The order of draw is a crucial aspect of various fields, including medical laboratory testing, blood sampling, and even sports like tennis and golf. In medical laboratory testing, the order of draw refers to the sequence in which blood samples are collected from a patient into different tubes, each containing a specific additive or anticoagulant. This sequence is essential to prevent contamination of samples and ensure accurate test results. For instance, the Clinical and Laboratory Standards Institute (CLSI) recommends a specific order of draw to minimize the risk of cross-contamination between tubes.
Importance of Order of Draw in Medical Laboratory Testing

In medical laboratory testing, the order of draw is critical to prevent contamination of samples and ensure accurate test results. The recommended order of draw is as follows: blood culture bottles, coagulation tubes (e.g., sodium citrate), serum separator tubes (SST), and finally, tubes with additives like EDTA or heparin. This sequence is designed to prevent the introduction of additives or anticoagulants from one tube into another, which could alter the test results. For example, if a tube with EDTA is drawn before a coagulation tube, the EDTA could inhibit the coagulation process, leading to inaccurate results.
Consequences of Incorrect Order of Draw
The consequences of incorrect order of draw can be significant, leading to inaccurate test results, misdiagnosis, and inappropriate treatment. For instance, a study published in the Journal of Clinical Pathology found that incorrect order of draw was a common cause of errors in blood sample collection, resulting in delayed or incorrect diagnosis. Another study published in the American Journal of Clinical Pathology found that the use of incorrect tubes or additives was a major contributor to errors in laboratory testing, highlighting the need for strict adherence to the recommended order of draw.
| Tube Type | Additive/Anticoagulant | Order of Draw |
|---|---|---|
| Blood Culture Bottles | 1 | |
| Coagulation Tubes | Sodium Citrate | 2 |
| Serum Separator Tubes (SST) | Gel and Clot Activator | 3 |
| EDTA Tubes | EDTA | 4 |
| Heparin Tubes | Heparin | 5 |

Key Points
- The order of draw refers to the sequence in which blood samples are collected from a patient into different tubes.
- The recommended order of draw is designed to prevent contamination of samples and ensure accurate test results.
- Incorrect order of draw can lead to inaccurate test results, misdiagnosis, and inappropriate treatment.
- It is essential to follow the recommended sequence to prevent contamination of samples and ensure accurate test results.
- Healthcare professionals should be aware of the importance of order of draw and take steps to minimize the risk of errors.
Order of Draw in Sports

In sports like tennis and golf, the order of draw refers to the sequence in which players are scheduled to compete. In tennis, the order of draw is determined by a random draw, which is usually conducted by the tournament organizers. The draw is typically divided into quarters, with the top seeds placed in separate quarters to prevent them from meeting each other until the later stages of the tournament. In golf, the order of draw is often determined by a player’s ranking or score, with the top-ranked players going first.
Strategies for Success in Sports
Understanding the order of draw can be crucial for success in sports. In tennis, for example, a player who is scheduled to play a top seed in the early stages of the tournament may need to adjust their strategy to have a better chance of winning. Similarly, in golf, a player who is scheduled to play in a group with a faster pace may need to adjust their pace to keep up with the group. By understanding the order of draw, athletes and coaches can develop strategies to gain a competitive advantage.
What is the recommended order of draw for blood sample collection?
+The recommended order of draw is as follows: blood culture bottles, coagulation tubes, serum separator tubes, and finally, tubes with additives like EDTA or heparin.
What are the consequences of incorrect order of draw?
+The consequences of incorrect order of draw can be significant, leading to inaccurate test results, misdiagnosis, and inappropriate treatment.
How is the order of draw determined in sports?
+In sports like tennis and golf, the order of draw is often determined by a random draw or a player's ranking or score.
In conclusion, the order of draw is a critical aspect of various fields, including medical laboratory testing and sports. By understanding the importance of order of draw, healthcare professionals and athletes can minimize the risk of errors and gain a competitive advantage. Whether it’s collecting blood samples or competing in a tournament, the order of draw can have a significant impact on the outcome. As a domain-specific expert, I hope this article has provided valuable insights and information on the topic of order of draw.