1. VUMC Diagnostic Laboratory Nursing Leadership Type and Size Conversion Information February 8,2007 Excellence Through Automation!

2. Laboratory Automation Project

3. Change in Practice Change in the Size of the Tube – 13 X 100 (4.5  3.5 draw volume) Change in the Color of the Tube – Light Green – Dark Green

4. Chemistry Tube Type Conversion Old Gold SST 13 X 100 + Old Red 13 X 100  Light Green PST 13 X 100

5. Chemistry Microtainer Tube Conversion Old Gold SST Mircotainer + Old Red Mircotainer  Light-Green Microtainer

6. Tube Size Conversion New 13 X 100 Tubes

7. Why Change ? Diagnostic Laboratory Moving to Full Scale Automation Reduction in Sample Process Time

8. No Change Lavender Light Blue

9. Phlebotomy Don’ts Don’t Shake a Tube

10. 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

11. Phlebotomy Do’s Do Label Specimen With Patient Name and Medical Record Number and Place Label to Match With Manufacturer Label.

12. 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

13. Phlebotomy Don’ts Don’t Send Therapeutic Drug Monitoring Requests in Light Green or Gold (Gel Barrier Tubes) They Will Not Be Accepted

14. Phlebotomy Do’s Do Draw Therapeutic Drug Tests in Red or Dark Green Tubes

15. Phlebotomy Do’s Do Call the Diagnostic Laboratory for Any Questions or Concerns 3-9155

16. Tube Inventory

17. Operation Clean Sweep Check for Expired Tubes Check for Hidden Tubes –Drawers –Cabinets –Closets

18. 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

19. Tube Additives

20. Complete Requisition Required –Patient Name –Patient Medical Record Number –Collection Date –Collection Time –Physician Name –Physician Code –ICD-9 Code –Clinic Code

21. 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

22. Questions 3-9155