Equipment
What is the purpose of a tourniquet?
To temporary stop blood flow
What is the capillary (dermal) order of draw?
EDTA (Lav, Pink), Heparin (green, mint), Sodium fluoride (gray), Nonadditive (red), or serum separator (gold)
Which color tube does not have any additives in it?
Red
Which tube is used for coagulation testing?
Light blue
How many times should a tube be inverted after collection?
8 to 10 times
What are the parts of the needle?
Hub, shaft, bevel (lumen), needle prevention device
What is color is sterile tubes and what lab are they associated with?
SPS yellow and blood cultures - bacteriemia/sepsis - looking for infections in the blood.
Why is the order of draw important to follow?
To ensure proper test results by reducing the cross contamination of additives.
What color tube tests for lead?
Tan
True or false: You can use a needle without a safety device as long as you immediately put it in the sharps container.
False
What veins are appropriate for venipuncture?
Ally has orders to draw a pink, green, blue, and lavender for a patient. Place these tubes in order.
Blue, green, lavender, pink.
What color tube has ethylenediaminetetraacetic acid as an additive? What department does this tube associate with?
Lavender and hematology/chemistry
A patient needs a lavender top, light green top, and blood cultures, and blue topWhat tests were ordered and what is the order of draw?
What is the difference between plasma and serum? What are the tube colors associated with each?
Plasma contains fibrinogen which is a clotting factor, serum is clotted blood since the fibrinogen is depleted during the clotting process. Plasma is either a red (activator) or gold tube (separator), Serum is a mint/light green tube.
A patient is on contact precautions. What PPE are you using for this patient?
Gown and gloves
Max is collecting a tube that contains sodium fluoride. His draw was successful; he removes the tourniquet, then the needle, and applies a adhesive bandage on his patient. What color tube was draw, what is the lab associate with this tube? Was this collection performed correctly?
Gray, lactic acid, no he needs to remove the tourniquet before inserting the tube.
Jennifer was in the process of collecting specimens for her patient. She collected the tubes in the following order. Citrate, Serum separator, heparin, EDTA, plasma separator, and potassium oxalate. Is this correct order of draw?
No. Correct order - citrate, clot activator, serum separator, plasma separator, heparin, EDTA, potassium oxalate.
The doctor ordered a basic metabolic panel for Jack. What color tube is used for this test and what is the doctor looking for?
Mint green. Electrolytes and kidney function
Susan is getting ready to do sterile venipuncture on her first patient. She gathered red, blue, lavender, pink, mint green, dark green, gray, and gold tubes. What tube is she missing? place the tubes in the correct order
SPS Yellow (Blood cultures).
Order of draw is: yellow, light blue, red, gold, mint green, dark green, lavender, pink, gray
Royal blue, Tan, Yellow, Orange, and White
What is the order of draw mnemonic?
Stop, light, red, stay, put, green, light, please, go
Name the correct order of draw for sterile venipuncture? Name the additive and color associated with it.
SPS Yellow/Blood cultures, citrate (light blue), Serum tube (red), serum separator (gold, red/black), plasma separator (light green, green/black speckled), heparin (green), EDTA (Lavender, pink), sodium fluoride/potassium oxalate.
Mary needs a blood transfusion. The doctor orders a blood work to determine her blood type. What test did the doctor order? What color is the tube? What is the additive in the tube? What department does this specimen go to?
Type and screen, pink, edta, and blood bank.
Name the blood flow pathway of the heart
Right atrium --> tricuspid valve --> right ventricle --> pulmonary valve --> pulmonary arteries --> lungs --> pulmonary veins --> left atrium --> mitral (bicuspid valve) --> left ventricle --> aortic valve --> aorta --> systemic --> superior and inferior venae cavae