Thank you very helpful

That was helpful

I like that one😁

I like this analogy. I start class next month. Thanks for sharing 👍

that's a good one Kamai!! way to go!! but I don't think I would need this as a cardiologist I will have my wonderful nurses do that haha

I appreciate this so much!!!!!!

Jamaican gyal yes of course! Good luck 💕

Thanks so much

Gopaul Jairam you’re welcome :)

Adrienne Walton thank you.

Adrinah Thank you for the comment. And congratulations on passing! 🎉

I take my exam on nov 20 , if you have any advice or some study notes that you can pass me , i would appreciate it. Let me know and i could send you my email. and way to freaking go !!!! Im trying to get over 400 so im able to work in the NICU

Shari Cook Thank you. I appreciate your comment. I’m glad the videos are helping.

Thank you.

Carla Modeste Thank you. Keep watching the videos.

I took the NCPT test last week I also had done an internship for 2weeks in labcorp

Lakesha Hunt That is great. Congratulations!!🎈🎉

Im just now seeing this post, but I start class next week. Im so nervous.

I’m taking mine tomorrow. if you see this any tips?

@@NaturalBeauty-qe7mk How dis your class go? Did you pass? I am starting next week.

@@sotoalexandra57 hey.. Yes I did pass the class. Im officially an CCMA, CPT. 😁

@@davidthiel5832 Thank you for the comment.

niece511 The jogger was created by CLSI. It works for some. If your jogger works for you then that is great.

brandeewyne J Thank you, I’m glad it helped.

Bloody Pup You are very welcome.

Thanks for the comment. The audio was checked and is working fine on the video. You might want to check you computer levels.

I seriously thought something went wrong with my phone

your video volume is too low, I can hardly hear you, please consider when making videos turning up the volume or talking louder

I am glad to help. We also have all our videos and more on 4 DVDs available on Amazon and EBay.

Got to check it out. What dvds would I be looming for?

michael rubinstein Phlebotomy Solutions DVD in Amazon or EBay. Also check our website PhlebotomySolutions.org

Lol

Gold really means “golden rod”, a darker yellow top we use for chemistry at my hospital. Also pink is special for blood bank that has a cross match label for the blood bank. We also use tiger tops (red and grey) for our BMP and CMP, and we have also used lavender for type and screens. so essentially FOLLOW YOUR INSTITUTIONS SOP and CLSI standards 😉 I’m a laboratory scientist and got to learn about all of this in great depth!

Thank you.

COSMICDUST Thanks, we misspelled the word.

Thank you for watching.

I’m glad the video helped you. Thank you for watching.

Jonathan Rodriguez Thank you for that comment.

Thank you and I am glad it helped.

Jordan Amspacher Yes, this is directly from CLSI. Up to date

Thank you.

Thank you for watching.

Thank you for your comment. Here is my response. 1. Compared to SST, RST is considered an accelerator or faster (2.49 min vs. 19.47 min, respectively; P < 0.001). There was a statistically significant difference between the RST and SST II tubes for glucose, calcium, and LD (P < 0.001). Differences for glucose and LD were also clinically significant. Analyte stability studies showed that all analytes were stable for 24 h at 4 °C. www.ncbi.nlm.nih.gov/pmc/articles/PMC4210257/ SST is a clot activator and substance that enhances coagulation and clots within 15 to 30 minutes as compared to other test tubes. It can be considered an accelerator. 2. There is only one kind of PST tube. It has a mint green stopper. This tube is only used on patients who are in the hospital. This tube contains lithium heparin to keep the blood from clotting and has a gel plasma separator. This tube is used to obtain whole blood, plasma. To ensure that the blood does not clot, the tube must be inverted eight times following blood collection. This tube is used for therapeutic drug monitoring and general chemistries. Because the PST™ tube contains lithium, it cannot be used to test a patient’s lithium level. (Phlebotomy Training Group) 3. I was referring to the fact that PLASMA contains fibrinogen and SERUM does not. I made that distinction in the video. 4. Royal blue is followed in the order of draw set by CLSI Standards.

amy castellano you are right even I’m a student in the medical field I still noticed about the order the tubes and when he explains the green tube and grey tube. He should take his time next even though he’s in the medical field mistakes like this is a bit risky and people watching and learning not knowing there’s mistakes in it.

PLASMA contains fibrinogen and SERUM does not. is this in the blood or in the tube as an additive? I'm confused please help! @@PhlebotomySolutions

Alondra Medina Fibrinogen is in the blood and when blood is put in the PST tube then the lab can test it with the blood. But in a SST tube they can not test it.

Alondra Medina Fibrinogen is in the blood and when blood is put in the PST tube then the lab can test it with the blood. But in a SST tube they can not test it. Plasma contains fibrinogen with a PST tube but with a SST tube it doesn’t.

Hello. At the beginning of the video it states yellow-sterile and or blood cultures. Both are equally used before each other.

@@PhlebotomySolutions thank you so much ! you've helped me so much!!

@@roobee9175 You are welcome. Thank you for watching.

Don't forget SST and PST too.

Jeff KoCaine easy

SST and PST are called "Tiger top".- and they are interchangeable with red in terms of order of draw.

SST is referred to as a "Tiger Top" but PST is usually a different color top tube. "Plasma Separator Tube" can come different colors depending on where you work.

Thank you for watching.

Ashlee Carrero Thank you. I’m glad they helped.

genaro delucio I am not sure why they would say such a thing. The gray/black top tube is used by many including Labcorp, the largest independent lab company in the world. The majority of chemistry related test are collected in those tube or the green top tube with heparin.

The only reason red would go before light blue is if you were drawing with a butterfly needle. There is air in the butterfly tubing that needs to be filled before using the light blue. With the syringe that is not the case when you transfer the blood. The order of draw remains the same.

Great question. The order of draw is based on the additives in the tube. Check the additive in the Pearl top and go from there.

Bruna N Thank you for your comment.

rlalko l Thank you for your comment.

Thank you for watching!

Thank you! Please consider becoming a member. We need the help to make more content.

You draw the dark blue after the gray tube at the end. I believe I mentioned it in the video.

Wow! Thank you for letting me know. I’m glad my videos are being used to help others.

flordeliza pelino You are welcome and I’m glad it helped.

Sara Mizzi I'm glad it helped you. Thank you for watching.

Krystynna Harris You are welcome. I’m glad it helped.

Karina Venegas The order of draw does not change based on CLSI standards. The order is based on the additives and not really the tube colors. The Gold or culture tubes or bottles are always first. The red/gray or SST tube can go before the red non-additive tube. The Royal blue is after the gray tube. It’s the light blue tube with Sodium Citrate that is used after the gold or cultures.

Hello, thank you for the question. If you are in a hospital setting then you will be using a green top tube for all chemistry tests which includes a BMP and CMP. For transporting blood to a lab like Labcorp does then they will use a SST tube to collect the blood and process it for transporting. I know this because I was a Labcorp supervisor for 2 years. You may use a red top non-additive tube but the blood will be transferred to another tube with Heparin for testing. For the test you will need to know the standard order of draw that is listed in this video and set by CLSI. I hope this helps you. Thank you.

@@PhlebotomySolutions Thank you for the guidance and clarification. So I will memorize the tests and colored tubes listed in this video to prepare for the exam. I really appreciate your help and for getting back to me so quickly! Thank you so much!

Priti Soni I’m glad you enjoyed the video.

Thank you and thank you for watching.

Wanda Banks You can continue here on KZfaq. My DVDs are most of what is here on my channel. There are a few extra ones on the DVD.

Thank you for watching

Kayla Gee Hello, your book is correct except for the last two tubes. The order of draw is Yellow (sterile)/blood cultures, light blue, red( non additive), SST, PST, green(heparin in both light and dark:one sodium and one lithium),lavender, gray and then royal blue. This order comes from CLSI. You can look them up too. Hope this helps.

Kayla Gee thank you that’s what’s confusing me

According to CLSI and most up-to-date phlebotomy texts, the royal blue containing EDTA is drawn along with the other tubes containing EDTA - these are before the grey top tubes (which usually contain KOxalate and NaFl). You may have a royal blue that contains silica spray - if this is the case, the label on the tube will say "serum" and this tube should be drawn along with the other serum tubes. Also, above, you state that the red top tube contains "no additive." This is misleading. Most red top tubes contain a silica spray (like most other tubes that yield serum). You can, of course, order a red top with no additive whatsoever and the label in this case will say "NO ADDITIVE." If you did have a true "no additive" tube, you can draw this before the light blue. But, as I said, most red tops will contain a silica spray and should NOT be drawn before the light blue.

@@teresitabrown678 The yellow is part of the sterile or blood culture category and is always drawn first in the order. The video does not show blue or purple before those tubes.

The color top changes based on department. The additive can be the same in two tubes but go to different departments like lavender and pink tops.

Silvan Aban Glad it helped.

Nishi N I’m glad it helped. Thank you for posting.

Thank you for the comment.

We are working on more videos.

Phlebotomy Solutions Thank you so much ☺️. I’m learning so much from your videos and I bought your book from Amazon 10/10!

@@Errsvydiibc Great! I’m happy my videos are helping. Don’t forget to leave a review about the book at Amazon. That really helps.

norma ordunez I am glad the video helped. Please check out the others too. Contact me if you have questions.

Phlebotomy Solutions hi thanks for answer my comment , where I can see your others videos , can you send me the web or the media please !!! gracias

Here on our KZfaq channel we have other short video lessons that are from our 4 volume DVD collection. The whole collection is on sale for the month of June for $89 dollars on eBay or from our website. Here is the link for you. Thanks for your comments and I am glad they helped you. www.phlebotomysolutions.org/home-classes-dvds

Michael JonesDougherty. To my knowledge the pink tube is still being used for blood bank. It contains the same additive as the lavender, EDTA, and is still being used by hospitals.

In blood draws, certain samples may need to be put on ice to preserve their integrity. These samples typically include tests that require cold storage, such as lactate, ammonia, and certain enzymes. Placing the blood samples on ice helps maintain their stability and prevents any degradation or changes in the composition of the sample.

Khalaf Majed Every tube color is based on the additive and test that will be run. If you look up the additive online you will see the tests that will be performed based on the additives. The color usually tells you the department that the test will be performed.

Phlebotomy Solutions thanks for your , but is the royal blue tube with K2-EDTA can do the tests for the additive in lavender tube?

Khalaf Majed Again, each Royal blue tube can contain different of the same additive. They Contain either sodium heparin or sodium EDTA anticoagulants, or no anticoagulant. And Are used for trace element, toxicology, and nutritional studies. You need to consult lab on tests. Royal Blue acid washed tubes are available in No Additive clot tubes for serum collection as well as EDTA and Sodium Heparin additives for plasma collections. Please take care to inspect the tube label to identify the additive type. Royal Blue topped tubes are special acid washed tubes for the collection of trace elements or heavy metals and cellular immunology studies.

Phlebotomy Solutions great I understand now , but i need more information about acid washed tubes ?

@@khalaf7299 Typically it is referring to ACD or Acid CItrate Dextrose for blood bank studies.

Tiffany Bishop Yes, this information is directly from CLSI standard order of draw used in every lab. Color of tops may change but the additive base order is the same.

In my book it says the gold is the SST tube. How come they both are the same for the red/gray? Thank you so much for the video.

Alondra Medina Thank you for the support.

Thank you for watching.

Ninja Fan Anytime that happens it’s because the blood is hemolized. There are numerous reasons this could have happened. See my video on Hemolysis.

Kristi Hess Yes, develop strong power point learning lectures like the ones I have on video. My DVDs are power point based and created. Develop lesson plans that include group studies in class with phlebotomy related case studies. Use the book "Phlebotomy Essentials" 6th edition if you can, by Ruth McCall. I do offer an instructors package that includes everything on a flash drive too. I can send you an invoice for the price through PayPal if you like.

safiya kamila thank you

Cherry L Thank you. Glad it helped.

Cherry L nice

Thank you for the comment and watching.

zuley palma Yes, but only for certain tests like glucose and certain chemistry 🧪 tests .

Geoff Ozzy You are welcome. I'm glad it helped.

Hello Geoff, I am studying MLTA as well, are you already done with school? are you working now?

The hospitals and labs should only be cleaning the site with soap and water. NO antiseptic should be used. All of them contain some kind of chemical or alcohol that can contaminate the test. This is also recommended by CLSI.

Thank you!

I really appreciate your help!

Me to!!

I'm confused some people start order of draw with yellow some with blue so which is the correct one

That’s what I don’t understand

Taureanfitness Yes, they are. Always check the additive of each tube for the order of draw too.

Ummmm you NEVER want to collect SPS Yellow tube/bottles last. These are blood cultures. They need to be sterile. The video JUST made that clear. And they need to be a winged infusion or syringe draw. And immunohematologies (pinks) are drawn after green and lavender and before greys.

Toasty Volvo I stated clearly, always check to tune additive. Color top tubes can be different but have the same additive. My statement is true.

Olivia A-Van Boekhout Thank you.

Phlebotomy Solutions I’m studying phlebotomy . If you have more videos let me know pls

Ainsley Spencer Thank you very much.

Tracy Best The on I show in the video is CLSI standard. This is text book.

Ninja Fan Thank you. I’m glad you enjoyed. We will continue to make more..

Amanda Darling The CLSI standard order of draw is what is required. The pink is EDTA for blood bank and is not part of the “rainbow” draw.

Thank you for your question. Anything like platelet tests or aggregation test are done with a light blue tube, sodium citrate additive. It’s part of whole blood tests and it’s used to confirm platelet dysfunction and defect. I hope this helps.

@@PhlebotomySolutions Thank you so much sir 💕

DW Ethiopia Hello, your question is based on what phlebotomy job you have and where. You can run a BMP and CMP on either a SST tube or in a Green Lithium Heparin tube for faster test results. The lab machines being used also determine which tube to use too. For Ammonia you will use lithium Heparin Green tube and put immediately in ice. All chemistry test can be done in a Gold/tiger top tube or a Green lithium Heparin tube. Make sure the Green tube is NOT light Green sodium Heparin. Every hospital and lab uses either tube for chemistry tests based on their machine running the tests. Hope this helps.

@@PhlebotomySolutions I don't have a job in Phlebotomy yet. This is information I am learning at a Phlebotomy school. What I am being taught in my class contradicts what you are saying in your video. For ammonia, I am taught that it is done in a Dark Green tube, which has the sodium heparin additive. I am taught that lithium heparin is in the light green/mint tube. This is the opposite of what you are saying.

DW Ethiopia Sorry, I need to mention that tubes can change based on color top tubes. The additives is what matters more than what the top color is on the tube. Dark green would be sodium Heparin and light green is lithium Heparin. Always go by what is labeled in the tube for testing. Every lab and hospital can change based on what machine they use for processing the tubes.

@@PhlebotomySolutions Ok thank you very much! Appreciate the video content. Happy Holidays!

DW Ethiopia Ammonia is collected in light Green lithium additive tube. But certain hospitals can collect the blood in a different tube and processes it with the correct testing device used. Labs can collect ammonia test in a lavender tube and then frozen for send out too. That is what Labcorp does. Always check with your hospital or lab for their processing procedures.

Devin Jackson If both are SST, then yes. Red tops can be a non additive which has a different place in the order of draw. The additives will tell you which goes first to last in the order. It’s all based on the additives in the tubes.