phlebotomy order of draw

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You have orders to collect a STAT comprehensive metabolic panel, blood cultures, hemoglobin, glucose, platele count, thrombin time, and an antistreptolysin O on a trauma patient in the emergency department. Using the test directory provided what tube type do you collect and what order do you collect them?

Blood cultures, light blue tube, red tube, green tube, lavender tube, gray tube

You have orders to collect blood tests for cannibinoids, cocaine, benzondiazepines, and barbiturates. Using the test directory provided what type do you collect and in what order do you collect them?

Green tube, gray tube

The main function of red blood cells is to?

carry oxygen to cells

Which of the following is found in the plasma portion of blood?

potassium

In which of the following situations would you collect a discard tube before collecting a light blue tube for a protime (PT)

A Discard tube is to always be collected before in a light blue tube

A tube containing EDTA is collected between?

A heparin tube and a glycoltic inhibitor tube

A tube containing heparin is collected between?

A sèrum tube and a EDTA tube

In this hypothetical situation, a tube manufacturer has made a tube with purple shield over a yellow stopper. All you know about the tube is that it contains EDTA. Where did you put this tube in the recommended order of draw?

Between a green stopper tube and a gray stopper tube

You have orders to collect a type and crossmatch, glucose, basic metabolic panel, and acid fast bacteria blood culture. Using the test directory provided what type do you collect and in what order do you collect them?

Blood culture bottles, light green tube, pink tube, gray tube

Which one of the following represents the correct placement of an orange tube in the order of draw examples given?

Blood culture, Orange tube , light blue tube, red tube , gray tube

Which organization is responsible for recommending an order of draw?

CLSI ( The Clinical and Laboratory Standards Institute)

Which on of the following tube types is used to collect blood platelet function studies?

Clear shield over blue stopper (CTAD)

If a gray stopper tube is collected before a lavender shield tube, which of the following could occur?

Distruction of blood cells on WBC differerntials

which of the following is the correct order of collection for blood obtained by skin puncture?

EDTA, plasma additive tube, sèrum tubes

The phlebotomy order of draw is reversed when blood is collected with a syringe.

Fales

if a lavender shield tube is collected before a light green shield tube, Which of the following could occur?

Falsely elevated potassium test results

Where does the coagulation tube fall in the order of draw if no blood cultures are needed?

First

you have orders to collect an arthritis panel, electrolytes, and sedimentation rate. Using the test directory provided what tube types do you collect and in what order do you collect them?

Gold tube , green/gray stopper, lavender tube

You have orders to collect trace metal analysis, hemoglobin and hematocrit, and electrolytes. Using the test directory provided what type tube do you collect and in what order do you collect them?

Gold tube, lavender tube, Royal blue tube

You have orders to collect a CBC, type and screen ,RPR, and basic metabolic panel. Using the test directory provided what tube types do you collect and in what order?

Gold tube, light green tube, lavender tube, pink tube

The BD Vacutainer , PAXgene, Blood RNA tube is drawn with a winged infusion set for which one of the following reasons

It asssures there is no backflow of the additive into the patient's blood

Which of the following is NOT a preanalytical variable that can affect the accuracy and precision of laboratory test results?

Labeling tubes before filling with blood

Which of the following is a FALSE statement about laboratory instructions?

Laboratories typically have just one analyzer to perform all types of testing.

You have orders to collect hepatitis panel, activated partial thromboplastin time (aPPT), glucose, and comprehensive metabolic panel. Using the test directory provided what tube types do you collect and in which order do you collect them?

Light blue tube, gold tube , and gray tube

You have orders to collect a carcinoembryonic antigen, D-dimer , CBC and a lead level. Using the test directory provided what type of tube do you collect and in what order do you collect them?

Light blue tube, red stopper, lavender tube, tan tube

You have orders to collect nutritional elements analysis, antinuclear antibodies, protime, lead, and a human chorionic gonadotropin level. You are using the evacuated collection system with a tube holder. Using the test directory provided what tube type do you collect and what order do you collect them?

Light blue tube, red tube, Royal blue tube, tan tube

You have orders to collect a type and screen , hemoglobin and hematocrit, basic panel, thyroid panel, and cholesterol. Using the test directory provided what type do you collect and in what order do you collect them?

Light green tube , lavender tube, pink tube Gold tube, pink tube, lavender tube Gold tube, Lavender tube, pink tube All of these are acceptable

Blood cultures are collected before which one of the following tube types?

None of these, blood cultures are always collected first

fill volume is critical in all of the following tube types EXCEPT?

Orange Shield

Why is plasma preferred over serum for many STAT lab tests?

Patient test results can be available quicker

You have the following tube types on your tray: green tube , light green tube, pink tube, red tube, red/black tube, light blue tube and gray tube, you are collecting a hemoglobin hematocrit with the last lavender tube. Blood ceases to flow into this tube almost immediately after the venipuncture. What tube on your tray could you use to substitute for lavender tube?

Pink tube

According to the test directory provided which one of the following tube type is acceptable for a tobramycin level?

Red tube

which of the following tube types is appreciate for collecting a chemistry test that requires serum?

Red tube

If an orange shield tube is collected before light blue tube , Which of the following could occur?

Shortened PT time test results

Which of the following determines the order of draw?

The type of addidive(s)

Which one of the following is NOT an anticoagulant added to evacuated tubes?

Thrombin

Glass evacuated tubes are collected in the same order of draw as plastic tubes.

True

which of the following tube types is used to collect blood for an HLA Class II Molecular Typing Disease Association test?

Yellow stopper ACD Solution B

if you have an order of draw blood cultures and a trace metal analysis at the same time, which one of the following is most appropriate?

perform the venipuncture and draw the blood cultures followed by the Royal blue tube

Which on of the following evacuated tube types does not require mixing at the time of collection?

gold shield with gel


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