order of draw is the basic nursing procedures which every medical staff should know for accurate blood report of the patients.
it is important for doctors, nursing students, BMLT .
2. One of the most common nursing procedures is blood collection.
Indeed, this is a technique practiced in all departments that allows
investigation of the patient’s blood values, but it is not without
risks.
Nowadays the order of blood draw established by the international
guidelines is postulated to avoid cross-contamination between
different additives contained in blood collection tubes, and it is as
follows: blood culture bottle, non-additive tube, coagulation tube,
clot activator, serum separator tube, sodium heparin, plasma
separator tube, ethylenediaminetetraacetic acid (EDTA), blood
tube, and oxalate/fluoride.
3. Blood Culture Bottle (sterile)
• 1st to be taken.
• Aerobic
• Anaerobic
Maintain Sterility
Next …
4. Blue Vial (Citrate Tube)
• Trisodium citrate in liquid form.
• Binds to calcium,
• For Prothrombin time estimation- 1part of citrate and 9 part of
blood. (1:9).
• 200 microliter of citrate & 1.8 ml of blood.
• For ESR estimation by Westergren technique. (@1:4).
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5. Red Vial (plain vial)
• Doesn’t contain any Anticoagulant.
• May contain clot activator like kaolin.
• once clot form, serum separates,
• CSF sample should not be collected in clot activator
vial.
• Don’t refrigerate the blood sample.
Next …
6. Yellow Vial (Gel Tube)
• Serum separation tube or Plasma separation tube.
• Gel forms a physical barrier between
serum/plasma & blood cells during centrifugation.
Next …
7. Green Vial (Heparin Tube)
• The walls of the tube are coated with either lithium
heparin or sodium heparin.
• Used for Karyotyping.
Next …
9. PINK VIAL
• Works in the same way as Lavender Vial,
• This tube also contain EDTA as
anticoagulation,
• This vial is used in the Blood bank for
Grouping and crossmatch.
• Direct coomb’s test for autoimmune
haemolytic anaemia.
Next …
10. Grey Vial (Glucose Vial)
• Sodium fluoride & potassium oxalate are used,
• Fluoride inhibits Glycolytic enzyme Enolase thus
decrease the consumption of glucose by the cells
in the blood,
Samples of Blood glucose estimation should be
processed ASAP.