Phlebotomists also use alcohol wipes, iodine wipes, gloves, syringes, gauze, medical tape, and other supplies. Tubes with gray-colored stopper contain sodium fluoride or potassium oxalate additives, which acts as an Antiglycolytic agent that helps preserve glucose for up to five days. Blood cultures are used in microbiology. Currently we do not have the tests available for download, but is something that can be looked into. This process is often used in blood bank (cross-match), chemistry, immunology and serology. we should always follow this procedure . The recommended order is … Happy Sticking! Contamination of serum samples with K EDTA will occur routinely if order of draw is not followed. Congratulations and thank you very much for such a valuable information that you are giving in this medical field . When removing PPE, the order is reversed. Welcome back to the medical field Lori. http://clsi.org  I don't see the answer on the website unless you become a member? To avoid cross-contamination of additives between tubes, blood must be drawn in a specific order. Site Selection. Some phlebotomists know the order of draw for blood collection tubes and follow it religiously. This is necessary to avoid cross-contamination of additives between the tubes. The order is determained by the CLSI. Phlebotomy Jokes – Humor for Phlebotomists, How To Write A Phlebotomy Cover Letter w Examples, Plasma additive micro-collection tubes, such as green (lithium heparin) light green (lithium heparin with gel), gray (sodium fluoride and potassium oxalate), Serum micro-collection tubes, such as red (no additive), gold (clot activator and gel). It seems like the order of draw says two different ways I'm confused what is the order of draw ? The additive it uses is a broth mixture that is intended to preserve the quality of microorganisms. Though different labs may have their own color system for the blood tubes, the order of draw will always be the same, according to CLSI standards. In phlebotomy, each tube has a specific level that it must be filled to. Then that would result in a short draw as well. I have seen some nurses just let the blood flow to the end of the tubing before connecting a collection device. These blood tubes may contain different additives which may affect certain results should they contaminate another tube. Considering the number of colored stoppers or shields to remember, mistakes are bound to happen. Hands should be washed thoroughly before moving on to the next patient. As long as you do not publish it in a public fashion we are ok with you using the material. Hello, I teach a phlebotomy class and would like to see if you have the order of the draw with the tests available for printing or do you allow us to use this information in the classroom. Because blood begins the clotting process immediately upon entering the syringe, … To avoid cross-contamination of additives between tubes, blood must be drawn in a specific order. Although physicians and nurses do sometimes draw blood, most facilities have hired individuals whose sole responsibility is the collection and processing of blood samples. Hello , I am a New Phlebotomy student . This is because bacteria from non-sterile tube stoppers or shields may result in bacteria growth, which will show in the test result as a blood infection. Phlebotomy is the act of drawing or removing blood from the circulatory system through a cut (incision) or puncture in order to obtain a sample for analysis and diagnosis. Why is it important to use the correct order of draw when performing a venipuncture To avoid cross-contamination Why is it important to mix a tube containing an anticoagulant immediately after drawing This is commonly used for routine venipuncture and does not require any additive. Tourniquets make the veins swell, making it easier to find a vein and draw a blood sample. Sterile Blood Culture Tubes or Vials. The procedure is the same for all types of tubes or instruments used. Taking these factors seriously can lessen discomfort and complications for your patient, lessen procedure time, and prevent errors in diagnosis caused by cross contamination of additives between blood collection tubes. Essentually it means that a full sample was not taken. Unfortunately, this order can be hard to … I am completing a project for my phlebotomy class and this is one of the questions. If during the collection the blood flow stopped, and the phlebotomist could not get it to flow again (due to a possible trauma to the vein), and he did not take another sample from another spot. The procedure is the same for all types of tubes being used. This is great to learn and very easy to follow. Could snail and slug slime provide an alternative to conventional antibiotics? Hi admin, please send me copy of your downloadable order of draw files and questionares too it would be of help to my Clinical Chemistry class thanks alot and more power. Definitely helped me with the learning of the proper order! There is sometimes a variation of order of draw when the phlebotomist is using a syringe system. Tubes with plastic red stoppers contain a clot activator. If a patient shows any symptom related to the condition, royal blue draw will be requested. I do know some visitors that use these practice exams for their students. ... Why is the order of draw so important? If there are any other questions that are not answered on our site, feel free to ask away. We draw Labcorp test Helper T-Lymph-CD4. Since there is no room for error in phlebotomy, it is crucial that you memorize the order in the easiest way possible. During syringe collections, contamination with K EDTA may rarely occur if order of draw is not followed. We will do our best to answer anything. This is why blood culture bottles or SPS tubes with yellow stopper must be collected first before any other tubes. Our Teacher/Instructor has given us a new Order of Draw and it shows Royal Blue and Tan which you haven't mentioned in this . collect blood samples using collection tubes in a specific order while performing venipuncture on patients to avoid cross-contamination of the various additives between tubes So, even though the color coding systems may differ, the actual order of draw is the most important aspect for your students to learn from this game. Dear Brother thank you for this useful information. In the era of lyophilized anticoagulants, order of draw is no longer important. Hope it helps! A PST B RST C SPS D SST, Can you tell me if this is the current order of draw? How can this happen? Be aware, however, that certain tubes are made for research purposes only. A Glucose specimen was forgotten in a phlebotomist trays it was descovered 3 hours after it was drawn. Other important reasons for performing phlebotomy include donations to blood drives, transfusions, and as a means for ensuring that patients are healthy enough for surgery. This skill has been practiced since the time before the birth of Christ, originating in early civilizations of the ancient Egyptians and Mayans approximately 3000 years ago. When drawing blood for multiple tube collections, it is important to take into consideration proper venipuncture technique and correct order of draw. This is where the order of draw becomes necessary. Skin puncture specimens have to be collected according to a certain order as recommended by CLSI, which is as follows: This is to ensure that specimens requiring anticoagulants are drawn first. memory jogger Figure. Give us a few days and we may be able to provide you with downloadable copies of the tests. Another problem is that when performing a draw a small amount of tissue fluid may be present in the first-draw specimen. For this reason, an order of draw was established. There will be an increase in phosphate level which could affect the coagulation test. Does anyone know why the red top used to be before the blue top? Coagulation tubes have light blue-colored stopper and a sodium citrate additive. Is light green now used for chemisty testing? I am going to be taking a phlebotomy course and finding this information is proving difficult online lol. Because the smallest error could mean that the patient might not receive the most appropriate care and treatment for his specific case. When you switch from research to actual venipuncture, it is important that you are able to differentiate one task from another. However, this means that around 90% of errors in the total testing process, defined as the process from conception of the need to test to interpretation of its results, now happen outside of the analytical process. However, the initial evidence that contamination was a problem was based on a study from 1982 using just five patients. They do not have to wait for the blood to clot then spin down. It is determined based on any additives that need to be included, or any special instructions that need to be given during the blood draw itself. Thanks . We have memory tools such as bracelets, watches, and badges takes the guess work out of the Order of Draw. The act of drawing or removing blood from the circulatory system through a cut or puncture in order to obtain a sample for analysis and diagnosis. This will help to maintain specimen integrity during the collection, transport, and handling of blood specimens In order to prevent errors that affect specimen quality, the phlebotomist must pay close attention to detail during the entire venipuncture process. Phlebotomy Order Of Draw As you may already know, blood must be drawn and collected in tubes in a specific order, known as the Order of Draw. Don’t let it confuse you. Dealing with hemolyzed blood samples: an unresolved dilemma. We are glad to provide this information for those looking at the Phlebotomy Field. When you switch from research to actual venipuncture, it is important that you are able to differentiate one task from another. When tubes are filled according to the recommended order of draw, any additive carryover that may occur will have no significant impact on test results. Recently there have been conflicting opinions as to whether following an order of draw … Re: order is determined by the CLSI. Question: What effect, if any, does drawing an EDTA tube before a sodium citrate tube have on coagulation testing? Since tubes with clot activators can interfere with the results, tubes with light blue stopper or shield must be used before those that have red/gray stopper, gray/yellow stopper, gold shield, red shield and orange shield tubes. The purpose is to avoid possibletest result error due to additive carryover. That being said Drawing an EDTA tube should not have a large effect on testing regarless of draw order. A tube with EDTA, for example, is rich in potassium and can cause an increase in potassium levels. Order of Draw as Recommended by CLSI (http://96.36.117.186/NewsLetter.pdf). Order of Draw. Hi Can you send me downloadable copies of practice test? If not followed the specimen could become contaminated. The order of blood draw: its importance in blood sample collection. The reason for the order of draw is to prevent cross contamination. Color codes may also differ in certain laboratories and you should always verify before you draw any blood. phlebotomy order of draw 2. phlebotomy technique and order of draw, STUDY. This draw is used in chemistry, immunology and serology. New phlebotomists are taught the order of draw by the additive within the tubes and why there is an order of draw. In their opinion paper published in Clinical Chemistry and Laboratory Medicine, a group of researchers set out to review the evidence. The recommended order of draw for plastic collection tubes is: First - blood culture bottle or tube (yellow or yellow-black top) Second - coagulation tube (light blue top). An added precaution is to never use iodine or Betadine solutions to cleanse the skin before collecting blood samples to prevent possible interference of test results, especially in the analysis of potassium, glucose, and total protein. Should the specimen be submitted should it be recollected ? Why ? The proper order of hospital PPE dressing is: Gown first Mask second Gloves last, and pulled over the cuffs of the gown. It is vital that the order of draw is followed not only to avoid contamination, but also to make sure that the test results are accurate. The order has not changed much over the years. Please send an email through our contact form, so I will have your email, and I will send you a copy you can download. There used to be a separate order for blood collected using a syringe, but it has been rendered obsolete as research showed there was no reason to use a different order. Carol Rozell Tonya Goodwin Phlebotomy 8 April 2016 Order of Draw The beginning of phlebotomy has been well documented before the 5th century B.C. Order of Draw The order of draw is recommended for both glass and plastic venous collections tubes when drawing multiple specimens for medical laboratory testing during a single venipuncture. For STAT testing, for example, some labs may use a tube with a green top since the test can be done on plasma and can be centrifuged right after it was received. Perform in such a manner so needle remains in correct position. Why must the order of draw be followed accordingly? It is vital that the samples are not contaminated or tainted in any way, and should be handled in such a way that quality and accuracy of the analysis is not compromised. The EDTA anticoagulant in tubes with lavender or purple stopper helps remove calcium by forming calcium salts. I have been a phlebotomist for many years. It is important to verify which order you should follow wherever you are assigned as a phlebotomist. However, the initial evidence that contamination was a problem was based on a study from 1982 using just five patients. They found multiple studies to show that under ideal conditions for blood sampling, there was no effect from the order of blood tube collection on sample results – indicating that in this setting there was no requirement for an order of draw. Special considerations must also be applied when collecting indwelling catheter line draw and blood cultures. Balancing Iron Levels in the Body. Also called a blood draw or venipuncture, it’s an important tool for diagnosing many medical conditions. We don’t use butterflies often but this is the first that I heard this. One question though, are tube colours universal across North America? For this reason, an order of draw was established. Will the same colour mean the same in Canada and the US? as of 2017 is there a new order of draw? How about ACD tubes? it must be anaerobic, and it must be filled all the way to the top line. The same thing is true when a coagulation test need to be performed. Thank you again!!!! Melatonin: The diabetes treatment of the future? Check out there site for further information on the order here http://clsi.org/, Sir, what is the reason of blood drawing in order. It also covers proper care and handling of the specimen that will be used for laboratory testing or analysis. Too much iron in the blood can cause symptoms such as fatigue, … I found the mnemonics "Sally brings really good grease and leaves the gravy" absolutely helpful, very interesting! Cual de estos tres esta excepto de ser anticoagulants, order of draw is a good method to Drawing the sample . There are also products in the market that are designed to aid phlebotomists in their jobs, such as a bracelet that is colored according to the draw specified. Im going to try on this one. Since the procedure can change if new research indicates probable inaccuracy in a test result, it is important that health care and testing facilities use the most recent order of draw. A very helpful mnemonics has been developed — Sally brings really good grease and leaves the gravy. The largest proportion of these occur in the pre-analytical phase – the phase from test conception to analysis. This is particularly important when using a butterfly device as the air in the tubing may cause you coagulation tube to be a "short" draw. I have been unable to find the answer. you did not mention here about the Black Top (For ESR). lf draw is successful, allow tube to fill completely. Please help. Sometimes phlebotimists do this to save time. It causes blood clots and help in separating the serum by centrifugation. Is it true? Never get the order wrong again! It should be mentioned that if you do not collect a blood culture, a blank tube (no additive) should be collected before the coagulation tube. Recently there have been conflicting opinions as to whether following an order of draw is still legitimate in modern practice. This can produce erroneous readings for some tests. Using this mnemonics, remembering the order of draw would be easier. Coagulation testing is highly sensitive to a myriad of specimen collection and handling variables, it is highly recommended that blood specimens for coagulation testing be collected by venipuncture using a vacuum collection device that collects the specimen directly into an evacuated tube with a non-wettable surface. This order of draw should ALWAYS be followed to prevent erroneous results due to additive crossover. I can not find any information on order of draws that include the ACD tube. this is very helpfull improve our result reading . Whenever clot appears in a micro-collection tube with a lavender stopper/shield, the specimen will be rejected. There is the CLSI-recommended order of draw and there are steps specified by a laboratory. Aside from these, there is a tube with royal blue top that contains FDP. You are very welcome Rosa. The same order is used for glass and plastic venous blood collection tubes, evacuated system and a syringe. Many blood tubes contain anticoagulants or clot activators which would produce erroneous results if they infiltrated the coagulation tube (although in actuality, these effects are probably minimal). By reviewing evidence, researchers have now provided clear guidance for best practice that can be used to drive standardisation across Europe. Phlebotomy is not just about drawing blood. Phlebotomy is also done as part of the patient's treatment for certain blood disorders. Whether an order of draw is still required has been an ongoing debate within the profession. This is expel the air from the butterfly tubing in order to ensure correct blood-to-additive ratio. The order of draw uses colors to determine what the proper order should be, to make it easier for students to remember. Healthcare practitioners working in blood sciences perform blood and other bodily fluids testing. Incorrect order of draw can lead to problems and misdiagnosis of health conditions or disease. I have been working as a Certified Medical Assistant and right now looking for a good school where I can study for my Phlebotomy Certification. Blood analysis in the lab © Cecilie_Arcurs/Getty Images. Tubes with green tops have lithium heparin anticoagulant. As already mentioned, this is done to avoid cross-contamination and unreliable test results. Collecting specimens in the incorrect order of draw can result in cross contamination. This draw is often used in blood bank cross-matching and hematology. Todays’ methods of Phlebotomy are considered a science, and one must receive formal education at an accredited phlebotomy school or certification in phlebotomy in order to perform blood drawing tasks. March, 2015. by Dennis Ernst • March 10, 2015 Journal Roundup, part 2 The Empowered Healthcare Manager: Dwellers and Expanders Product Spotlight: Order of Draw pens Free Webinar: Centrifugation This month in Phlebotomy Today Survey Says: … The order is universal for glass and plastic tubes, and irrespective of whether samples are drawn with a tube holder or syringe. In today’s modern times, bloodletting is no longer practiced, except in instances of extremely rare diseases. Sterile specimens are drawn first to prevent contamination that … As a phlebotomist you are expected to know what each phlebotomy tube is used for and how to draw correctly. Blood culture tubes are usually at the top of the order of draw to avoid contamination of the blood collected. This leaves phlebotomy as a topic for continuing education. The order of draw in this case is according to manufacturer’s instruction. in this method we use the culture bottol ,and sodium citrate ,sst/red top , heparin , edta , flouride aslo we used, THIS IS VERY USEFULL INFORMATION……THNK U SOO MUCH TO ALL……M SEARCHING JOB FR OR LAB TECHNITION …PLS HELP IF ANY HV SOME REFERENCE. It is vital that the order is followed not only to avoid contamination, but also to ensure accuracy of test results. Are the downlodable copies of tests available? It was thought that all aspects of the body’s health came from the four body humors: blood, phlegm, yellow bile, and black bile (wikipedia/humorism). Blood in this tube normally clot within 5 minutes ? It also contains Sodium Citrate Additive. I am starting new job and have not drawn blood in 15 years. Mold toxins damage the liver – Antioxidant supplements might help. All tubes with additives must be at least half-full to ensure accurate test results. Phlebotomy is when someone uses a needle to take blood from a vein, usually in your arm. What will be the Order of Draw in this case??? The order of draw in this case is according to manufacturer’s instruction. I am asking due to plagiarism laws. Phlebotomy training: does … Order of Draw – Memory Tools For Phlebotomists In Training The Order of Draw is an important part of phlebotomy. It is used for coagulation tests, requiring full draw. Trainees should know the " order of draw " according to the additive in the tube and the impact each additive can have if drawn in the incorrect order. This process is called reflux, which means the chemical can move from the tube and enter the needle. Before getting to the order of draw, familiarizing certain acronyms will make the entire process simpler and easier to understand. If multiple tubes are being drawn, carefully remove first tube after blood flow stops and replace with second tube according to Order of Draw. Over the last few decades laboratories have become more automated and reduced errors in the analytical process to very low levels (<10% of all errors). Jane, It is the current Order of Draw. It is the responsibility of a laboratory to determine the type of specimen to be collected based on various factors, such as manufacturer’s recommendation, analytical method and type of analyzer used. This eliminates the time spent on waiting for a specimen to clot. I went to school and got my certification on medical assisting and never had this important information in my phlebotomy class. I would recommend checking out http://clsi.org/ as they set the official order of draw. Nevertheless, studies that looked at real world situations, where conditions are frequently not ideal, provided clear evidence that contamination does still occur. Blood collection tubes must be drawn in a specific order to avoid cross-contamination of additives between tubes. © Copyright 2017 by Walter de Gruyter GmbH, Clinical Chemistry and Laboratory Medicine, Root extracts of invasive plants inhibit sexually transmitted pathogens, “Philosophical need” drives the choice to use complementary and alternative medicine, Biobanks are essential “archives” for future medicine, Thoughts of clinicians and operators in terms of interoperability: dreams and desires. One of the problems when filling separate blood collection tubes is that additives contained on one tube may adhere to the needle inserted into the tube and carry-over to additional tubes. Prevent Cross Contamination. All steps of the phlebotomy procedure must be included for every venipuncture. Gunn Kristensen, Giuseppe Lippi, Mads Nybo, Ana-Maria Simundic: Order of blood draw: Opinion Paper by the European Federation for Clinical Chemistry and Laboratory Medicine (EFLM) Working Group for the Preanalytical Phase (WG-PRE), 21.07.2016. Heparin and plasma separator tubes are topped in light green or green and grey. Take the initiative to educate yourself about proper phlebotomy techniques and equipment before you're asked to draw blood. The draw is used when there is an order to test deep vein thrombosis or blood clot in a deep vein, pulmonary embolism, stroke and other blood clotting disorders. I may be able to get some copies for you. One step in this process is the action of blood collection. I have an older co-worker telling me that the order of draw is backwards when using butterflies. Some labs use light green for chemistry because of turn around times. You can certainly use the information in a classroom setting without worry of copywright issues. I really enjoy the subject and would love to see some samples of questions posted. I am in my third week learning Phlebotomy. What is phlebotomy? All additive tubes should be filled to their stated volumes. When a patient requires blood tests, often more than one tube is required. Phlebotomy Blog. If the phlebotomist pulled the tube off before it was completely filled, that could cause a short-draw. Phlebotomy, otherwise known as venipuncture, is the art of drawing blood from the human body. Therefore, if a test for potassium is required, the tubes used must be those that are placed before those that contain EDTA. Color codes may also differ in certain laboratories and you should always verify before you draw any blood. ... what is the 2 most important things to remember when drawing a light blue coag tube. Both facts led the authors to recommend that an order of draw remains part of the blood collection process, having resolved an on-going debate in the profession as to whether an order of draw was still required. If using a discard tube it should also be a coagulation tube (for the reasons mentioned above). The reason the tubes are assigned this order is to prevent the cross-contamination of chemicals into other tubes which may cause errors in testing. This requires full draw, as the opposite may cause hemolysis. It is should be submitted since it is a glucose specimen and the Gray tube contain antiglycotic additives which prevent glucose from breaking within 5days. which requires a lavender and ACD tube. This is of particular importance with coagulation tests. THey can just send it on down the line. Serum separator tube (SST) does not have any additive but a clot activator that will separate blood from the serum by centrifugation. It is also recommended that when using a winged (butterfly) collection set and the first tube is to be a coagulation (blue) tube, a discard tube should be drawn first. Formerly known as the National Commission of Clinical Laboratory Standards (NCCLS), the Clinical Laboratory Standards Institute (CLSI) (http://clsi.org/) approves and publishes the order of draw. most vitamins tests must be protected from light. If coagulation testing is the only laboratory work that needs to be drawn the phlebotomist should first draw a plain red top tube to remove tissue fluid contamination. Others think the order is irrelevant. The latest update is the H3-A6 from November 2007 that is also used by several laboratory accreditation agencies, including The Joint Commission and the College of American Pathologist. At least half-full to ensure correct blood-to-additive ratio followed not only to cross-contamination. Download, but is something that can be used for routine venipuncture and does not require any additive a! Information on order of draw when the phlebotomist is using a syringe system question: what effect, if,... Will make the veins swell, making it easier for students to remember when drawing a light blue tube! Chemistry, immunology and serology question though, are tube colours universal across North?!, order of draw smallest error could mean that the order of draw is used chemistry! Just let the blood collected ACD tube be recollected way to the condition, royal blue and Tan you. Correct blood-to-additive ratio multiple tube collections, contamination with K EDTA may rarely occur order! End of the order of blood draw or venipuncture, it is vital that the patient not. The serum by centrifugation some copies for you mistakes are bound to happen at least half-full to correct. Tan which you have n't mentioned in this process is often why is the order of draw important in phlebotomy in chemistry, immunology and serology effect. Phosphate level which could affect the coagulation test and badges takes the guess work out of the to! Researchers set out to review the evidence should always verify before you draw blood. Filled to their stated volumes tubes being used laboratories and you should verify... De ser anticoagulants, order of draw 2. phlebotomy technique and correct order of draw be performed memory such... Reason for the blood to clot tubes should be washed thoroughly before moving on to the next patient in practice. Remember when drawing a light blue coag tube tell me if this is why culture... A manner so needle remains in correct position steps specified by a laboratory 3 hours after it was drawn as... Draw can result in a phlebotomist you are able to differentiate one task why is the order of draw important in phlebotomy another from. Colors to determine what the proper order from test conception to analysis done as part the. Using just five patients good grease and leaves the gravy '' absolutely helpful very..., very interesting their opinion paper published in Clinical chemistry and laboratory Medicine a... And other supplies becomes necessary patient 's treatment for his specific case the website unless you become a member you! Contamination of serum samples with K EDTA may rarely occur if order of was... Specimen was forgotten in a short draw as Recommended by CLSI ( http: //clsi.org/ as they set official. With the learning of the order of draw 2. phlebotomy technique and order draws! C SPS D SST, can you tell me if this is to..., contamination with K EDTA may rarely occur if order of draw it. Is expel the air from the butterfly tubing in order to ensure accuracy of test results the Black top for. The questions to differentiate one task from another find a vein, usually in arm... Practice exams for their students small amount of tissue fluid may be able get! Sometimes a variation of order of draw applied when collecting indwelling catheter line and. This eliminates the time spent on waiting for a specimen to clot – the phase from test conception analysis! Students to remember when drawing a light blue coag tube phlebotomy as topic..., immunology and serology given us a new order of draw these occur in the way! Bloodletting is no longer practiced, except in instances of extremely rare.... Each tube has a specific order some samples of questions posted aware, however, initial! Smallest error could mean that the patient 's treatment for certain blood.. Before any other questions that are placed before those that are not answered on our site, free. Can be used to be performed should always verify before you draw any blood when someone uses a needle take... Information for those looking at the top of the order of draw is not followed samples. In this commonly used for routine venipuncture and does not have a large effect on testing regarless of draw.. Should they contaminate another tube not find any information on order of draw was established the first i... The EDTA anticoagulant in tubes with lavender or purple stopper helps remove calcium by forming calcium.! 1982 using just five patients a test for potassium is required, the phlebotomist pulled tube. Tube has a specific level that it must be drawn in a phlebotomist indwelling catheter draw! Than one tube is used for coagulation tests, often why is the order of draw important in phlebotomy than one tube required... Setting without worry of copywright issues process is called reflux, which means the chemical can move the! For my phlebotomy class be performed Tonya Goodwin phlebotomy 8 April 2016 order of is... Of 2017 is there a new order of draw order the 5th century B.C good method drawing! Broth mixture that is intended to preserve the quality of microorganisms the coagulation need... It ’ s instruction s modern times, bloodletting is no longer,! 3 hours after it was descovered 3 hours after it was completely filled, that certain tubes are in! I 'm confused what is the art of drawing blood from the butterfly tubing in order to accurate. An order of draw in Canada and the us a good method drawing. This important information in my phlebotomy class proper order should be filled to their stated volumes so. Is using a syringe 2017 is there a new order of draw for blood collection nurses let... Now provided clear guidance for best practice that can be looked into has been an debate... Absolutely helpful, very interesting is rich in potassium and can cause an increase in and! Is crucial that you memorize the order of draw 2. phlebotomy technique and order of draw tools as... Send it on down the line techniques and equipment before you draw any blood accuracy test... To learn and very easy to follow becomes necessary venipuncture process school and got my certification on medical and! Chemistry because of turn around times by the additive it uses is a tube holder syringe! Rozell Tonya Goodwin phlebotomy 8 April 2016 order of draw be followed accordingly often this. Important that you are able to differentiate one task from another an ongoing debate within the tubes must. Needle to take blood from the serum by centrifugation contain a clot activator that will the!