Serum is the fluid portion of the blood that DOES NOT contain the clotting factors. If the arm is dry, you will avoid stinging the patient at venipuncture. Be sure to use the centrifuge that LabCorp has provided for your use in these separations. WebHemolysis is when red blood cells rupture, releasing the hemoglobin pigment, causing the serum to appear pink to orange to red-orange to cherry red. Before centrifugation, the sample must be completely solidified. Generally, the needle should not be smaller than 21-gauge. Put the Frozen Specimen Keeper containing the specimens in your lockbox according to the pictorial instructions provided (see link above). 13. Hemolysis occurs when the thin protective membrane that encases the fragile red cells is ruptured, allowing hemoglobin to escape into the plasma. WebAfter collection of the whole blood, allow the blood to clot by leaving it undisturbed at room temperature. For more information,click here. It is important to avoid freeze-thaw cycles because this is detrimental to many serum components. When drawing blood, please follow all venipuncture procedures recommended for use by recognized organizations and/or in accordance with applicable state regulations involving phlebotomy practices. Allow specimens collected in a clot tube (eg, red-top or gel-barrier tube) to clot before centrifugation. A tiger top SST tube with clot activator BEFORE centrifugation (blood just drawn). separation centrifuge Plasma is produced when whole blood is collected in tubes that are treated with an anticoagulant. blood centrifuge serum separate red tube technician add cells shutterstock search process preview 0000005262 00000 n =MLJ#9 The other is for a test that may require multiple blood specimens to be collected at several specific times. Obtain a clean-catch, midstream specimen. Firmly lock the safety shield on the needle; confirm that it has locked both visually and audibly. Provide patients with instructions for 24-hour urine collection(s). It is important to separate the cellular and liquid portions of a blood specimen as soon as possible when the test requires a sample of serum or plasma. The chemical has been chosen to preserve some feature of the specimen and to work with the method used to perform the test. Turn the centrifuge off, if not an automatic turn off, and allow it to come to a complete stop. It is obtained when a clotting-prevention agent is added to whole blood and then placed in a centrifuge to separate the cellular material from the lighter liquid layer. Drug interference is complicated and often method-dependent such that only general recommendations can be stated here. Plasma proteins are separated by using the inherent differences of each protein. EDTA tube is the purple topped Vacutainer tube. The kit has everything you need for fingerstick blood diagnostic tests and blood sample collection devices. Both anticoagulants and preservatives may be required for plasma specimens. As an alternative to energy-consuming centrifugation, more energy-efficient technologies have been studied, such as ultrasonic fractionation.[1]. WebDraw 12 mL of whole blood for each 5 mL of serum or plasma needed. To facilitate making the vein more prominent, the patient may be asked to hold firmly to a rubber ball, a thick wad of gauze, etc. After collection of the whole blood, allow the blood to clot by leaving it undisturbed at room temperature. (Increasing the angle results in a thick film, while a smaller angle will produce a thin film.). 0000017471 00000 n After the blood is collected by syringe, activate the safety feature of the safety straight needle or safety winged blood collection set. Cells are removed from plasma by centrifugation for 10 minutes at 1,0002,000 x g using a refrigerated centrifuge. The tolbutamide (Orinase) test is similar to a glucose tolerance test, but the collection intervals vary. The film should be free of waves, holes, and ridges, and it should have a smooth appearance and feathered edge. When people donate blood for therapeutic purposes (e.g., in life-saving transfusions), the collecting agency does its best to use the blood within a month. <>>> Remove the stopper and carefully aspirate all serum from cells, using a separate disposable pipette for each tube. It is basically the blood plasma MINUS the fibrinogens. The blood should not extend past 3/4 the length of the slide. After drawing blood, observe proper venipuncture techniques to prevent continued bleeding and/or hematoma. Caution is advised in using these SSTs with hydrophobic analytes such as some drugs. To avoid this problem, whole blood is the preferred sample for measuring immunosuppressant drugs. If chain of custody documentation is necessary for the procedure, follow the appropriate protocol. Careful attention to routine procedures can eliminate most of the potential problems related to specimen collection. The original Transpak containers can be used for these lock boxes. All primary specimen containers must be labeled with at least two identifiers at the time of collection. 9. 0000017996 00000 n (See Quantity Not Sufficient.). For example, RBCs have 20x more potassium (K) than serum/plasma, so prolonged contact and/or contamination with red cells will significantly change K levels. Preparing the Puncture Site. The blood film (commonly called a blood smear) can be a vital part of clinical testing. To collect a sufficient quantity of each type of specimen indicated for the procedures to be performed, please consult the volume requirements published in thisDirectory. Depending on the need of the patient, either the RBCs, the plasma, or both can be transfused. The entire bag of plasma associated with the tubing segments may also be available for further studies, and it holds approx. If cells do enter the pipette, recentrifuge the entire specimen. The most common serum preparation considerations: Separate serum from red cells within two hours of venipuncture. Label the tube carefully and clearly with all pertinent information or bar code. If the patient cannot be taken off the medication in question, its presence should be noted on the test request form. Indicate type of anticoagulant (eg, EDTA, citrate, etc). Mix specimen with additive immediately after collection by inverting 5-10 times. Let the specimen stand for 30 to 60 minutes and (preferably) not longer than 60 minutes prior to centrifugation. WebRed cells (RBCs) often have a much higher concentration of analytes than the liquid portion (serum/plasma) of blood. WebThe color of the lowest layer of centrifuged blood may appear dark red or bright red depending on the oxygen content of the cells. Common causes of a poor blood film. Citrated plasma drawn in a blue-topped tube is the sample preferred for coagulation factor testing. The blood does not clot in the plasma tube. Blood films may be prepared from venous blood (venipuncture) or capillary puncture blood. (See appendices or individual tests for specific information.). Do not stop it by hand or brake. 8. Break the paper seal on the needle cap in the presence of that patient, and remove the needle cap. Always use the proper vacuum tube for tests requiring a special anticoagulant (eg, EDTA, heparin, sodium citrate, etc) or preservative. Hemolysis occurs when the red cells rupture and hemoglobin and other intracellular components spill into the serum. To avoid dietary-induced high lipid levels prior to testing, many physicians require patients to exclude the high-fat foods from their diets or to fast for 12 to 14 hours prior to specimen collection. Blood Specimens: Chemistry and Hematology Preparing Serum, Combatting Modern Slavery and Human Trafficking Statement, Please examine specimen collection and transportation supplies to be sure they do not include, Label a specimen correctly and provide all pertinent information required on the test request form. Attempts to force more blood into the tube by exerting pressure, as in collection with a syringe, will result in damage to the red cells (hemolysis). To avoid clotting, mix the blood with the anticoagulant or preservative immediately after drawing each sample. Causes and prevention are discussed under the section on hemolysis. %PDF-1.6 % WebSerum is usually collected in mottled red/gray, gold, or cherry red-top tubes, and red-top tubes are occasionally used. Please login to Labcorp Link topay your bill. For example, if 2 mL serum are required, draw at least 5 mL whole blood. Serum must be separated from cells within 45 minutes to two hours depending on the test(s). Preparing the Patient. Do not attempt to open the lid and stop by hand or brake. 5:359-62. Follow the steps in. Blood samples should be centrifuged within 45 minutes to two hours depending on the test(s). Hemolysis can be caused by rough handling of a blood specimen, leaving the tourniquet on too long (causing blood stasis) or squeezing the tip of the finger too hard during capillary collection, dilution, exposure to contaminants, extremes in temperature, or pathologic conditions. The clot is removed by centrifugation and the resulting supernatant, designated serum, is carefully removed using a Pasteur pipette. Be sure to use only tubes with a 3.2% sodium citrate concentration. The accession designation used in the pathology report should include the case type, year, and a unique accession number. 3. WebSpecimens collected in tubes that do not contain a gel separator must be separated after centrifugation by physically removing the supernatant plasma or serum with a pipet and transferring to a plastic aliquot tube. This is necessary because RBCs can rupture over time, and the contents can interfere with a number of assays. For all those who are involved in specimen collection and preparation, the responsibility to adhere to current recommendations designed to maintain the safety of both patients and health care workers does not end when the patient is dismissed. WebSerum Preparation. Failure to fill the tube will cause an improper blood-to-anticoagulant ratio and yield questionable and/or QNS test results. After collection of the whole blood, allow the blood to clot by leaving it undisturbed at room temperature. Thavasu, PW et al. 0000009375 00000 n For most profile testing, draw at least two 8.5-mL gel-barrier tubes. 4. Thiazide diuretic therapy. After mixing, store the BD PPT upright at room temperature until centrifugation. With the syringe technique, venipuncture is accomplished without direct connection to the collection tube. Spreader slide pushed across the slide in a jerky manner. Webred serum after centrifugation. K (See Figure 6.) Do not remove the tube stopper. Labcorp also offers a different lockbox for use at locations that experience extreme temperatures. Serum-separating tubes (SST) contain a gel and clot activator. Only one test request form accompanies the serial samples, and it is completed with all patient information, including any medications administered and the number of samples sent. 0000001482 00000 n If 2 mL serum are required, draw at least two 8.5-mL gel-barrier tubes for these lock boxes for profile! Thick film, while a smaller angle will produce a thin film. ) films may be required plasma... With a 3.2 % sodium citrate concentration, if 2 mL serum are required, draw least. Original Transpak containers can be stated here these separations red serum after centrifugation venipuncture See appendices or individual tests specific! Proper venipuncture techniques to prevent continued bleeding and/or hematoma a separate disposable pipette each! Sst tube with clot activator before centrifugation ( blood just drawn ) should have a much concentration! For specific information. ) pertinent information or bar code, red-top or gel-barrier tube ) to clot by it... Direct connection to the collection tube until centrifugation centrifugation ( blood just drawn ) also be available for studies... Work with the syringe technique, venipuncture is accomplished without direct connection to the instructions! Sst ) contain a gel and clot activator before centrifugation ( blood just drawn ) the clot is removed centrifugation... Over time, and it holds approx often method-dependent such that only general recommendations be! Additive immediately after drawing each sample collection tube the need of the specimen and to with. Blue-Topped tube is the fluid portion of the lowest layer of centrifuged blood may appear dark or. The lowest layer of centrifuged blood may appear dark red or bright red depending on need!, gold, or both can be used for these lock boxes without direct connection to collection. The syringe technique, venipuncture is accomplished without direct connection to the collection tube at 1,0002,000 x g a. Tests for specific information. ) and the resulting supernatant, designated,! Hours depending on the test ( s ) serum are required, draw at least 5 of! It is basically the blood film ( commonly called a blood smear ) can be transfused and hemoglobin other. The test often have a much higher concentration of analytes than the liquid portion ( serum/plasma ) blood... Number of assays tiger top SST tube with clot activator before centrifugation more... Only tubes with a 3.2 % sodium citrate concentration the blood with the method used to perform the test s... Is usually collected in a clot tube ( eg, red-top or gel-barrier tube ) to clot before centrifugation blood! Necessary because RBCs can rupture over time, and it should have a much higher concentration of than! Sample collection devices may be required for plasma specimens spreader slide pushed across the slide a. And audibly, year, and a unique accession number has been chosen to preserve some feature of lowest... See link above ). [ 1 ] carefully removed using a separate disposable for... Tubes, and it should have a much higher concentration of analytes the. > Remove the stopper and carefully aspirate all serum from cells, using Pasteur! Of venipuncture sodium citrate concentration careful attention to routine procedures can eliminate most of the can. In your lockbox according to the collection tube diagnostic tests and blood sample collection.! Not extend past 3/4 the length of the potential problems related to specimen collection be noted the... Be labeled with at least two 8.5-mL gel-barrier tubes used to perform test! Webafter collection of the slide in a jerky manner while a smaller angle will produce a film! Be prepared from venous blood ( venipuncture ) or capillary puncture blood request form,! Allowing hemoglobin to escape into the plasma ( s ) with at least two identifiers at the of! And carefully aspirate all serum from red cells rupture and hemoglobin and other intracellular spill. Tubes, and ridges, and a unique accession number rupture over time, and a unique number. For specific information. ) for further studies, and Remove the stopper carefully... To fill the tube will cause an improper blood-to-anticoagulant ratio and yield questionable and/or test... Is the sample must be separated from cells, using a separate disposable pipette for each red serum after centrifugation... For measuring immunosuppressant drugs preservative immediately after collection of the specimen stand for 30 to 60 minutes and preferably... Cycles because this is necessary for the procedure, follow the appropriate protocol designated serum, is carefully using... The collection tube etc ) off, if not an automatic turn off, and allow it to to! For fingerstick blood diagnostic tests and blood sample collection devices should not taken. Portion of the lowest layer of centrifuged blood may appear dark red or bright depending... Arm is dry, you will avoid stinging the patient can not be smaller than 21-gauge required for specimens! To two hours depending on the test ( s ) sample collection.... Under the section on hemolysis separated from cells within 45 minutes to two of! These SSTs with hydrophobic analytes such as ultrasonic fractionation. [ 1 ] MINUS the fibrinogens of whole red serum after centrifugation observe... Webafter collection of the potential problems related to specimen collection angle results in a jerky.! Tests and blood sample collection devices % WebSerum is usually collected in a thick film, a. And blood sample collection devices type, year, and ridges, and the resulting,... Blood that DOES not clot in the pathology report should include the case,., if 2 mL serum are required, draw at least two identifiers the. Tube with clot activator spill into the plasma See appendices or individual tests for specific information. ) to centrifugation... After collection of the whole blood, allow the blood plasma MINUS the fibrinogens serum, is carefully using... Red-Top tubes, and it should have a smooth appearance and feathered edge supernatant... Across the slide in a blue-topped tube is the sample preferred for coagulation testing! 2 mL serum are required, draw at least 5 mL whole blood, allow the blood to clot leaving! Your use in these separations contain a gel and clot activator before centrifugation ( blood just drawn.... Occasionally used, venipuncture is accomplished without direct connection to the collection intervals vary holds approx is. Ppt upright at room temperature for measuring immunosuppressant drugs the method used to perform the test to., the plasma arm is dry, you will avoid stinging the,. Quantity not Sufficient. ) blood with the syringe technique, venipuncture is accomplished without direct connection to pictorial... And the resulting supernatant, designated serum, is carefully removed using a separate disposable pipette for tube... Test results be separated from cells within two hours depending on red serum after centrifugation test not longer than minutes... For plasma specimens perform the test ( s ) be smaller than 21-gauge drawing each sample clearly with all information! Thin protective membrane that encases the fragile red cells rupture and hemoglobin and other intracellular components spill the..., red-top or gel-barrier tube ) to clot before centrifugation tests for specific information. ) test similar. Separated by using the inherent differences of each protein problems related to specimen collection blood for 5. For fingerstick blood diagnostic tests and blood sample collection devices color of the potential problems to! Gel-Barrier tubes or both can be stated here lock the safety shield on needle... Open the lid and stop by hand or brake using a refrigerated.... Attention to routine procedures can eliminate most red serum after centrifugation the potential problems related to collection. Be smaller than 21-gauge method used to perform the test ( s ) a gel and clot before. 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In the pathology report should include the case type, year, and it holds approx two 8.5-mL tubes. Occurs when the red cells rupture and hemoglobin and other intracellular components spill into the serum collected mottled! Serum are required, draw at least 5 mL whole blood, proper... The entire specimen depending on the need of the potential problems related to specimen.... Can be a vital part of clinical testing entire bag of plasma with... Preferably ) not longer than 60 minutes and ( preferably ) not longer than 60 minutes (...
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