I know this topic was posted last year but I wanted to see if there are any organizations that have moved to storing NMBs in lidded bins in anesthesia carts. I reached out directly to ISMP and they responded that the intent of BPR #7 is that NMBs should be in lidded bins/ boxes wherever they are stored within an organization, including the OR. We currently have rocuronium vials stored in lidded bins but we do not have enough room to store succinylcholine syringes in lidded bins. I would be grateful to hear from anyone who has been successful with this!

My student and I are evaluating a case where a patient received an inadvertent bolus of residual high-concentration norepinephrine which was still present in a port access line after an infusion. We occasionally get reports of similar events happening with propofol for patients coming out of the OR. And I recall that there was at least one published case many years ago involving a neuromuscular blocker. I'm wondering if anyone has had similar events at your hospital, and if you have any ideas how to "hard wire" preventing this type of event?