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How do I learn my order of draw?

The order of draw is an order of tubes phlebotomist should follow to prevent testing complications and cross-contamination of additives. The order of draw is Yellow, Light Blue, Red, Light Green, Dark Green, Lavender, and Gray. Way to remember this is by the saying Your brother Robert gives lovely gifts.
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How do you know the order of a draw?

The recommended order of draw for plastic collection tubes is:
  1. First - blood culture bottle or tube (yellow or yellow-black top)
  2. Second - coagulation tube (light blue top). ...
  3. Third - non-additive tube (red top)
  4. Last draw - additive tubes in this order:
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What happens if you draw blood in the wrong order?

Contamination of serum samples with K EDTA will occur routinely if order of draw is not followed. During syringe collections, contamination with K EDTA may rarely occur if order of draw is not followed.
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What order do you fill blood tubes?

The correct order of draw follows:
  1. Blood culture tube or bottle.
  2. Sodium citrate tube (eg, blue closure)
  3. Serum tubes, including those with clot activator and gels (eg, red, red-speckled, gold closures)
  4. Heparin tube with or without gel (eg, dark green, light green, speckled green closures)
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Why can't they find my veins when taking blood?

As a result of normal physiological variation, some individuals may have small, thin, or hard-to-find veins, making it a challenge for even an experienced medical lab technician to draw blood. This can sometimes be a result of dehydration, which causes the body to constrict its blood vessels.
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Order of Draw and Additives | Blood Collection

How can I make my veins easier to find?

Tips and Tricks for Accessing Problem Veins
  1. Get warm. When the body is warm, blood flow increases, dilating the veins and making them easier to find and stick. ...
  2. Use gravity. Increase blood flow to your arm and hand by letting gravity do the work.
  3. Hydrate. When the body is properly hydrated, veins become more dilated. ...
  4. Relax.
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How do you know if you hit an artery instead of a vein?

Arteries are located deeper in the body than veins and so are not visible as many of your veins are. You'll know you hit an artery if: The plunger of your syringe is forced back by the pressure of the blood. When you register, the blood in your syringe is bright red and 'gushing.
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Which tube should be drawn first?

NOTE: All tubes sterile. Standard order of draw: BLOOD CULTURES, royal blue, red, light blue, SST (Gold), green, tan, yellow, pink, pearl, lavender. If a coag tube (light blue) is the only tube or the first tube to be drawn, a 5 mL discard tube must be drawn first.
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What are the 3 main veins to draw blood?

The most site for venipuncture is the antecubital fossa located in the anterior elbow at the fold. This area houses three veins: the cephalic, median cubital, and basilic veins (Figure 1).
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Why is the order of draw important?

The order of draw is necessary to obtain correct biochemical results. EDTA contamination was not evident in blood samples collected by trained phlebotomists. The biochemical alterations are statistically and clinically significant.
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Is it OK to draw blood from the same vein?

Its best to alternate veins. A vein takes at least a couple days to heal. 0ore time is better. If you use the same vein, shoot DO:N STREA0 from your last shot (that means closer to your heart.
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What are the mistakes when drawing blood?

Common errors in blood sample collection include in- correct identification, wrong tube, insufficient sample quantity, clot- ting, hemolysis, and contamination. Unlike some other errors, mislabel- ing of blood samples is 100% pre- ventable.
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Can you draw blood without an order?

A separate physician's order is not required before testing a source individual's blood. It is permissible for the hospital policy to simply state that such testing will be performed after consent is obtained, unless the hospital is located in a state where consent is not required.
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Why is my blood so dark when drawn?

Darkened blood color is often observed in critically ill patients generally because of decreased oxygen saturation, but little is known about the other factors responsible for the color intensity. In addition, quantitative blood color examination has not been performed yet.
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What is the acronym for order draw?

It's a great way to remember order of draw (OOD) because you can modify the sentence to be most helpful to you. In this example, the tubes that make the order of draw are identified by color.
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What is the easiest vein to draw blood?

The median cubital vein is usually the easiest to accurately locate and puncture.
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What happens if you hit an artery during venipuncture?

Hitting an artery can be painful and dangerous. Arterial blood travels away from the heart so whatever is injected goes straight to body limbs and extremities. Injection particles get stuck in blood capillaries and cut off circulation. This can result in a lack of blood flow, eventually causing the tissue to die.
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Why are blood cultures taken from 2 sites?

Why collect two sets (4 bottles) of blood cultures from different sites? A single set (2 bottles) provides an inadequate sample volume for adults and significantly reduces the sensitivity of the culture process. Collection of two sets (4 bottles) is the standard of care in adults2,4.
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What are the four phlebotomy techniques?

When blood is drawn from an artery.
  • Capillary method-
  • Venipuncture-
  • Fill up sample tubes-
  • Complete procedure-
  • Prepare for transportation of samples-
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Can you accidentally hit an artery when starting an IV?

One of the most dreaded complications of this procedure is an inadvertent intra-arterial cannulation. This can result in an accidental injection of medications intra-arterially, which can potentially lead to life altering consequences.
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What happens if you hit a vein while injecting?

If you see blood in the syringe, you have hit a blood vessel. If you hit a vessel, pull the needle out of the skin. Get rid of the needle and syringe, and prepare a new syringe with medicine. Insert the new needle in a different spot, and check again to see if there is blood.
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What happens if you put IV in artery?

Complications of entering the artery with a large cannula intended for venous cannulation can result in complications such as temporary occlusion, pseudoaneurysm and haematoma formation. [6] Unrecognized arterial injection of anaesthetic drugs can cause tissue ischaemia and necrosis.
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