View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
A pharmacist found a vial of succinylcholine in an automated dispensing cabinet bin that was supposed to hold vecuronium vials. Both drug vials were enclosed in ShrinkSafe ID sleeves, which fit over the vial and tighten around it when heated. The hospital used these ID sleeves to differentiate neuromuscular blocking agents, a class of high-alert drugs. However, using the ID sleeves on all neuromuscular blocking agents led to confusion of drugs within the class.
The clear ID sleeve lets the drug name show through, but adds vivid warnings about the drug's paralytic nature. According to the manufacturer, health care providers must remove the sleeve to use the drug, helping ensure that they read the warning.
Neuromuscular blocking agents have different storage requirements, rates of onset, duration, and hemodynamic effects. Reduce the potential for error by using ID sleeves selectively, eliminating or minimizing the variety of neuromuscular blockers stored in clinical areas, and storing them only in clinical areas where patients are mechanically ventilated.
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top