Transcript VUMC Diagnostic Laboratory

VUMC Diagnostic Laboratory
Nursing Leadership
Type and Size Conversion Information
February 8,2007
Laboratory Automation Project
Change in Practice
• Change in the
Size of the Tube
– 13 X 100 (4.5  3.5 draw volume)
• Change in the
– Light Green
– Dark Green
Color of the Tube
Chemistry Tube Type Conversion
• Old Gold SST
13 X 100
+
• Old Red
13 X 100

• Light Green PST
13 X 100
Chemistry Microtainer Tube Conversion
• Old Gold SST
Mircotainer
+
• Old Red
Mircotainer

• Light-Green
Microtainer
Tube Size Conversion
• New 13 X 100 Tubes
Why Change ?
• Diagnostic Laboratory Moving to Full
Scale Automation
• Reduction in Sample Process Time
No Change
• Lavender
• Light Blue
Phlebotomy Don’ts
• Don’t Shake a Tube
Phlebotomy Do’s
• Do Mix Tube by Inversion at Least 20 Times
for Mircotainer Tubes
• Do Mix Tube by Inversion at Least 10 Times
for All Other Tube Types
Phlebotomy Do’s
• Do Label Specimen With Patient Name and
Medical Record Number and Place Label to
Match With Manufacturer Label.
EXCEPTION  Therapeutic Drug Monitoring
• TDM Requests Can Not Be Collected in
Light Green or Gold (Gel Barrier Tube)
If a TDM Is Ordered and Submitted in a
Light Green or Gold Tube It Can’t Be
Processed. The Patient Will Need To Be
Redrawn.
• TDM Requests Require Dark Green or
Red Tubes
Phlebotomy Don’ts
• Don’t Send Therapeutic Drug Monitoring
Requests in Light Green or Gold (Gel Barrier
Tubes) They Will Not Be Accepted
Phlebotomy Do’s
• Do Draw Therapeutic Drug Tests in Red or
Dark Green Tubes
Phlebotomy Do’s
• Do Call the
Diagnostic
Laboratory for Any
Questions or
Concerns
3-9155
Tube Inventory
Vacutainer
BD Reference # VUMC PMM#
PST (Light Green)
367961
62114
Serum (Red)
367814
14077
Lithium Heparin (Dark Green)
367886
83736
Lithium Heparin (Dark Green)
367884
53389
BD Microtainer Tube
BD Reference #
PST (Light Green)
365985
PST (Amber)
365987
Serum (Red)
365963
Lithium Heparin (Dark Green)
365965
83733
83734
15796
83735
Size (mm) Draw (mL) Clients
13*100
3.5
All
13*100
5
All
13*100
6
Adult
13*75
4
Peds
Peds
Peds
Peds
Peds
Operation Clean Sweep
• Check for Expired
Tubes
• Check for Hidden
Tubes
– Drawers
– Cabinets
– Closets
Label Attachment
• Correct Label
Attachment is:
– 1. Not Crooked
– 2. Not Over the Top
– 3. Not Over the
Bottom
– 4. Not Crinkled
– 5. Not Upside Down
– 6. Not Swirled
Tube Additives
Clot Activator
Lithium Heparin and Gel for Plasma Separation, Tube Inversions
prevent clotting
Lithium Heparin, Tube Inversions prevent clotting
Complete Requisition
• Required
– Patient Name
– Patient Medical
Record Number
– Collection Date
– Collection Time
– Physician Name
– Physician Code
– ICD-9 Code
– Clinic Code
Keys to Desired Outcome
• Key Points
–
–
–
–
–
–
Tube Size 13 X 100
Tube Color
Proper Inversions
Patient Identification
Specimen Labeling
Completed
Requisition
– Conversion
Completed by
2/8/2007
Questions
3-9155