Vacutainer Conversion to tall 13x100 mm tubes

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Vacutainer Conversion to tall 13x100 mm tubes

• Laboratory Changes

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Laboratory Changes

• To better serve Duke Medicine, DUHS Clinical
  Laboratories are implementing automation in high
  volume testing
• Full automation expected by January 14, 2008
• DUHS must switch to the taller 13X100mm
  vacutainer tubes.
• Tube conversion begins November 5, 2007

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What to Expect

• Introduction of LIGHT GREEN Li HEPARIN PLASMA
  SEPARATER TUBES (PST) in Chemistry
• PST will be required for many tests that are
  currently collected in SST and some LAVENDER
• Introduction of WHITE EDTA Plasma Preparation
  Tube
• WHITE EDTA will replace most LAV and some SST in
  Chemistry testing
• Ex Amikacin, Lithium, Insulin

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What to Expect

• Bar code label will indicate either PST, SST,
  LAV, WHITE as appropriate
• All tube colors that are currently available will
  still be available after the conversion, just in
  the taller variety
• The only tubes not effected will be LAVENDER
  TOP-EDTA (used for Hematology) and LIGHT BLUE
  TOP-CITRATE (used for Coagulation)

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Examples of Tests

• The following are a few tests changing to PST
• Refer to the Electronic Lab Manual
  (http//clinlabs.duke.edu) and Client Services
  (919-613-8400) for help

• HCG
• URIC ACID
• VANCOMYCIN

• BMP
• CMP
• HFP
• RFP
• LYTES
• LIPID

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Read the Label
This test requires a short tube
Tube Type This one requires LAV Top
Tube Type This one requires a WHITE EDTA (PPT)
Patient MRN
Patient Name
Test ordered
This test requires a tall tube
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Preparing a Quality Sample

• BLOOD CULTURE BOTTLE
• NAVY BLUE-non-additive tube
• LIGHT BLUE TOP-CITRATE
• GOLD TOP-SERUM SEPARATOR TUBE
• RED TOP
• GREEN TOP- Na HEPARIN or LIGHT GREEN Li HEPARIN
  PLASMA SEPARATER TUBE
• LAVENDERTOP-EDTA or PINK TOP-EDTA or WHITE-TOP
  EDTA
• GRAY TOP-OXALATE/FLUORIDE
• ANY OTHER ADDITIVE TUBE NEEDED

• Draw tubes in appropriate order
• Allow tubes to fill completely
• Mix ALL tubes 8 inversions
• Label tubes at the bedside!

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Inversion

• Do not shake tubes!
• Gently invert 8-10 times
• Allow blood to mix completely

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LABELING

• Beginning Nov 5, 2007
• Place barcode immediately below the tube top
  This is slightly above the paper label

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Labeling

• Labels should be straight and parallel to tube
• Name should always be towards the top of the tube
• Date, Time, and Initials should be below barcode
• Any variation will cause a delay in results

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Labeling
YES! YES!
NO! NO!
NO! NO!
Close to the cap
Pt Name to the top
Straight

Upside Down
Twisted
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DUHS Clinical Laboratories

• Are There Any Questions?
• Client Services
• 4425 Ben Franklin Blvd
• Durham, NC 27704
• 919-613-8400