Order of Draw and Additives | Blood Collection

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Published 2019-06-22
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This lesson covers the correct order of draw for blood collection. We also explain the additives in each tube as well as some of the tests that you would look to run with each tube.

We break down the phlebotomy order of draw and explain why it is that the proper order really matters to ensure that your patients are not misdiagnosed and get the proper treatment that they need.

We also include a helpful mnemonic and acronym to help you to be able to memorize this order of draw so that you can always get it right.

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All Comments (21)
  • @ICUAdvantage
    🎓‼ Earn CE Credits! Pre-order ICU Advantage Academy: 👉🏼 adv.icu/academy 💲 10% off Critical Care Academy (CCRN Review): 👉🏼adv.icu/cca (USE CODE "icuadv10") 💲 10% off EACH Month @ Nurisng Mastery membership: 👉🏼 adv.icu/mastery 📝 NOTES available to members! ► YouTube: adv.icu/ym | ► Patreon: adv.icu/pm NOTE: I did forget to mention, but typically the grey top tube tests will need to end up on ice immediately just like those select green top tube tests, in order to help preserve the values from when it was drawn from th
  • Easy way to remember the order is You- Yellow Better- Blue Remember - Red tiger top gold Gods - Green Loving - Lavender Grace -Gray
  • @caseypreston350
    I got by the acronym Boys Should Stay Home Every Summer. B for blood culture tube, S for sodium citrate, S for serum tube, H for heparin, E for EDTA, and S for sodium fluoride/ potassium oxalate.
  • I learned the basic order from the acronym “bunny rabbits get pregnant” so blue red green purple.
  • @choppah5099
    Just took my NH exam and passed with a score of 420. Thank you for this detailed video, could not have done it without your help.
  • @betsyross2325
    As a medical lab tech, the emphasis of how important the lab draws are is crucial for accurate lab testing. Integrity is everything. Loved this break down
  • @vonquiambao7989
    I had these mnemonic for the proper order of draw. It is BCNHES (pronounced as benches) B- blood culture (yellow) C- citrate (blue) N- no additives (red) H- heparin (green) E - EDTA (lavender) S- sodium fluoride ( black or gray)
  • @caledriunaw5255
    Blood Culture, Blue, Red, SST, Green, Lavender, Pink, and Grey, Other tubes
  • @KX36
    My top tip: If you use a butterfly needle with a sodium citrate tube, you must take 2 tubes and discard the first one as it will be underfilled due to air in the line. It's the number 1 cause of underfilled citrate tubes in my lab. The sodium citrate is best thought of as an actual reagent in the actual clotting tests. It differs from EDTA etc. because it's reversible with the addition of calcium, so as part of the clotting time tests a fixed amount of calcium is added to start the clotting and that's when the timer starts. This assumes a fixed concentration of citrate. If the tube is underfilled the concentration of citrate will be too high and the clotting times will be extended.
  • I'm transitioning from phlebotomy in a plasma center to phlebotomy in a lab or Dr office. We only take two samples. I need to know all this for my interview to get hired at a lab or Dr office. This really really helped me. Thank you so much 😊
  • @TheDuddleyCo
    I used to work in the coagulation lab and I cannot emphasize enough the importance of mixing those blue tops so that the citrate mixes with the blood to stop clotting. The number of times I had to reject clotted samples was quite sad. I also had to explain to one nurse why I couldn't run an aptt on a clotted sample.
  • You're saving my life, sir! Ok, not literally, but you are DEFINITELY helping me through phlebotomy training! THANK YOU SO MUCH!!!💯💯💯
  • @Mel-hf8pi
    I’m in a new phlebotomists course and this video was amazing not only was it informative but it boosted my confidence. I plan to share this with my students. Thank you! The speaker was very clear and educational 🙏🏽
  • @maryraab9066
    I am currently a phlebotomy student. This was a very, very helpful video! Thank you so very much!
  • @ashleyf.6324
    literally the only reason I understand any of these tubes is all thanks to you. thank you thank you thank you!!!!!!!!!
  • @Cateutopia
    I'm here because I'm thinking of taking a Phlebotomy course. This was very informative. Thanks so much. (I'm a retired Respiratory Therapist).
  • @Star_Kid41
    This was so useful! I have my certification exam in a couple of weeks, and I was worried I wouldn't have a way to remember the order. This was so simple to understand, and I like the acronym. It's very easy to remember.
  • @latinatech
    Thanks for this video. I've been drawing blood since 2006 and got my associate degree in medical assisting since 2010, and your video took me back to my classroom days. You explain like a professor. I also learn by understanding the WHY of the issue, not just memorizing colors since some tubes are interchangeable and also different Labs use different colors for different tests. This was very informative, thank you.
  • @mariasevere9481
    I first want to thank God and say thank you for your time on doing this video. I pass my NHA exam today. I never really had time to study the order of draw or test to the tubes. It’s a lot of information. This acronym is so simple! I played the video until it was time to turn our phones off for testing. Yes! The why’s... is a must know for NHA! Thank you again! 🤗
  • @annastumpf9317
    I can't thank you enough for this. I'm taking the class right now and my exam is coming up. This was beyond helpful. Super appreciated. Also, I saw from another youtuber that a great way to think of this is as a landscape portrait with a sunrise. White (clouds), Blue (sky), Red (beginning or top of sunrise), Gold/tiger top (bottom of sunrise or the shining part of it), Green (grass), Purple (flowers) same with pink, it would just be by and under the purple flowers, and grey (end of painting or your signature).