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Nursing First Steps Before CollectionVacutainer/Syringe Order of DrawHeel/Fingerstick Order of DrawCheck charted volumes from previous collection.Blue (Na Citrate) – When using a butterfly device and evacuated system, draw a clearing tube – Plain red (no additive) top first. Lavender - MicrotainerCheck weight of patient for blood calculation. Red/Gold (SST-gel barrier) with or w/o clot activatorOther Additive - MicrotainerDetermine MAX blood allowable for the day.Green (Li Heparin)Red/Gold - MicrotainerCheck Hematocrit. Lavender (EDTA)GrayAsk physician for priority of tests. Gray (Na Fluoride/K Oxalate)IMPORTANT NOTEIf complete analysis is not possible with volume submitted, you may need to prioritize test in order of importance.The TAT may be delayed due to minimum volume submitted for testing. Repeat analysis to verify results may not be possible with minimum volume. Check with physician if they want a Direct Bilirubin when a Total Bilirubin has been ordered Gently InvertPT, APTT, FIB, FSP, DDIQ(D-Dimer)mL BLUE TOPImportant – Fill to above etched line minimum3 to 4CBC w/ OR w/o DIFF, MDIFF and/or RETIC1 LAVENDER MICROTAINER(Fill to Max Line, DO NOT overfill – Testing based on blood volume)8AMON (except Page and BCGMC)1 LAVENDER MICROTAINER(Fill to Max Line, DO NOT overfill)8ESR (Sed Rate)0.25 mL in 1 LAVENDER MICROTAINER(Fill to Max Line, DO NOT overfill – Testing based on blood volume)8BMP (Basic Metabolic), CMP (Comprehensive Metabolic), RFP (Renal), HFP (Hepatic), or Procalcitonin2 GREEN MICROTAINERS (Fill to Max Line)10Chem Panel with ANYTHING else (i.e. MG, PHOS, BILID, except TSH/FT42 GREEN MICROTAINERS (Fill to Max Line)(Bilirubin – Protect from Light, Amber Tube)10AMYL, LIPASE, BILIT, CRP*1 GREEN MICROTAINER (Fill to Max Line)10TSH and/or FT4 (Free T4) Separate tube required1 GREEN MICROTAINER (Fill to Max Line)10CORTR/S, VANCO, GENT(Peak or Trough)1 GREEN MICROTAINER (Fill to Max Line)10CAION (Ionized Calcium except BCGMC) and AMON (Page and BCGMC only)1 GREEN MICROTAINER (Fill to Max Line)10Chromosome Analysis; FISH (12, 18, XY)2 – 3 mL NA HEPARIN GREEN TUBE10HSVPCRQL2 RED MICROTAINERS OR GOLD SST TUBE (Fill to Max Line)0 – RED5 - SSTT4, T3, T3FREE, IGG, INSULIN, FSH, LHFOR 1 TEST – 1 mL GOLD/SST TUBE3 OR MORE TESTS – 3 mL GOLD/SST TUBE5HGH, CELIAC (Pediatric)HGH – 1 mL GOLD/SST TUBECELIA – 2 mL GOLD/SST TUBE5LA (Lactic Acid/Lactate)2 mL GRAY TUBE on ICE (2 mL minimum)8 - 10 *At BIMC only, verify volumes with Laboratory before collection in the event the test needs to be sent to another facility. ................
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