ORDER OF DRAW TUBE COLOR SPECIMEN TYPE COMMON TESTS 1 Culture Bottle Yellow (SPS) Whole Whole Blood culture Culture bact

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Order Of Draw Tube Color Specimen Type Common Tests 1 Culture Bottle Yellow Sps Whole Whole Blood Culture Culture Bact 1 (46.33 KiB) Viewed 41 times

ORDER OF DRAW TUBE COLOR SPECIMEN TYPE COMMON TESTS 1 Culture Bottle Yellow (SPS) Whole Whole Blood culture Culture bacteria, some viruses N Light Blue Plasma PT, PTT, Factor VIII assay 3 Red Gold Red/Black (SST) Serum Serum Serum Serology: mono, Hepatitis, HIV Most chemistry & serology Majority of chem. panels, chol. 4 Green Plasma Chemistry tests of therapeutic drugs 5 5 Lavender (purple) Pink Whole Whole CBC, H&H, WBC, Platelet count Antibodies, blood type, crossmatch 6 Gray Serum Glucose 7 Yellow (ACD) Whole Paternity, organ transplant testing 8 Black (In no order) Tan Navy Whole Whole Whole ESR, Sedimentation rates Lead levels Trace metals, lead, toxicology Terminology Whole Blood: All of the components are included that make up a drawn specimen including; the plasma, blood cells, clotting factors, water, minerals, etc. Plasma: The liquid portion of the blood that contains fibrinogen (clotting factor). It is 90% water and 10% dissolved solutes. Transport medium in the bloodstream. Straw in color. Serum: Liquid portion of the blood that is missing the fibrinogen because the blood is allowed to clot first. Same as plasma, except for the fibrinogen. Clear or straw colored.
2 VENIPUNCTURE ORDER OF DRAW NAME: Fill in the blanks. TEST 1. CBC TUBE SPECIMEN ORDER Whole Blood 1 2. Glucose 1 3. ESR Whole Blood Culture 4. HIV Serum Whole Lead Levels WBC PTT 5. Paternity Whole Blood Culture Mono Therap. Drugs Using the attached Lab Form, fill in the following information: 6. Patient: Jill Davis; Female; DOB: 11/06/1968: Date collected: Today; Time collected: 8:30 am: Bill To: Insurance; Under Billing Types & Insurance: See Attached (You would attach the patient's demographic information to the form.) Mark the following tests on the Lab Form and indicate Tube needed and Order of Draw. Test Tube Order 7. CBC w/Platelets & Diff Cholesterol HIV Antibody Glucose - Gestational
LABORATORY REQUISITION PATIENT LAST NAME FIRST M.I. REFERRING PROVIDER I 11 PROVIDER ID # PATIENT ID# D.O.B. AGE SEX BILL: O PHYSICIAN MEDICAL HMO CHDP MEDICARE INSURANCE PATIENT PLEASE COMPLETE INSURANCE INFORMATION AT BOTTOM PATIENT ADDRESS PATIENT PHONE NUMBER DATE COLLECTED TIME COLLECTED PROVIDER NAME, ADDRESS, AND PHONE NUMBER CITY STATE ZIPCODE STAT FASTING YES NO CALL RESULT PATIENT MEDICARE # PATIENT MEDICAID # INFO. BELOW WILL APPEAR ON REPORT CUSTOM PROFILES & ADDITIONAL TESTS 00011 00001 00002 00003 CH7 03280 06016 05725 02691 05010 06826 SPECIAL COMPREHENSIVE COMPREHENSIVE HEALTH SURVEY GENERAL SURVEY CHEMISTRY PANEL CHEM 7 PANEL ANEMIA PROFILE ARTHRITIS PROFILE COMPREHENSIVE THYROID SURVEY EPSTEIN BARR PROFILE ELECTROLYTES HEPATITIS PROFILE 2 SSL SSL SSL SSL SS SSL SS.L SS SS SS SS 03536 05037 05051 05021 03359 03959 02280 02808 05006 03191 5756 PROFILES HYPERTHYROID PROFILE HYPOTHYROID PROFILE LIPID PROFILE LIVER PROFILE LUPUS PROFILE MENOPAUSAL PROFILE OVARIAN FUNCTION PROFILE PRENATAL PROFILE OTHYROID PROFILE TORCH PANEL URINE DRUG SCREEN TESTS SS SS SS SS SS SS SS LR SS SS SS 703960 SS /02281 POST MENOPAUSAL TESTICULAR FUNC. PROF U/ O VENIPUNCTURE
00820 HEPATITIS PROFILE SS SS SS SS SS 0361 ABO & Rh TYPE R.L 0141 C-REACTIVE PROTEIN 0302 ALKALINE SS 1341 DHEA-S PHOSPHATASE 0109 AMYLASE 0119 DIGOXIN 0613 ANA SS 0224 DILANTIN 0366 0 ANTIBODY SCREEN R 0835 ESTRADIOL 0110 ASO (STREPTOZYME) SS 0833 FERRITIN 0126 BILIRUBIN TOTAL SS 0003 FOLIC ACID & VITAMIN B12 0132 BUN SS 0651 FSH 8726 CA125 S 0140 FTA-ABS 0142 CALCIUM SS 0210 GGTP 0130 CBC L 0536 GLUCOSE, FASTING 0388 CEA-ROCHE SS GLUCOSE HR PP 0152 CHOLESTEROL SS 0771 GLYCOHEMOGLOBIN 0788 CORTISOL SS 0534 H. PYLORI 0162 CPK SS 0823 HGG QUANTITATIVE 0445 CKMB ISOENZYME SS 1856 HIV (ANTIBODY) 0161 CREATININE SS 0558 HDL CHOLESTEROL CYTOPATHOLOGY PREGNANT ABORTION POST-PARTUM POST-MENOPAUSE HISTORY 5750 URINE DRUG SCREEN UZ VENIPUNCTURE TESTS SS 0673 HEPATITIS B SURFACE ANTIGEN SS 0237 PTT B SS 0245 HEPATITIS C ANTIBODY SS 0317 RA FACTOR SS 0257 IRON SS 0321 RUBELLA SS LDL-A LDL CHOLESTEROL SS 0331 RPR SS SS 0283 LEAD BLOOD RB 0335 SEMEN ANALYSIS SEMEN SS 0281 LIPASE SS 0328 SEDIMENTATION RATE (ESR) L SS 8225 LH SS 0349 SGOT (AST) SS SS 0247 MONONUCLEOSIS 0348 SGPT (ALT) SS SS 0778 PHENOBARBITAL SS 0330 SICKLE CELL SCREEN L SS 0307 POTASSIUM SS 0354 T4 (THYROXINE) SS GY 0557 PREGNANCY (SERUM) SS 1358 T4 FREE SS GY 0308 PREGNANCY (URINE) U 8456 TESTOSTERONE SS L 0359 PROGESTERONE SS 0824 THEOPHYLLINE SS SS 8041 PROLACTIN SS 0360 TRIGLYCERIDE SS SS 0103 PROTEIN, TOTAL SS 0672 TSH SS SS 2000 PROSTATE SPECIFIC ANTIGEN (PSA) SS 0373 URIC ACID SS SS 0310 PT (PROTHROMBIN TIME) B 0219 URINALYSIS U MICROBIOLOGY THCUL THROAT URTHC OURETHRAL 9391 CHLAMYDIA DNA EACUL EAR VACUL VAGINAL 9390 GONORRHEA DNA EYCUL EYE WOCUL WOULND 9391 OCCULT BLOOD GOCUL GC ROCUL CULTURE (ROUTINE) 0293 O OVA & PARASITE SPCUL SPUTUM URCUL URINE WTM WET MOUNT STCUL STOOL GSP GRAM STAIN SOURCE OTHER DIAGNOSIS OR COMMENTS PREV. ABNORMAL CYTOL FINDINGS CONTRACEPTIVES DATE HYSTERECTOMY HORMONES COPHORECTOMY TOTAL RADIATION RX DATE OTHER HORMONES RX LMP DATE COLLECTED IUD SUPRA CX CHEMO RX SOURCE CERVIX ENDOCERVIX VAGINA OTHER SITE CYTOBRUSH LAB USE ONLY (DO NOT WRITE BELOW THIS SPACE) DATE RECEIVED DATE REPORTED STATEMENT OF SPECIMEN ADEQUACY INSURANCE BILLING INFORMATION INSURANCE COMPANY GENERAL CATEGORIZATION PRIMARY INSURED DESCRIPTIVE DIAGNOSIS ADDRESS HORMONAL EVALUATION POLICY NO. & I.D. NO. ICD: CODE ADDITIONAL COMMENT LEGEND CYTOTECHNOLOGIST PATHOLOGIST SS R Serum Separator Red GY L Grey Lavender B RB Blue Royal Blue U G Urine Green