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ACB-CLIN-CHEM-GEN  August 2015

ACB-CLIN-CHEM-GEN August 2015

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Subject:

Re: Blood tube colour conventions

From:

Ian Hanning <[log in to unmask]>

Reply-To:

Ian Hanning <[log in to unmask]>

Date:

Thu, 13 Aug 2015 07:07:55 -0700

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (588 lines)

Dear all

We use BD Vacutainers, with SST tubes having a gold top.

During authorisation of results I identified a GP sample with sodium citrate contamination - turned out that the sample was sent in a Greiner tube (which has a yellow top).

I never did find out how this tube came to be in the system. Only this one tube ever surfaced.

Regards
Ian


Ian Hanning
Consultant Clinical Biochemist
Department of Clinical Biochemistry
Hull Royal Infirmary
Hull HU3 2JZ    UK
Tel 01482 607716
Fax 01482 607725

--------------------------------------------
On Thu, 8/13/15, Myers Martin (LTHTR) <[log in to unmask]> wrote:

 Subject: Re: Blood tube colour conventions
 To: [log in to unmask]
 Date: Thursday, August 13, 2015, 2:10 PM
 
 
 
  
  
 
 
 
 
 I agree that the
 current state of affairs is confusing, and that the
 professions should take the lead in lobbying for
 harmonisation.  In the absence of an ISO standard, and
 (for the UK people)
  the fact that we are in Europe, I would suggest that the UK
 should harmonise with the EU code. In the interests of
 patient safety we should lobby the MHRA or the NPSA to send
 out an alert to harmonise, allowing the laboratories and the
 manufacturer time to
  make the change. 
    
 martin 
    
 
 
 From:
 Clinical biochemistry discussion list
 [mailto:[log in to unmask]]
 On Behalf Of Bosomworth Mike (LEEDS TEACHING
 HOSPITALS NHS TRUST)
 
 Sent: 13 August 2015 11:35
 
 To: [log in to unmask]
 
 Subject: Re: Blood tube colour conventions
 
 
 
    
 
 
 
 
 --- 
 This message was sent from
 an email address external to NHSmail but gives the
 appearance of being from an NHSmail (@nhs.net) address. The
 recipient should verify the sender and content before acting
 upon information contained within.  
    
 The identified sender is [log in to unmask]
 
 --- 
 
 
 
 
 In my view as a
 profession we should take the lead. Marieke has outlined a
 real problem and Jonathan has said that he found it very
 confusing. How confusing must it be for our users? If we
 agree
  a standard then if a manufacturer refuses to supply it they
 lose the business. 
  
    
 I have experienced
 changing blood taking systems more than  once and yes
 it is disruptive in the first instance, but not for very
 long. Any of the good tube suppliers who win new business
 will
  help put a training package together. 
    
 So in my view it can
 be done. Whether the ACB or the RCPath or the IBMS should
 take the lead, I am not sure, but they certainly need to
 collaborate. Perhaps if one of those bodies was to conduct
  a survey to find out which is the commonest system in use
 in the UK that would be  starting point. 
    
 Best
 wishes 
    
 Mike 
    
 
 Dr Mike
 Bosomworth 
 Clinical Service
 Lead for Blood Sciences and Specialist Laboratory
 Medicine 
 Tel: 0113
 3922340 
 Mobile:
 07789174344 
    
 In April – May I
 cycled solo from New York to San Francisco (4,320 miles),
 entirely self-funded, to raise money for the Yorkshire Brain
 Research Centre. If you would like to sponsor me then
 please
  visit: 
 www.virginmoneygiving.com/mikebosomworth.
 For more information about the ride and the charity
  please visit: 
 http://www.ybrc.org.uk/dr-mike-back-on-the-bike/ 
 If you have already
 sponsored me then many thanks 
 
    
 
 
 From:
 Clinical biochemistry discussion list [mailto:[log in to unmask]]
 On Behalf Of Clayton Jonathan (SALFORD ROYAL NHS
 FOUNDATION TRUST)
 
 Sent: 13 August 2015 11:05
 
 To: [log in to unmask]
 
 Subject: Re: Blood tube colour conventions
 
 
 
    
 
 
 
 
 --- 
 This message was sent from
 an email address external to NHSmail but gives the
 appearance of being from an NHSmail (@nhs.net) address. The
 recipient should verify the sender and content before acting
 upon information contained within.  
    
 The identified sender is [log in to unmask]
 
 --- 
 
 
 
 
 I think
 standardisation across the UK is a good idea in theory –
 having trained in a trust that uses Greiner Vacuette tubes
 that use the American colour code system to now working in a
 trust
  using Sarstedt Monovette tubes which use the EU colour
 coding system, I got very confused in the early days,
 particularly around green/orange and blue/green.
 
 However, this kind
 of standardisation would require the co-operation of the
 tube manufacturers in producing tubes to ‘UK
 specifications’ if it is the opposite of what they produce
 as standard.
  Additionally, standardising to a colour system that
 resulted in the removal of a particular tube
 type/manufacturer from the UK market could cause massive
 upheaval in terms of staff training. 
    
 Whilst
 standardisation of tube colour is most definitely desirable,
 I doubt it is easily practicable.
  
    
 
 Kind
 regards, 
 Jonathan
 
    
 Jonathan Clayton
  
 Senior Clinical
 Scientist 
 Department of
 Clinical Biochemistry 
    
 Salford Royal
 Foundation Trust 
 Level 2 Turnberg
 Building, Stott Lane, Salford, M6 8HD 
 Tel: 0161 206
 4960 
 Email: 
 [log in to unmask]
 
 Email: 
 [log in to unmask] 
    
 Trust
 values:
 Patient and Customer
 Focus
 Accountability
 Continuous
 Improvement
 Respect
  
 
    
 
 
 From:
 Clinical biochemistry discussion list
 [mailto:[log in to unmask]]
 On Behalf Of Reynolds Tim (RJF) BHFT
 
 Sent: 13 August 2015 10:21
 
 To: [log in to unmask]
 
 Subject: Re: Blood tube colour conventions
 
 
 
    
 Last year, there were
 proposals to have an international (ISO / CEN) standard for
 blood collection tube colours because this problem was
 recognised [I am a member of the BSI committee
  that deals with this sort of standard]. The UK was one of
 the countries that voted in favour but as only 4 countries
 in total were interested, the bid for a standard falied and
 the work stream was dropped.
  
   
 It may be that a UK
 code of practice to standardise a colour code for the UK
 could be organised through the College - and then have that
 enforced by UKAS / MHRA... 
 
   
 
    
 **************************************************************************************
 
 
 Prof. Tim
 Reynolds
 
 
 Consultant
 Chemical Pathologist / Divisional Medical Director
 (CH&CSS) / R&D Lead,
 
 
 Burton
 Hospitals NHS Foundation Trust
 
 
 work tel:
 01283 511511 ext 4035
 
 
 work fax:
 01283 593064
 
 
 work
 email: 
 [log in to unmask] 
 
 work URL:
 
 www.burtonhospitals.nhs.uk
 
 
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 e-mail, and any files transmitted with it, are confidential
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 have received this e-mail
  in error, please notify me on 01283 511511 Ext
 4035 
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 of tree not available]
 Please
 consider the environment before printing this e-mail
  
 
   
 
    
 
 
 
 From:
 Clinical biochemistry discussion list [mailto:[log in to unmask]]
 On Behalf Of Jordaan Marieke
 
 Sent: 13 August 2015 10:04 AM
 
 To: [log in to unmask]
 
 Subject: Blood tube colour conventions 
 
 Dear all 
   
 With patients moving between
 hospitals to have their blood samples taken, bringing
 electronic request forms which list tube colour as well as
 type, there is the possibility of wrong sample types
  being taken if phlebotomists go by the colours that they
 are familiar with. We are looking at standardizing colours
 regionally. 
   
 It appears that around here the
 system most frequently in use is the American convention
 (red for clotted, gold for gel, green for heparin, grey for
 glucose, mauve for EDTA, blue for coag). 
   
 However, the other colour code
 commonly in use, is the EU code (clear for clotted, brown
 for gel, orange for heparin, yellow for glucose, red for
 EDTA, green for coag). 
   
 Any thoughts on which we should go
 for? 
   
   
 Regards 
   
 Marieke 
   
 Dr Marieke Jordaan 
   
 Consultant Chemical Pathologist
  
 Mid-Yorkshire Trust 
 UK 
   
 Email:
 [log in to unmask] 
 Tel: (01924) 317060 or ext
 57060 
 PA, Diane Blakeston: (01924) 317056 or ext
 57056 
   
   
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