Order of Draw: Still Relevant & Why Errors Happen
Continuing Education Credits
Objectives
- Explain the purpose of the Clinical and Laboratory Standards Institute (CLSI) order of draw and why it minimizes additive carryover.
- Identify common tube additives and describe how they may interfere with laboratory assays.
- Apply updated CLSI guidance to prevent preanalytical errors during venipuncture and collection.
- Evaluate case studies involving additive carryover and determine preventive actions.
Course Outline
- References
- Why the Order of Draw Still Matters
- CLSI Guidance - Order of Draw
- Tube Additives & Their Effects on Assays
- Case Study 1 – Unexpected Hyperkalemia
- Case Study 2 – Prolonged PT/INR
- Case Study 3 – Severely Decreased Serum Calcium
- Why Errors Happen
- Key Takeaways – Order of Draw
- References

