Additives
What additive is in the red glass top tube?
None
What comes first in order of draw?
Blood Cultures
Aerobic (blue top), Anaerobic (purple top)
OSHA requires that a sharps container be changed when?
3/4 full
What color tube has Sodium Citrate and what department does it get sent to?
Light Blue
Coagulation Dep.
HIPAA
Health Insurance Portability and Accountability Act - patient confidentiality
What is in the tiger top tube?
Clot activator and thixotropic gel for serum separation.
What tubes comes after the grey tube?
Royal blue and tan.
An open container is spilled on the floor in the clinic waiting area, what should the phlebotomist should use?
Material Safety Data Sheet
What is a PSA test and what tube is it collected in?
Prostate Specific Antigen, collected in a plasma or in an SST (gold)
OSHA
Occupational Safety and Health Administration - workers safety.
What is in the Pink and Purple tubes?
EDTA
Recite the order of draw
Blood cultures, Lt. Blue, Red, Gold, Lt Green, Dk Green, Lavender, Gray, Yellow
What is the first and most important thing to do if the phlebotomist sustains a sharps injury?
Wash puncture and small wounds for 15 minutes.
What does the Royal Blue tube test?
Used in the collection of whole blood or serum for trace element analysis.
CLSI
Clinical Lab Standards Institute - sets standards for labs.
What is in the orange tube?
Thrombin
What group of tubes come third in the order of draw and are considered serum tubes? Give the common lab tests for these tubes.
Red, gold, tiger top - chemistry, serology, immunology
After a venipuncture, a patient experienced serve nerve damage and lost feeling in their fingers, what actions by the phlebotomist most likely occurred?
Incorrect needle angle was used
What is a BMP test and what tube is it collected in?
Basic Metabolic Panel, Gold SST or mint green Lithium Heparin PST
CLIA
Clinical Lab Improvement Act - amendment certifies labs.
Additives for microtainers? Give the chemical formula.
K2 EDTA (lavender), lithium heparin (dark green), lithium heparin and gel (PST, mint green), NaFl/Na2 EDTA (grey), SST gel (gold), none (red)
Order of draw for microtainers?
lavender, green, mint green + mint green amber tube, grey, gold + gold amber tube, red
A phlebotomist in a doctors office needs to perform venipuncture on a patient who had been diagnosed with SARS, which transmission based precaution should the phlebotomist take?
Droplet
When ordering a PSA, CBC, ETOH, and PT, in what order would you draw? Give the correct color tube and their additive.
Light blue (sodium citrate), gold SST (clot activator and gel), lavender (K2 EDTA), gray (potassium oxalate, sodium fluoride).
JCAHO
Joint Commission - for the Accreditation of Healthcare Organizations (advocating for safer health care)