order of draw study guide

Order of Draw for Blood Collection:

  1. Blood Culture Tubes: Used for detecting bacteria/fungi in the blood.

  2. Light Blue Top (Citrate Tubes): Used for coagulation studies (PT, PTT).

  3. Red Top (Serum Tubes): Used for serology and blood chemistry tests (no additives).

  4. Gold/Speckled (SST) Tubes: Serum separator tubes for biochemistry tests; has a gel that separates serum upon centrifugation.

  5. Green Top (Heparin Tubes): Used for plasma tests; contains heparin anticoagulant.

  6. Lavender Top (EDTA Tubes): Used for hematology tests (CBC) and blood bank (crossmatch).

  7. Gray Top (Fluoride Oxalate Tubes): Used for glucose testing and lactate measurements; contains fluoride which inhibits glycolysis.

Tube Color

Additive

Used For

1⃣ Blood Culture (Yellow/Blue Bottles)

Nutrient broth

Detect infections in blood

2⃣ Light Blue

Sodium citrate

Clotting tests (PT, PTT, INR)

3⃣ Red (Plain or Serum Tubes)

No additive or clot activator

Chemistry tests (Electrolytes, Hormones)

4⃣ Gold/Tiger Top (SST – Serum Separator Tube)

Clot activator + Gel

Similar to red tube but with gel for serum separation

5⃣ Green

Heparin

Stat chemistry, Cardiac markers

6⃣ Lavender (Purple)

EDTA

CBC (Complete Blood Count)

7⃣ Pink

EDTA

Blood bank (Type & Screen, Crossmatch)

8⃣ Gray

Sodium fluoride

Glucose & Alcohol testing