Order of Draw Venipuncture

"Young Lovely Roses Really Grow Gracefully Like Gardens."

Young → Yellow (Blood Cultures/SPS)

Lovely → Light Blue (Citrate)

Roses → Red (No additive)

Really → Red/Grey Marbled (SST)

Grow → Green (Heparin)

Gracefully → Green/Grey Marbled (PST)

Like → Lavender (EDTA)

Gardens → Grey (Fluoride)

Order of Draw

Color

Vacuum Tube Color

Additive

Laboratory Use

Number of Inversions

Yellow top tube or blood culture bottles

Sodium polyanethol sulfonate; prevents blood from clotting and stabilizes bacterial growth

Blood or body fluid cultures

Light blue

Sodium citrate; removes calcium to prevent blood from clotting

Coagulation testing

3 to 4

Red

None

Serum test; chemistry studies; blood bank; immunology

5

Red/gray marbled

No anticoagulant but contains silica particles to enhance clot formation; use for serum separation

Serum test; chemistry studies; immunology

5

Green

Heparin: inhibits thrombin formation to prevent clotting

Chemistry test

8

Green/gray marble

Lithium heparin and gel; for plasma separation

Plasma determinations in chemistry studies

8

Lavender

Ethylenediaminetetraacetic acid (EDTA); removes calcium to prevent blood from clotting

Hematology test

8

Gray

Potassium oxalate and sodium fluoride; removes calcium to prevent blood from clotting; fluoride inhibits glycolysis

Chemistry testing, especially glucose and alcohol levels

8 to 10