Order of Draw and Additives | Blood Collection

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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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#OrderOfDraw #BloodTubes #ICUAdvantage

Пікірлер: 1 100

  • @ICUAdvantage
    @ICUAdvantage5 жыл бұрын

    🎓‼ 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! ► KZread: 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 the patient!

  • @dr.mukulkanojia

    @dr.mukulkanojia

    4 жыл бұрын

    ICU Advantage Thankyou very much for this presentation. May i suggest you something??? Wouldn’t it be great,if you could provide PDFs (via., links) for all the presentations, so ppl can download those & use them for revision and long-term retention(just a suggestion). Thank you.

  • @tiaraalejandrastylet4614

    @tiaraalejandrastylet4614

    4 жыл бұрын

    ICU Advantage yes each tube have had to be treat after in diferent ways an the invention and preparation to lab need to be different but this video is only about the color

  • @PPN1942

    @PPN1942

    4 жыл бұрын

    For capillary draws, order is OPPOSITE. With capillary draws the blood is dropped in microtainers. Lavender microtainer is FIRST because of potential clots and fibrin formation. However, as with order of draw with vacutainers, I continue to draw green microtainer before lavender because of cross contamination risk (of k-edta contaminant) and never had clotting problems. What are your thoughts?

  • @maritzacasanova7785

    @maritzacasanova7785

    3 жыл бұрын

    I really like t way how do you explain on the video

  • @Harlem55

    @Harlem55

    3 жыл бұрын

    The question is what do you do if you inadvertently screw this up and obviously don't want to pull the needle?

  • @makeiahwilliams3604
    @makeiahwilliams36043 жыл бұрын

    Easy way to remember the order is You- Yellow Better- Blue Remember - Red tiger top gold Gods - Green Loving - Lavender Grace -Gray

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Thanks for sharing!

  • @jaiirose1404

    @jaiirose1404

    3 жыл бұрын

    THIS JUST HELPED ME SO MUCH THANK YOU!

  • @WoWMoM_3

    @WoWMoM_3

    3 жыл бұрын

    Wow, thank you

  • @keisharowland6176

    @keisharowland6176

    3 жыл бұрын

    Amen! Thank you

  • @Mamignonne100

    @Mamignonne100

    2 жыл бұрын

    You’re so wicked good! Thanks! I love it! Don’t need it, but I love it! Cheers!🇨🇦❤️🙏🏽

  • @caseypreston350
    @caseypreston3504 жыл бұрын

    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.

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Ooo that's a good one! Thanks for sharing!

  • @vonquiambao7989
    @vonquiambao79894 жыл бұрын

    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)

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Nice! I like it!

  • @JamySalome

    @JamySalome

    3 жыл бұрын

    Taking this with me thank you!! I just made this up for colors: (Y)ou (B)elong (R)eading (G)reat (L)ove (B)efore (G)od

  • @Harlem55

    @Harlem55

    3 жыл бұрын

    Thats not a mnemonic that is an acronym. Plus, Cultures aren't uniformly colored.

  • @JamySalome

    @JamySalome

    3 жыл бұрын

    @@Harlem55 it's for me to associate with bcnches

  • @aahlstrom93

    @aahlstrom93

    3 жыл бұрын

    I've been taught Be Careful (Blood culture) Stop (SPS) Light (Light blue) Red, Stay (SST) Put (PST) Green, Let's (Lavender) Go! (Gray)

  • @elizabethmccown3033
    @elizabethmccown30333 жыл бұрын

    I learned the basic order from the acronym “bunny rabbits get pregnant” so blue red green purple.

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Hahaha this is great! I LOVE it!

  • @ravenalize1844

    @ravenalize1844

    3 жыл бұрын

    I love this, I’m going to forever use this to remember 🥰

  • @lauraspeegle

    @lauraspeegle

    2 жыл бұрын

    How come the gold tube is not added in this?

  • @NicolLoveWilliams

    @NicolLoveWilliams

    Жыл бұрын

    Thank you

  • @HeatherBrunson1

    @HeatherBrunson1

    Жыл бұрын

    @@lauraspeegle gold is same as red

  • @betsyross2325
    @betsyross23253 жыл бұрын

    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

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Awesome! Glad you liked it and thanks for taking the time to leave a comment!

  • @choppah5099
    @choppah50992 жыл бұрын

    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.

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Congrats! Way to go! Glad to have been able to help some

  • @jennelllyons6622

    @jennelllyons6622

    5 ай бұрын

    Congratulations.. I was going to start my phlebotomy class and just want to know on the test what are the main things that they ask for .. I know everything is important I was told the order of draw it is very important I got a phlebotomy book to see what I getting myself into but the book that I bought seem to be really difficult to understand any suggestions??

  • @santanawalker7628

    @santanawalker7628

    3 ай бұрын

    @@jennelllyons6622 You should definitely get you tubes/bottles and additives in line!

  • @shainailsbeautyltd

    @shainailsbeautyltd

    10 күн бұрын

    Congratulations. I am preparing to take mine soon❤

  • @shainailsbeautyltd

    @shainailsbeautyltd

    10 күн бұрын

    @@jennelllyons6622There is a NHA mock exam you can purchase online to practice. Because it’s no set questions. But a pool of questions from all the subjects. That you learn in class. Venipuncture being one. Types of tubes and additives and step by step questions.❤

  • @KX36
    @KX36 Жыл бұрын

    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.

  • @GreyHunter49

    @GreyHunter49

    Жыл бұрын

    100% agree. Also: The first sample when using a butterfly needle MAY be contaminated with skin/tissue particles from the puncture, which may effect blood clot formation and therefore your coagulation parameters down the line!

  • @rachaelsiddall1021
    @rachaelsiddall1021 Жыл бұрын

    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 😊

  • @catalinalarrison

    @catalinalarrison

    Ай бұрын

    Just curious if you are an employed phlebotomist?

  • @ValerieKayParteeReid
    @ValerieKayParteeReid3 жыл бұрын

    You're saving my life, sir! Ok, not literally, but you are DEFINITELY helping me through phlebotomy training! THANK YOU SO MUCH!!!💯💯💯

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Yaaaas! So happy to be able to help! :)

  • @TheDuddleyCo
    @TheDuddleyCo3 жыл бұрын

    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.

  • @latinatech
    @latinatech2 жыл бұрын

    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.

  • @Mel-hf8pi
    @Mel-hf8pi4 жыл бұрын

    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 🙏🏽

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Thank you so much for this comment and feedback! I'm glad that you enjoyed the video and found it helpful. Absolutely would love the shares! :)

  • @Cateutopia
    @Cateutopia11 ай бұрын

    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).

  • @IceCream-ym2bq

    @IceCream-ym2bq

    15 күн бұрын

    Me too. Am starting college class September 2024

  • @Cateutopia

    @Cateutopia

    15 күн бұрын

    Update: since last year after getting my certificate in Phlebotomy I still have NOT gotten a job. These companies want 6 months to 2 years experience. They will not give you a chance to get the experience.

  • @Star_Kid41
    @Star_Kid412 ай бұрын

    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.

  • @maryraab9066
    @maryraab90664 жыл бұрын

    I am currently a phlebotomy student. This was a very, very helpful video! Thank you so very much!

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Awesome, glad you enjoyed it!

  • @ashleyf.6324
    @ashleyf.63243 жыл бұрын

    literally the only reason I understand any of these tubes is all thanks to you. thank you thank you thank you!!!!!!!!!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Oh wow Ashley! This is so cool! I'm so happy to hear that I was able to help you. This is awesome :) You are more than welcome.

  • @erica7268

    @erica7268

    3 жыл бұрын

    Ahhhh I hope it works for me too!!!

  • @sherlove8704
    @sherlove87043 жыл бұрын

    I do not know how anyone can unlike this video. Made what could be complicated very simple. Thank you.

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Haha thank you. I think the same thing sometimes when I get dislikes on videos lol

  • @Dustygirl86
    @Dustygirl862 жыл бұрын

    I’m a year into my nursing career as a CTICU RN and watch your videos whenever I get a moment. I wish you made handouts that I could refer back to.

  • @veronicahunt2206
    @veronicahunt22062 жыл бұрын

    This video is very helpful and it is very helpful when it comes to learning about all the different tubes and the purpose for each tube. It is also important to remember to make sure that the tubes are not mixed and the additives in the tubes do not contaminate each other.

  • @appleonaya2659
    @appleonaya26594 жыл бұрын

    Thank you so much! I have so struggled with additives and it finally all makes sense. Great video!

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Awesome! Glad it was what you needed! :)

  • @annastumpf9317
    @annastumpf93172 жыл бұрын

    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).

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Very cool. Hadn't heard that one. Thanks for sharing that!

  • @ashsmith4623

    @ashsmith4623

    6 ай бұрын

    Love this

  • @avonbeautymark
    @avonbeautymark7 ай бұрын

    I am entering the workforce after quite a few years and I needed this brush up! Thanks!

  • @caledriunaw5255
    @caledriunaw52552 жыл бұрын

    Blood Culture, Blue, Red, SST, Green, Lavender, Pink, and Grey, Other tubes

  • @jeanniebriggs5826
    @jeanniebriggs58264 жыл бұрын

    I liked the way you taught & explained it in a way to understand. Thank you so much! Great job!

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Thank you so much Jeannie! Glad you liked it!

  • @the54block
    @the54block3 жыл бұрын

    I like how this whole video was made. It’s very nice and hey I’m a man with Aspergers so I appreciate your illustrations.

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Awesome to hear that you found it helpful! Thank you for taking the time to leave a comment!

  • @jakedietzel6373
    @jakedietzel63733 жыл бұрын

    In my phlebotomy program, instead of Grey being last, it's the Royal Blue sometimes with a red stripe, the Toxicology tube, used for testing for heavy metals in the blood

  • @mariasevere9481
    @mariasevere94813 жыл бұрын

    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! 🤗

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Wow Maria this is so awesome to hear! Congratulations! I'm beyond happy to hear that this video was helpful for you in your studying and being able to pass your exam. Thats so great!

  • @petemarzilli7990

    @petemarzilli7990

    3 жыл бұрын

    Congratulations! How'd you do Maria? Mine is next week! Did you study using NHA? (Not Pete. Using husbands acct- This is Kathleen

  • @joyceholloway4727

    @joyceholloway4727

    Жыл бұрын

    Congratulations 🎊, my Phlebotomy Certification test is coming soon. This video is helping to make it make sense. Thank God I found it Continue to grow. Blessings for sharing.

  • @mochalovee__
    @mochalovee__2 жыл бұрын

    I’ve been struggling to understand the order of draw and now I fully understand thank you so much

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    So great to hear this!

  • @jeanniebriggs5826
    @jeanniebriggs58264 жыл бұрын

    You are so good! I want to be able to go back to school in May with confidence with what I learned from you! You explained it so well! We had to stop school from the Coronavirus! So this was very helpful to brush up knowledge! Thanks again!

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Thank you thank you Jeannie! I'm really glad to hear this! Best of luck to you once things resume!

  • @doctorbilly5357

    @doctorbilly5357

    3 жыл бұрын

    Here's my Whatsapp +1)425)3697660

  • @ruthalexis8800

    @ruthalexis8800

    2 жыл бұрын

    @@doctorbilly5357 hi

  • @calleyhaney3636
    @calleyhaney36362 жыл бұрын

    I am currently in Phlebotomy and this was a part of my course work and it acutally helped, especially with the acronym at the end because thats how my brain best remembers things! you're awesome, keep doing what you're doing!

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Very cool! Glad you liked the video and that the acronym helped.

  • @darlesuswalton3586
    @darlesuswalton35862 жыл бұрын

    Very informative. I’ve been working in lab for a few years and it’s changed so much with new tubes.

  • @jesscaldwell6120
    @jesscaldwell61204 жыл бұрын

    Really helps with my upcoming blood science exam. Thank you! :)

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Sweet! Hope you destroy that exam Jess! 🙂

  • @naimisharana1173
    @naimisharana11734 жыл бұрын

    I really enjoy my my work as lab technicians! My co team members in India! I miss that! Thanks to all my staff to great support!

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Thank you for sharing Naimisha!

  • @patriceknust3790
    @patriceknust37909 ай бұрын

    The ease of your voice and explanation in this lesson. Thank you!

  • @ICUAdvantage

    @ICUAdvantage

    8 ай бұрын

    😊 Appreciate that! Glad you enjoy!

  • @TheFrostedcherry713
    @TheFrostedcherry7134 жыл бұрын

    I am so excited for class tomorrow I wanted to jump ahead just a little. An I love the ending helping us try to remember the order of draws!!!!!

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Awesome, glad you liked it!

  • @99christinec
    @99christinec4 жыл бұрын

    Appreciated the contents of this video as it was organized, professionally presented, and provided a good explanation of the importance of the order of the draw. This is a good video for nursing students as well as phlebotomy students. Thank you!

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    This is so awesome! I'm happy to hear that you really enjoyed the video. I did my best to try and relay the right info in a way that explained why and made sense. Thank you for taking to time to stop by and leave this comment!

  • @ireneodrzywolski640

    @ireneodrzywolski640

    2 жыл бұрын

    Med lab tech to

  • @Sevendandra
    @Sevendandra3 жыл бұрын

    Very impressed with your explanation of order of draw. I'm a medical laboratory technician and I'll be sharing this with our phlebotomists and students!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Awesome, thank you Val!

  • @adrianarivera4194
    @adrianarivera4194 Жыл бұрын

    Ok so I start phlebotomy training on the 24th ! I’m nervous and excited! This video has helped me so much ! Plus I learned there’s a tube just for blood type 😅 that was interesting ! 🎉will be making little cards with all this info

  • @Ice.muffin
    @Ice.muffin2 жыл бұрын

    Perfect, very good explanation, many thanks! You're a gifted teacher, hope you use this gift with other nurses, patients or nursing students, etc, would be a shame not to!

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    I appreciate the kind words! I definitely try to help all when I can

  • @satije
    @satije3 жыл бұрын

    I am a certified phlebotomist since 2018 but i have a phlebotomy job that doesn’t require the typical tubes, so this helped me brush up on tube order since ill be job hunting for phlebotomy positions at regular labs soon :)

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    So glad to help! Best of luck on the new job search!

  • @anubianqueen79
    @anubianqueen793 жыл бұрын

    I've graduated 4/16/21, and have a job offer with Davita dialysis...good luck to everyone

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Congratulations!!!

  • @anubianqueen79

    @anubianqueen79

    3 жыл бұрын

    Thanks again.. looking for work after graduation was a bit tedious but I was offered a position at DaVita Dialysis. Just to get some experience.....so I'm going for it.

  • @Lydiaheart411

    @Lydiaheart411

    3 жыл бұрын

    @@anubianqueen79 congratulations girly. Happy to hear. How long was your schooling

  • @anubianqueen79

    @anubianqueen79

    3 жыл бұрын

    @@Lydiaheart411 I did it fast paced in 12 weeks. But a lot of studying especially when it came to the heart function and order of draw test.. individually over 50 tests, additives and lab orders..but hey I did it and I'm continuously being blessed.

  • @Lydiaheart411

    @Lydiaheart411

    3 жыл бұрын

    @@anubianqueen79 that's Amazing do you like it so far??

  • @pspencer79
    @pspencer793 жыл бұрын

    This video was awesome! Best one out there. Very informative and straight to the point. Thank you very much!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Awesome to hear! Thank you Paula. Glad you liked it!

  • @kelseysmith842
    @kelseysmith8425 ай бұрын

    Thank you so much for this video. I took my preliminary test today and cried at how bad I did. This explained it all so much better. You are the best!

  • @pjsaysell6149
    @pjsaysell614911 ай бұрын

    Really interesting to see the subtle difference between the US and the UK. Our order of draw is: White, Blue, Gold, Green, Violet, Pink. We always take a VBG for patients in A&E (the ER). Then cultures. The way I remember it is to start off with a blank canvas (white), paint the sky (blue), add the sun (gold), then paint the grass (green) and add some flowers (violet and pink). White: Nothing gets tested. The sample gets disposed of but it stops the following samples haemolysing. Blue: Clotting, D-Dimer, etc Gold: Biochemistry (U&Es, LFTs, CRP, etc) Green: Troponin Violet: Haematology (FBC/CBC, etc) Pink: Group & Save / Cross Match

  • @garozim362

    @garozim362

    6 ай бұрын

    Very helpful! Thank you.

  • @CaribbeanQueen72xx
    @CaribbeanQueen72xx4 жыл бұрын

    Omg wonderful video I just start my phlebotomy class yesterday 11/11/19 and they dont give you the book they more like give you a sort of textbook on line smh so this video helps me so much because the class is so fast and it’s hard to catch up . Thank you is an understatement ❤️ 🙏

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Awesome! Good luck with class and glad this was helpful for you!

  • @chynlee6557
    @chynlee65573 жыл бұрын

    Thank you so much... I’m a new grad ICU NURSE. Now I will feel confident in choosing.

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    SO great to hear this Renee! BTW, great last name ;)

  • @IsaMoralesAl
    @IsaMoralesAl4 ай бұрын

    This was very well done, to the point with just enough details of additives. Thank you!

  • @jenniferalonzo9278
    @jenniferalonzo92783 жыл бұрын

    Thanks for sharing. I'm currently studying for the NHA Phlebotomy certification and I have the order of draw down pretty good. However I'm still struggling with the department that tubes go to....like chemistry, coagulation, etc.. If anyone has any memory joggers please share.

  • @user-fn1vh8qo7d

    @user-fn1vh8qo7d

    Жыл бұрын

    Did you ever find any memory joggers for what tubes go to what department?

  • @korkrest2669
    @korkrest26694 жыл бұрын

    Awesome video One thing to note: If you are using a "butterfly" type needle and you are not drawing a bloodculture bottle. When you draw light blue first there is some air in the small flexible tubing running from the needle to the connector for the sample tubes. To make sure this air does not go into the lightblue tube and skew the ratio of Sodium Citrate to blood, fill the flexible tubing with blood by using a tube with no additives or another blue tube(that you then discard). At my workplace we use no additive tubes because the blue tubes are slightly more expensive

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Thank you and thanks for the added info. You are absolutely correct about needing a waste tube to get the air out if not drawing in to a syringe!

  • @juniamissesireland31

    @juniamissesireland31

    4 жыл бұрын

    So, Can I just use red tube first and then discard it, then Light blue and so on? (if I don't have blood coltures)

  • @colo18942

    @colo18942

    2 жыл бұрын

    Came to the comments just to see if someone already mentioned this. Very important to use a red top to get the air out of the line first.

  • @TessHere

    @TessHere

    Жыл бұрын

    Very good tip. I will remember that

  • @danielariosdomingues4412
    @danielariosdomingues44124 жыл бұрын

    Fantastic way to explain the blood draw order. Thank you

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Thank you for this awesome comment Daniela!

  • @deborahk.6113
    @deborahk.61133 жыл бұрын

    Thank you. Really got something out of this and really appreciate your having done this.

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    So happy to hear this Deborah. Happy to help!

  • @reedanthony106
    @reedanthony1064 жыл бұрын

    Thank You for making ICU lecture!

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    You're very welcome! Glad you enjoyed it.

  • @fredasanderson9586
    @fredasanderson95863 жыл бұрын

    I just stumbled across on this video and I must say it has been very informative.

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    So happy to hear this! Thanks for taking the time to leave a comment.

  • @skylarmccloud4080
    @skylarmccloud40804 жыл бұрын

    Thanx a bunch for this Video. I'm a CNA working in a Hospital where we draw blood on a regular. It's ran Digitally and when we print out the Ticket it has the color on it. To night our System has been tripping all night. (THANX A LOT EPIC!!!!) Got a Pt. with very difficult veins because of her condition,and we can't use the Doppler cause you have to be an RN so we have no choice but to do it the old fashion way. So had an Order for a Fibrogen I didn't know what color the tube was and Long story short,Gotta re stick this poor lady and I hate doing resticks because people hate being restuck. Thanks to this video I can learn what all the colors are for what test and won't have to worry about this again. Thanks a bunch

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Glad these were helpful for you. Just know this video doesn't cover an exhaustive list of what tests are for what tubes and is more focused on the proper order in which to draw them.

  • @ambitiousbeauty1013

    @ambitiousbeauty1013

    3 жыл бұрын

    Did your hospital give you blood drawing training without a phlebotomy certification?

  • @sametkucukcolak4157
    @sametkucukcolak41572 жыл бұрын

    This is a super educational video, thank you for your clear explaining and nice tips :D

  • @jocelynparks5012
    @jocelynparks50124 жыл бұрын

    While browsing here in you tube found out that this video really inspired me to pursue my career as a blood taker, I am a newly licensed phlebotomist, sometimes disappointing to find job as a phleb. nobody hire u if your new :) I not give up :) lol. thank you for this video really helpful.

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Thank you and I'm glad you enjoyed the video and found inspiration. It can be tough but stick with it and you will find the job you want and there will be no turning back! Best of luck to you!

  • @HoangNguyen-nu8ih
    @HoangNguyen-nu8ih5 жыл бұрын

    Thank You for making ICU lessons!! This is great for ICU newbie nurses :D

  • @ICUAdvantage

    @ICUAdvantage

    5 жыл бұрын

    Thank you! Our goal is to make these topics and concepts easy to understand and grasp!

  • @ladylucile15
    @ladylucile15 Жыл бұрын

    I starting training as soon as I find an online course. So glad I found this channel

  • @bradsaxton6354
    @bradsaxton63542 ай бұрын

    Having worked in an environment where all the blood tubes were completed by phlebotomy, usually while I started the IV, this is quite helpful to know the correct order and why. I worked in a ED last Winter and had to draw all my own labs. Great video. Thanks.

  • @roxymami69
    @roxymami693 жыл бұрын

    Loved it ! Taking my medical Assistant certification test!! Very helpful

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    yay! good luck! you'll have to let me know how you did!

  • @roxymami69

    @roxymami69

    3 жыл бұрын

    ICU Advantage 👩‍💻 passed my test!! So happy 😁 thanks 🙏🏻

  • @tangyhunter8389

    @tangyhunter8389

    3 жыл бұрын

    Congratulations

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    @@roxymami69 Amazing! Congrats!

  • @Digitalfunsiez

    @Digitalfunsiez

    3 жыл бұрын

    Congratulations!!

  • @spiritwaves5112
    @spiritwaves51122 жыл бұрын

    Yellow tube- SPS Light blue - Sodium Citrate Red/Tiger Tip/ Gold- Gel Barrier / Clot Activator SST Green- Heparin(lithium, ammonium, sodium) Pink/ Lavender- EDTA Grey- Potassium Oxalate( additive) Sodium Fluoride (preservative)

  • @taylorkelly1714
    @taylorkelly17142 жыл бұрын

    This video has really helped me understand the order of draw! thank you so much.

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    You are very welcome Taylor! 😊

  • @minfanghuang4283
    @minfanghuang4283 Жыл бұрын

    Very clear and detailed, and easy to remember. Thank you.

  • @SynfullyWkd67
    @SynfullyWkd674 жыл бұрын

    It's been 6 years since I did draws and the old "use it or lose it" has kicked in. I have an interview tomorrow and need a refresher and am so glad and thankful for this video!

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Awesome! I wish you all the best tomorrow and I'm glad that this video was helpful for you. Break a leg! 🙂

  • @SynfullyWkd67

    @SynfullyWkd67

    4 жыл бұрын

    @@ICUAdvantage Thanks!

  • @Sabrina-Angella
    @Sabrina-Angella3 жыл бұрын

    I use this as a mnemonic (Blue and Red Gives Purple) and I fill the rest in my mind.

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Nice! I like it!

  • @jeffreyyoung2649
    @jeffreyyoung26494 жыл бұрын

    THANK YOU SO MUCH FOR THIS VIDEO IT MADE EVERYTHING SO MUCH MORE CLEAR FOR ME IN THE ORDER OF DRAW

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Yay! And thank you! Glad the video was helpful for you.

  • @hollyinnm1067
    @hollyinnm10673 жыл бұрын

    Super appreciate your video! I will be watching your other vids to help with my classes!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Glad to hear you find these videos helpful!

  • @anubianqueen79
    @anubianqueen793 жыл бұрын

    STARTING SCHOOL IN TWO WEEKS AND I'M A BIT ANXIOUS.THANKS FOR THE INSIGHT

  • @camilleoutten-lockhart249

    @camilleoutten-lockhart249

    3 жыл бұрын

    I will be finishing my phlebotomy class next week. Blessings on you class.

  • @anubianqueen79

    @anubianqueen79

    3 жыл бұрын

    @@camilleoutten-lockhart249 CONGRATS

  • @camilleoutten-lockhart249

    @camilleoutten-lockhart249

    3 жыл бұрын

    Ms. Dana Moultrie, CPS... thank you

  • @MizzNiah

    @MizzNiah

    3 жыл бұрын

    Don’t be nervous you’ll do fine!!!

  • @anubianqueen79

    @anubianqueen79

    3 жыл бұрын

    @@MizzNiah thank you so much for the encouragement

  • @shachoracee
    @shachoracee3 жыл бұрын

    You should make a PDF of this video with the tubes. So good! Thanks :)

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Good idea! ;) Glad you liked it!

  • @chola369ap
    @chola369ap3 жыл бұрын

    Awesome video! Super educational and so easily understanding! Thank you!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Yay! So happy to hear this Rosa. You are very welcome.

  • @nicholebabygirlboo539
    @nicholebabygirlboo5392 жыл бұрын

    Thank you so very much for taking the time out of you day to make this awesome video. I really appreciate your help 🙏❤💪

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Truly my pleasure to be able to help. Glad you enjoyed it!

  • @steinberg9807
    @steinberg98073 жыл бұрын

    my favorite part is how easy you explain these kinds of things.

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Thank you so much! So awesome to hear this!

  • @jasminejohnston6393
    @jasminejohnston63934 жыл бұрын

    Blood tests always make me anxious because I’m scared of needles. I always apply EMLA cream (a kind of local anaesthetic) to my arm where the needle goes

  • @lizad8627
    @lizad8627 Жыл бұрын

    As a nurse thank you I work at a small hospital and any draws that are not scheduled at 5am or 11pm for night shift we get. And I always wanted to understand the reasoning

  • @elefanteluzvioleta
    @elefanteluzvioleta3 жыл бұрын

    I love your videos. You are amazing. Thanks for all your efforts! ♥️

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Wow, thank you so much Celia! I really appreciate your kind words!

  • @josefnoel9634
    @josefnoel96344 жыл бұрын

    Video starts at 3:27

  • @angelareese390

    @angelareese390

    3 жыл бұрын

    Good lookin out lol

  • @Sabrina-Angella

    @Sabrina-Angella

    3 жыл бұрын

    It also ends at 22:56

  • @SuperDeemee
    @SuperDeemee4 жыл бұрын

    Loved this video! I watched another video where she changed the order of draw because she was using a butterfly she did red top first then blue , gold and purple ….but she said if she was using a regular needle she would just toss the red top out and do blue, gold and then purple top. Why is this?

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    The only thing I can think is to eliminate the air thats initially in the butterfly tubing. The vacutainers have the vacuum set so they draw the proper amount of blood. Since the blue (coagulation studies) is very dependent on having the exact right mix of blood to citrate (hence why you must fill to the line.) That added air initially might decrease the amount of blood that you would end up in the tube.

  • @angelareese390

    @angelareese390

    3 жыл бұрын

    Its pretty much been answered & im sure you don't still need the answer but - the blue top tube, which tests for clotting factors, that's 1 tube that MUST be filled to the top of the lab cannot/will not run it. So when using the butterfly needle, once you pop the tube in, it will first suck in all that air in the tubing of the butterfly thus not allowing all the blood to fill to the top. Whereas a straight needle, no tubing/air taking up space. The reason they specifically used the red top tube, is because there's no additive in it. Your blue must always come first & you cannot cross contaminate it with another tubes additive (like edta in the lavender tube) or it'll give faulty results 😊 hope this helps!

  • @Lala-ht8ps

    @Lala-ht8ps

    3 жыл бұрын

    The red top is the discard tube. But now you can use a lit blue tube for the discard tube.

  • @eringovoni4416

    @eringovoni4416

    3 жыл бұрын

    because it is vital the blue top tube has the exact amount of blood as mentioned. butterfly needles will add a small amount of air (as mentioned with the culture bottles) into the first tube you fill. she chose the red top because it has no additives that will carry over in to the blue top and affect the results. this is how it always should be done! this allows the air to go into the red top tube to be discarded.

  • @emilybeltran5612

    @emilybeltran5612

    3 жыл бұрын

    Because of the 'space' in the flexible tubings attached to the butterflyneedle, it will b sucked in into the Lt blue tube thereby causing underfilled tube.so you need a "'discard tube".

  • @wisdoom4900
    @wisdoom4900 Жыл бұрын

    i like the simplicity that you use i just got in to this field

  • @princesskittysnummies3951
    @princesskittysnummies39512 жыл бұрын

    I’m not a student but this makes lots of sense to me since I’ve had quite a few blood draws since being pregnant

  • @sidzybopper33
    @sidzybopper334 жыл бұрын

    put the play back speed at 1.5 , trust me. love this video tho! thanks

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Haha thats great! I keep trying to make the videos shorter but have not had success yet! Glad you liked the video.

  • @sidzybopper33

    @sidzybopper33

    4 жыл бұрын

    ICU Advantage 😍😍😍😍 dont change for me lol!! Some people need things explained slower !

  • @josefnoel9634

    @josefnoel9634

    4 жыл бұрын

    Watch it with the captions. Helped me retain the information easier

  • @richardgarcia6134
    @richardgarcia61343 жыл бұрын

    I remember it by Yolanda Loves Red Golden Grapes Like Gary

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Awesome! Thanks for sharing this Richard.

  • @MF-kd1xc
    @MF-kd1xc2 жыл бұрын

    Thank you for this video! It's very helpful!

  • @QuynhNguyen-ob1zh
    @QuynhNguyen-ob1zh3 жыл бұрын

    thanks for making the video. This actually helps me to understand better!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Absolutely my pleasure. I’ve always been the type to want to better understand the “what and why” behind things so I try to explain all that with my lessons. Glad you liked it! 😊

  • @BigJake02
    @BigJake024 жыл бұрын

    Blood culture Light blue Serum Rapid Green Lavender Pink Grey Light yellow Royale blue

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Awesome!

  • @cphin801
    @cphin8014 жыл бұрын

    When drawing blood for certain labs, do you stay in the order of draw?

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Correct. You rarely will be using all the tubes, but the ones that you need you would draw in the correct order.

  • @pascualb7
    @pascualb74 жыл бұрын

    i like the pictures animation u did helps with the visual learning and retaining it all thank you so much

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Awesome! Glad they were helpful!

  • @mariamsmakeupworld
    @mariamsmakeupworld Жыл бұрын

    thank you!!! i start phlebotomy school soon, youre very helpful

  • @tracieevaggelou3921
    @tracieevaggelou39214 жыл бұрын

    Order of draw - blood cultures, light blue, red, set, light green, dark green, lavender, dark blue, grey

  • @TheWelcome7

    @TheWelcome7

    3 жыл бұрын

    Yeah .. Lavender, not purple, not to be confused.

  • @roberpic
    @roberpic2 жыл бұрын

    As long as I can remember the ends, I just remind myself that the middle is in the order of a traffic light. Red, yellow, green.

  • @goofygoober7775

    @goofygoober7775

    2 жыл бұрын

    Genius!

  • @angelicamateo2027

    @angelicamateo2027

    6 ай бұрын

    Oh cool 😎 thanks

  • @littleluna8326
    @littleluna83262 жыл бұрын

    Oh my lordy thank you so much for this! I am confident i will ace my final exam now! This was all I had trouble remembering!

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    You got this!!

  • @eldestisland4520
    @eldestisland45202 жыл бұрын

    Thanks for this video! I've always wondered why they used different types of bottles for blood tests. I think you could have used "when light red, stay" that would have let you leave the White bottle as a "w" amazing video, though! I learned a ton

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Glad you enjoyed it!

  • @suzrodriguez9963
    @suzrodriguez99633 жыл бұрын

    hello how did you maintain this information? How do you study? any advice? Because I am planning to re watch this whole video 3 more times lol

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Honestly a matter of repetition and finding what works for you. I'm a visual person so watching over and over helps. Thats why I use to colors to make it visual and keep the info separate. Others find it helpful to write and take notes.

  • @ErickandChas
    @ErickandChas3 жыл бұрын

    I was told by my preceptor Bring Your Good Liqour Blue, Yellow, Green, Lavender

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Love this!

  • @NahshonYsrael

    @NahshonYsrael

    3 жыл бұрын

    Easiest to remember lo

  • @lindathompson1521
    @lindathompson15212 жыл бұрын

    I just came across your videos. I wish I'd have known about this 2hile in Phlebotomy class. Tgey are very insightful. I have subscribed, just to keep up with all the changes. Thank you!

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Glad you liked it Linda! Welcome aboard!

  • @devonnaafflalo7616
    @devonnaafflalo76163 жыл бұрын

    Hey hey... I’m so glad I found your video very clear and to the point. I understand more and I will be sharing with my fellow students. Also I am taking the national exam this Friday 🤞🏽Thank you!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Awesome to hear Devonna! I'm glad you found this video as well and happy to hear it was helpful. Wishing you the best on Friday. You'll have to update me!

  • @devonnaafflalo7616

    @devonnaafflalo7616

    3 жыл бұрын

    @@ICUAdvantage I will update you definitely. Thank you!

  • @devonnaafflalo7616

    @devonnaafflalo7616

    3 жыл бұрын

    Periodtttt..... I passed my national exam today. Thank you again very very helpful will continue to follow your video’s 🎊🍾🎉 😃

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    @@devonnaafflalo7616 YYYYAAAAYYYY!!!!! Congratulations! Thats so awesome to hear. You should be super proud. Thank you for the follow up. Always great to hear! 😊

  • @jadec9144
    @jadec91444 жыл бұрын

    light blue, red, yellow/gold, green, purple, gray

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    Perfect!! Great job!

  • @AstronomyDomine

    @AstronomyDomine

    4 жыл бұрын

    ICU Advantage Lavender=Purple??

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    @@AstronomyDomine Yes!

  • @brittnykennedy6976
    @brittnykennedy69764 жыл бұрын

    So, would you draw the blood cultures with every tests that you draw? Or just as needed? I got the actual order of draw down; it's just learning the tests that go with each tube that is getting to me.

  • @ICUAdvantage

    @ICUAdvantage

    4 жыл бұрын

    So you would only draw the tubes for tests that are ordered. So everything is just as needed. So if you were drawing a PT/INR, BMP, and Lactic acid, you would only draw a blue, a purple, and a grey. All the others would be ignored, but you would make sure and draw those 3 tubes in the proper order. Does that make sense? As for the tests, you'll eventually learn what all goes with what. Just keep studying up and often times the tests are grouped together. Example is the blue top is for our coagulation studies. So PTT, PT/INR, TEG, etc. It gets better the more you do it and study it :) You'll get it down!

  • @mariawright5139

    @mariawright5139

    4 жыл бұрын

    I share the same sentiment

  • @PPN1942

    @PPN1942

    4 жыл бұрын

    While it is important to understand order of draw, you only draw what is needed. Example: Blood culture and cmp was ordered so you'll be drawing into blood culture bottles and green. Cmp and cbc ordered would be green then lavender. Lactic acid and cbc would be lavender then gray. Some facilities use green for lactic acid so then it would be green then lavender. Make sure you check the facilities protocols.

  • @tiffanycarter2025
    @tiffanycarter20253 жыл бұрын

    You are an angel sent from the phlebotomist Gods!! Thank you!!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    LOL, you are FAR too kind Tiffany ;)

  • @AllyRose24
    @AllyRose243 жыл бұрын

    From a phlebotomist just checking in to double check my skills, order of draw (making this comment before before watching the whole video): Aerobic blood culture Anaerobic blood culture Red top (note: red top can come after blue top depending on blood flow of pt and how vital the tests are, i.e. the tubes aren't filling well or you got a small amount in the syringe, you can decide if the coag test is more important than the chem test for a red) Blue top Royal blue serum Gold top/tiger top Green top/camo top/any other tube containing heparin Royal blue EDTA Lavender/pink (again: order dependent on blood flow and necessity) Grey top Yellow top Editing as I watch along -For my facility the red tops don't actually have any clotting activators and are our "send out tubes", and it's preferred for phlebotomist sticks (patients who don't have central access for nurses to draw from) to have gold tops drawn just in case special labs are needed that require a gold top. -Also I genuinely didn't know ammonia and Ionized CA could be done from green tops. For us it's lavender (on ice) and gold top respectively. -And the grey top with that fasting glucose (or in outpatient settings it could be used for GTT to diagnose diabetes), which I was taught in school, but my facility prefers green for ANY glucose tests, whether fasting or not. -And for any nurses who may be confused about either royal blue top or the yellow top- to start, both royal blue tops will have a stripe on the side of the tube. Red stripe (royal blue serum) has a silica clot activator as found in the gold top, and is used for most heavy metal testing (which I can't recall off the top of my head) and is drawn before gold because the royal blue is made in an area of the manufacturing company that's free from metal contaminants. Pink stripe (royal blue EDTA) is as it sounds, an EDTA tube, and this one checks for other metals that the serum one doesn't. Same reasoning for drawing before your pink/lavender tube. Yellow top is incredibly rare to draw (I have yet to draw it at all, and have only seen it drawn once, but to be fair I've only worked in phlebotomy for less than a year) but it contains ACD which preserves DNA, and is therefore used only for genetic testing, be it paternity tests, or trying to quickly nail down possible problem genes a child may have so family can prepare for inherited medical problems

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Thanks for sharing. Always interesting to hear about the little differences from place to place!