Medication syringes look alike risk with sodium chloride flush - safety strategies?

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Mon, 04/14/2025 - 16:06
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Emily N Warner
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Joined: 12/23/2024 - 13:38
Medication syringes look alike risk with sodium chloride flush - safety strategies?

Is anyone else practicing where atropine (NDC 64253-400-30) and/or calcium chloride 10% syringes (NDC 64253-900-30) are in the soft packaging and visually look like BD sodium chloride 0.9% flush syringes when face down? There was the recent ISMP MedAlert highlighting this concern as a safety brief (Volume 30 Issue 3 from Feb 13, 2025). We are switching our calcium chloride back to the box packaging to prevent medication mix up errors. If this is happening anywhere else, I'm curious if there are safety strategies being utilized that have been found to be effective. Thank you!

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