Best Practice #7 FAQ

Best Practice #7: Segregate, sequester, and differentiate all neuromuscular blocking agents (NMBs) from other medications, wherever they are stored in the organization.

1. Question: You recommend placing NMBs in a sealed box or, preferably, in a rapid sequence intubation (RSI) kit; or if NMBs must be stored in automated dispensing cabinets (ADCs), to keep them in lock-lidded pockets. Are there special recommendations for storage when NMBs are contained within an anesthesia cart?

Answer: ISMP recommends that organizations arrange their anesthesia carts and trays to avoid having look-alike vials, syringes, or bags in close proximity to one another, and to display product labels so they are visible and can be easily read.

^{Rev. 8/29/2016}