the risk of transmission of microorganisms.
PPE ON
Gown, Mask, Goggles, Gloves
PPE OFF
Gloves, Goggles, Mask, Gown
What does PASS stand for?
Pull, Aim, Squeeze, Sweep.
When chemicals get in your eyes, how long do you wash your eyes for?
15 minutes
Osteomyletis
Inflammation of the bone caused by bacterial infection.
Osteochondritis
Inflammation of the bone and cartlidge.
Order of Collection - Capillary Draw
Blood gases - EDTA - Tubes with Additives - Serum Tubes