Goog Guy Rocuronium. As if you needed another reason to like rocuronium. I’m certain many of you are aware of this neat trick but I just discovered it while restocking the RSI kit. Good guy rocuronium wants you to reduce medication errors by labeling your syringes!

Take a look: on this particular manufacturer’s vial the label has an arrow in the top right corner of the orange area. Until literally 5 minutes ago, I thought it was nothing. But it actually peals off to be used as a label for a syringe!

Other medications have similar labels (like fentanyl), but few paralytics have these labels affixed to the vial itself. Certainly in the natural environment of the ED in a RSI setting, having appropriate labeling isn’t always a priority (as much as it should be). However, this can serve as a handy identifier to remove confusion and prevent errors. Goog Guy Rocuronium.
While this would be a welcomed addition to almost any medication used in the emergency department, few have this capability. Perhaps this would be a worthy cause for pharmaceutical professional organizations to take up and lobby as a medicaiton safety improvement task. ISMP, ASHP and the like would certainly feel this is within their scope and would improve patient safety. We’ll see.
Happy new year!
med safety