Yields
_____ is the liquid portion of blood that has been allowed to clot (coagulate).
What is Serum?
Fill in the blank.
In small labs that do not have a designated Coagulation Department, these samples will be sent a tested in the __________ Department.
What is Hemotology?
What is the very first test in the order of draw?
Blood culture bottles
What is the additive in a Red Top Glass Tube?
There is no additive in a Red Top Glass Tube.
You're about to draw an aPTT specimen. Before you begin to fill this tube what needs to happen?
You need to draw a discard tube before you draw an aPTT (Light Blue Top Tube).
Name the two types of tubes that yield serum.
What is a RED TOP TUBE and an SST TUBE?
The Chemistry Lab is responsible for testing the following FIVE tubes:
___ ___
___ ____
_____ _____ ____
____ _____ ____
____ ___ ____
What is
Red Tube
SST Tube
Light Green Tube
Dark Green Tube
Gray Top Tube
True or False?
The tube required for a PT, PTT, and an aPTT is placed third in the order of draw.
True
Name the only tube without a gel additive.
What is a Dark Green Top Tube?
A patient in your office is getting their blood drawn by your coworker. Your coworker forgets their patient also needs their blood tested for heavy metals/metal poisoning. They ask you to retrieve the tube for this test to place in their order of draw. What color tube do you need to retrieve for your coworker?
What is a Dark Blue/Royal Blue Tube?
You can't tell the difference between plasma and serum with your eyes. What differentiates what is a plasma and what is a serum?
The clotting factors in the yellow-tinted fluid.
The lab sent back a specimen in a Dark Green tube because it could not be used. What happened or didn't happen to this specimen that made it invalid?
The phlebotomist did not place the specimen on ice once it was collected.
Starting with an SST Tube what is the rest of the order of draw?
SST Tube
Light Green Tube
Dark Green Tube
Pink Tube
Lavender Tube
Gray Tube
Royal Blue Tube
Fill in the blanks.
When light blue tubes are being collected they must be filled to the line placed at the top to provide an adequate _____ __ ________ ratio. The ratio is _ parts _____ to _ part ________.
When light blue tubes are being collected they must be filled to the line placed at the top to provide an adequate blood-to-additive ratio. The ratio is 9 parts blood to 1 part additive.
A patient about to receive a blood transfusion needs blood drawn to figure out their type and what blood is compatible with theirs. What tube would the phlebotomist need to collect this specimen?
What is a Pink Top Tube?
A serum pregnancy test was sent to be processed in a light green tube. It was sent back. Why was this test not performed?
Light green tubes only produce plasma.
The lab responsible for processing a Pink Top Tube is the _____ ____.
What is blood bank?
What is the color of the tube within the order of draw that is placed last but actually drawn in the order of the additive?
Royal Blue/Dark Blue Tube.
What FOUR Tubes do not contain anticoagulants?
Clear Discard Tube
Red Glass Tube
Red Plastic Tubes
SST Tube
An adult woman needs a pregnancy test. Which tube/s can be used for a pregnancy test? What kind of pregnancy test will each tube provide?
A red Top tube will provide a serum pregnancy test.
An SST tube will provide a serum pregnancy test.
A light green tube will provide a plasma (hCG) pregnancy test.
The lab detected that the additive in one of your coworkers' specimens' was double the original amount. What occurred that would cause this to happen?
The original specimen was transferred to an identical tube with the same amount of additive in both.
Fill in the blank.
The __________ Lab sent back a Lavender Top Tube.
Answer the Question.
The specimen was collected and handled incorrectly. What is every possible reason this could have happened to this tube?
What is Hematology?
The tube was only halfway full.
The tube was centrifuged immediately after.
When the specimen arrived at the lab it was already hemolyzed.
It was only inverted 3-4 times.
What is the order of draw?
Blood Culture Bottles
Discard Tube (Clear or Red)
Light Blue Top
Red Top
SST Tube
Light Green Top
Dark Green Top
Pink Top
Lavender Top
Gray Top
Dark Blue Top
What are the additives contained inside an SST Tube?
Silica (clot activator) and Thixotropic Gel (serum separator)
A patient comes in for a full workup. Their physician has ordered a CMP, STAT Electrolytes, Ammonia, CBC, and Lactic Acid. What is the order of draw by Tube Top Colors?
The Order of Draw would be as follows:
SST Tube
Light Green Tube
Dark Green Tube
Lavender Tube
Gray Tube