We are considering using LET Topical solution prepared by Quva. Main concern is that it is in an oral syringe that could easily be confused with any other oral syringe and accidentally given orally (esp. in the setting of a pediatric emergency room). See image attached.

We have added a dispensing alert when the nurse removes from the ADC.

Curious to know if other institutions are dispensing LET in an oral syringe and what mitigation strategies have you put in place?