I wanted to share a safety alert that circulated through our health system yesterday.
A pharmacist discovered that a box of cisatracurium from Meitheal contained vials that were labeled as phenylephrine in error. This has been reported to FDA, ISMP, etc., but given the severity of the potential error of a mislabeled paralytic, I wanted to share with this group ASAP.
I have attached pictures for your reference.