The Importance of Correct Order of Draw in Blood Sample Collection

Summary

  • The correct order of draw is crucial when collecting blood samples in a medical laboratory setting in the United States.
  • Following the proper order of draw helps prevent sample contamination and ensures accurate Test Results.
  • Understanding the order of draw can lead to better patient care and outcomes in home healthcare, clinical labs, and hospitals.

Introduction

Collecting blood samples for testing is a common procedure in healthcare settings. It is essential to follow the correct order of draw to ensure accurate Test Results and prevent sample contamination. This article will discuss the proper order of draw when collecting blood samples in a medical laboratory setting in the United States.

Why is the Order of Draw Important?

The order of draw is important for several reasons:

  1. Prevents Sample Contamination: Using the correct order of draw helps prevent sample contamination by minimizing the carryover of additives between tubes.
  2. Ensures Accurate Test Results: Following the proper order of draw ensures that blood samples are collected in the appropriate tube with the correct Anticoagulant or additive, leading to accurate Test Results.
  3. Promotes Patient Safety: Adhering to the correct order of draw promotes patient safety by reducing the risk of errors in sample collection and testing.

The Correct Order of Draw

The order of draw refers to the sequence in which blood is collected into different tubes during a single Venipuncture procedure. The correct order of draw is as follows:

1. Blood Cultures

Collect Blood Culture bottles first to prevent contamination of other tubes with skin flora.

2. Coagulation Tubes (Light Blue Top)

Collect coagulation tubes second, as they require a specific Anticoagulant to prevent clotting.

3. Serum Tubes without Additives (Red, Gold, or Tiger Top)

Collect serum tubes without additives next to obtain a sample for chemistry testing.

4. Heparin Tubes (Green Top)

Collect Heparin tubes next, as they require an Anticoagulant to prevent clotting.

5. EDTA Tubes (Purple Top)

Collect EDTA tubes last, as they are used for hematology testing and require the blood to be anticoagulated quickly.

Additional Considerations

In addition to following the correct order of draw, Healthcare Providers should also consider the following:

  1. Properly mix tubes containing additives by gently inverting them several times to ensure adequate mixing.
  2. Use the appropriate needle size and technique for Venipuncture to minimize patient discomfort and ensure a successful blood draw.
  3. Label each blood tube with the patient's information and the date and time of collection to prevent sample mix-ups and ensure accurate tracking.

Conclusion

Understanding and following the correct order of draw when collecting blood samples in a medical laboratory setting is essential for ensuring accurate Test Results, preventing sample contamination, and promoting patient safety. Healthcare Providers in home healthcare, clinical labs, and hospitals should be familiar with the proper order of draw to improve patient care and outcomes.

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