--- title: Vecuronium Errors & How to Mitigate Risk description: New technology such as the BD Pyxis™ ES Refrigerator helps mitigate risk of improper NMBA storage. This medical-grade refrigerator provides integrated and secure, single line-item access to medications. image: https://blog.helmerinc.com/hubfs/Immunization%20Certified%20Pharmacists-1.png --- [![Helmer](https://blog.helmerinc.com/hs-fs/hubfs/HelmerScientific_September2019%20Theme/Images/helmer_logo.png?width=222&height=59&name=helmer_logo.png)](https://www.helmerinc.com/) - [Helmer Store](https://www.helmerinc.com/search?search%5B0%5D=product_category%3Adisposables&search%5B1%5D=product_category%3Aparts_and_accessories) - [Help Center](https://www.helmerinc.com/knowledge-center) - [Blog](https://blog.helmerinc.com/) - [Manuals](https://www.helmerinc.com/manuals) - [Distributor Resources](https://www.helmerinc.com/distributor-resources) - [Contact Us](https://www.helmerinc.com/contact-us) - [Request Quote](https://www.helmerinc.com/quote-request) - [Products](https://www.helmerinc.com/helmer-products) - - [Refrigerators](https://www.helmerinc.com/) - [Pharmacy Refrigerators](https://www.helmerinc.com/product-types/pharmacy-refrigerators) - [Vaccine Refrigerators](https://www.helmerinc.com/vaccine-refrigerators) - [Blood Bank Refrigerators](https://www.helmerinc.com/product-types/blood-bank-refrigerators) - [Laboratory Refrigerators](https://www.helmerinc.com/product-types/laboratory-refrigerators) - [Freezers](https://www.helmerinc.com/) - [Vaccine Freezers](https://www.helmerinc.com/vaccine-refrigerators) - [Plasma Freezers](https://www.helmerinc.com/product-types/plasma-freezers) - [Laboratory Freezers](https://www.helmerinc.com/product-types/laboratory-freezers-30degc) - [Ultra-Low Freezers](https://www.helmerinc.com/product-types/ultra-low-temperature-freezers-80degc) - [Blood Bank](https://www.helmerinc.com/) - [Platelet Storage](https://www.helmerinc.com/product-types/platelet-storage-systems) - [Plasma Thawers](https://www.helmerinc.com/product-types/plasma-thawers) - [Cell Washer](https://www.helmerinc.com/product-types/cell-washer) - [Centrifuges](https://www.helmerinc.com/product-types/centrifuges) - [More](https://www.helmerinc.com/) - [Service Plans](https://www.helmerinc.com/custom-service-partnerships) - [GX Solutions](https://www.helmerinc.com/gx-solutions) - [Vaccine Storage](https://www.helmerinc.com/pharmacy-vaccine-refrigerators-freezers) - [Parts & Accessories](https://www.helmerinc.com/search?search%5B0%5D=product_category%3Adisposables&search%5B1%5D=product_category%3Aparts_and_accessories) - [Custom Products](https://www.helmerinc.com/custom-products) - [All Products](https://www.helmerinc.com/helmer-products) - [Applications](https://www.helmerinc.com/) - - [For Blood Bank](https://www.helmerinc.com/search?search%5B0%5D=apps%3A206&search%5B1%5D=apps%3A211) - [Blood Bank | Transfusion Service](https://www.helmerinc.com/applications/blood-bank-transfusion-service) - [Blood Center](https://www.helmerinc.com/applications/blood-center) - [For Laboratory](https://www.helmerinc.com/search?search%5B0%5D=apps%3A201&search%5B1%5D=apps%3A216&search%5B2%5D=apps%3A221) - [Clinical Laboratory](https://www.helmerinc.com/applications/clinical-laboratory) - [Physician's Office](https://www.helmerinc.com/applications/physician-office) - [Tissue Storage](https://www.helmerinc.com/applications/tissue-storage) - [For Pharmacy](https://www.helmerinc.com/search?search%5B0%5D=apps%3A161&search%5B1%5D=apps%3A166&search%5B2%5D=apps%3A171&search%5B3%5D=apps%3A176) - [Hospital Pharmacy](https://www.helmerinc.com/applications/hospital-pharmacy) - [Specialty Pharmacy](https://www.helmerinc.com/applications/specialty-pharmacy) - [Outpatient Care](https://www.helmerinc.com/applications/outpatient-care) - [Patient Care Areas](https://www.helmerinc.com/applications/patient-care-areas) - [Retail Pharmacy](https://www.helmerinc.com/applications/retail-pharmacy) - [For Life Sciences](https://www.helmerinc.com/search?search%5B0%5D=apps%3A181&search%5B1%5D=apps%3A186&search%5B2%5D=apps%3A191&search%5B3%5D=apps%3A196) - [Biopharma & Biotech](https://www.helmerinc.com/applications/biopharma-biotech) - [Biorepository](https://www.helmerinc.com/applications/biorepository) - [Industrial](https://www.helmerinc.com/applications/industrial) - [University & Goverment](https://www.helmerinc.com/applications/university-government) - [Support](https://www.helmerinc.com/) - [Get a Quote](https://www.helmerinc.com/quote-request) - [Knowledge Center](https://www.helmerinc.com/knowledge-center) - [Technical Support](https://www.helmerinc.com/technical-support) - [Supplier Resources](https://www.helmerinc.com/supplier-resources) - [Regulatory & Compliance](https://www.helmerinc.com/regulatory-compliance) - [Distributor Locator](https://www.helmerinc.com/distributor-locator) - [Manuals](https://www.helmerinc.com/manuals) - [Helmer Store](https://www.helmerinc.com/search?search%5B0%5D=product_category%3Aparts_and_accessories) - [Company](https://www.helmerinc.com/about-us) - [About Us](https://www.helmerinc.com/about-us) - [Contact](https://www.helmerinc.com/contact-us) - [Blog](https://blog.helmerinc.com/) - [Careers](https://www.helmerinc.com/careers) - [Tradeshows](https://www.helmerinc.com/tradeshow-schedule) - [Responsibility](https://www.helmerinc.com/) - [Generosity](https://www.helmerinc.com/making-impact) - [Safety & Wellness](https://www.helmerinc.com/safety-and-wellness) - [Sustainability](https://www.helmerinc.com/sustainability) - - ## Recent Viewed Product [![Helmer Cold Storage Image](https://blog.helmerinc.com/hs-fs/hubfs/HelmerScientific_September2019%20Theme/Images/ilr245-c.png?width=75&height=100&name=ilr245-c.png) i.Series® Double Door Laboratory Refrigerator](https://www.helmerinc.com/products/iseriesr-double-door-laboratory-refrigerator-ilr245) - [Products](https://www.helmerinc.com/helmer-products) - [Refrigerators](https://www.helmerinc.com/) - [Pharmacy Refrigerators](https://www.helmerinc.com/product-types/pharmacy-refrigerators) - [Blood Bank Refrigerators](https://www.helmerinc.com/product-types/blood-bank-refrigerators) - [Laboratory Refrigerators](https://www.helmerinc.com/product-types/laboratory-refrigerators) - [Freezers](https://www.helmerinc.com/) - [Vaccine Freezers](https://www.helmerinc.com/vaccine-refrigerators) - [Plasma Freezers](https://www.helmerinc.com/product-types/plasma-freezers) - [Laboratory Freezers](https://www.helmerinc.com/product-types/laboratory-freezers-30degc) - [ULT Freezers](https://www.helmerinc.com/product-types/ultra-low-freezers-80degc) - [Blood Bank](https://www.helmerinc.com/) - [Platelet Storage](https://www.helmerinc.com/product-types/platelet-storage-systems) - [Plasma Thawers](https://www.helmerinc.com/product-types/plasma-thawers) - [Cell Washer](https://www.helmerinc.com/product-types/cell-washer) - [Centrifuges](https://www.helmerinc.com/product-types/centrifuges) - [Other](https://www.helmerinc.com/) - [Parts & Accessories](https://www.helmerinc.com/search?search%5B0%5D=product_category%3Adisposables&search%5B1%5D=product_category%3Aparts_and_accessories) - [Custom Products](https://www.helmerinc.com/custom-products) - [All Products](https://www.helmerinc.com/helmer-products) - [Applications](https://www.helmerinc.com/) - [For Blood Bank](https://www.helmerinc.com/search?search%5B0%5D=apps%3A206&search%5B1%5D=apps%3A211) - [Blood Bank | Transfusion Service](https://www.helmerinc.com/applications/blood-bank-transfusion-service) - [Blood Center](https://www.helmerinc.com/applications/blood-center) - [For Laboratory](https://www.helmerinc.com/search?search%5B0%5D=apps%3A201&search%5B1%5D=apps%3A216&search%5B2%5D=apps%3A221) - [Clinical Laboratory](https://www.helmerinc.com/applications/clinical-laboratory) - [Physician's Office](https://www.helmerinc.com/applications/physician-office) - [Tissue Storage](https://www.helmerinc.com/applications/tissue-storage) - [For Pharmacy](https://www.helmerinc.com/search?search%5B0%5D=apps%3A161&search%5B1%5D=apps%3A166&search%5B2%5D=apps%3A171&search%5B3%5D=apps%3A176) - [Hospital Pharmacy](https://www.helmerinc.com/applications/hospital-pharmacy) - [Specialty Pharmacy](https://www.helmerinc.com/applications/specialty-pharmacy) - [Outpatient Care](https://www.helmerinc.com/applications/outpatient-care) - [Patient Care Areas](https://www.helmerinc.com/applications/patient-care-areas) - [Retail Pharmacy](https://www.helmerinc.com/applications/retail-pharmacy) - [For Life Sciences](https://www.helmerinc.com/search?search%5B0%5D=apps%3A181&search%5B1%5D=apps%3A186&search%5B2%5D=apps%3A191&search%5B3%5D=apps%3A196) - [Biopharma & Biotech](https://www.helmerinc.com/applications/biopharma-biotech) - [Biorepository](https://www.helmerinc.com/applications/biorepository) - [Industrial](https://www.helmerinc.com/applications/industrial) - [University & Goverment](https://www.helmerinc.com/applications/university-government) - [Support](https://www.helmerinc.com/) - [Get a Quote](https://www.helmerinc.com/quote-request) - [Knowledge Center](https://www.helmerinc.com/knowledge-center) - [Technical Support](https://www.helmerinc.com/technical-support) - [Purchasing Organizations](https://www.helmerinc.com/purchasing-organizations) - [Supplier Resources](https://www.helmerinc.com/supplier-resources) - [Regulatory & Compliance](https://www.helmerinc.com/regulatory-compliance) - [Distributor Locator](https://www.helmerinc.com/distributor-locator) - [Helmer Store](https://www.helmerinc.com/search?search%5B0%5D=product_category%3Aparts_and_accessories) - [Company](https://www.helmerinc.com/about-us) - [About Us](https://www.helmerinc.com/about-us) - [Contact](https://www.helmerinc.com/contact-us) - [Blog](https://blog.helmerinc.com/) - [Careers](https://www.helmerinc.com/careers) - [Tradeshows](https://www.helmerinc.com/tradeshow-schedule) - [Responsibility](https://www.helmerinc.com/) - [Generosity](https://www.helmerinc.com/making-impact) - [Safety & Wellness](https://www.helmerinc.com/safety-and-wellness) - [Sustainability](https://www.helmerinc.com/sustainability) - [Store](https://www.helmerinc.com/search?search%5B0%5D=product_category%3Adisposables&search%5B1%5D=product_category%3Aparts_and_accessories) - [Help Center](https://www.helmerinc.com/knowledge-center) - [Blog](https://blog.helmerinc.com/) - [Manuals](https://www.helmerinc.com/manuals) - [Distributor Resources](https://www.helmerinc.com/distributor-resources) - [Contact Us](https://www.helmerinc.com/contact-us) - [Request Quote](https://www.helmerinc.com/quote-request) Keyword Keyword [View All](https://blog.helmerinc.com/) - [Pharmacy (296)](https://blog.helmerinc.com/topic/pharmacy) - [Clinical Laboratory (263)](https://blog.helmerinc.com/topic/clinical-laboratory) - [Blood Bank (237)](https://blog.helmerinc.com/topic/blood-bank) - [Vaccine Storage (216)](https://blog.helmerinc.com/topic/vaccine-storage) - [News & Events (74)](https://blog.helmerinc.com/topic/news-events) - [Helmer Generosity (54)](https://blog.helmerinc.com/topic/helmer-generosity) - [Life Science Research (48)](https://blog.helmerinc.com/topic/life-science-research) - [Service (27)](https://blog.helmerinc.com/topic/service) ### Subscribe to Our Newsletter --- ##### [Shop Now](https://www.helmerinc.com/search?search%5B0%5D=product_category%3Adisposables&search%5B1%5D=product_category%3Aparts_and_accessories) - [**Blue**View](https://blog.helmerinc.com) - Vecuronium Errors & How to Mitigate Risk # Vecuronium Errors & How to Mitigate Risk Posted on Sep 18, 2019 by Miranda Schroeder ## ![Immunization Certified Pharmacists-1](https://blog.helmerinc.com/hs-fs/hubfs/Immunization%20Certified%20Pharmacists-1.png?width=1024&name=Immunization%20Certified%20Pharmacists-1.png) Vecuronium and other neuromuscular blocking agents (NMBAs) can cause catastrophic injury and even death when administered in error. In 2017, a nurse accessed an automated dispensing cabinet (ADC) to retrieve a sedative for a patient about to have a PET scan. Instead of grabbing the 2 mg of Versed (midazolam, Roche), she accidentally grabbed the vecuronium. The vecuronium was administered to the patient which caused them to go into cardiac arrest. The risks associated with NMBAs should not be taken lightly. There are various root causes which contribute to Vecuronium mix-ups including look-alike packaging and labeling, look-alike drug names, unsafe mnemonics, and unsafe storage. “The most common type of error with neuromuscular blockers appears to be administration of the wrong drug. A 2009 analysis of 154 events over a 5 year period showed that a neuromuscular blocker was not the intended drug in approximately half of all wrong drug errors. Practitioners thought they were administering a different drug, so patients may not have been supported with mechanical ventilation. **More than 80% of these wrong-drug errors reached the patient, and approximately a quarter resulted in patient harm**—a rate significantly higher when compared to less than 1% of events causing harm with all other wrong-drug errors during the same study period. ([ISMP](https://www.ismp.org/resources/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility))” ## Look-alike Packaging and Labeling ![VC Blog](https://blog.helmerinc.com/hs-fs/hubfs/VC%20Blog.png?width=300&name=VC%20Blog.png)Vials of flumazenil 0.5 mg/5 mL and vecuronium 10 mg from NOVAPLUS look extremely similar once the different colored caps have been removed. Practitioners have expressed concern about this look-alike packaging. Moreover, Mylan’s vecuronium 20 mg and vancomycin 1 g vials also look extremely similar with their caps removed. Both vials contain white lyophilized powder that requires reconstitution. ## Look-alike Drug Names There are also many incidents where look-alike drug names have caused administration errors. For example, a nurse transcribed a verbal order for NARCAN (naloxone), but the pharmacists misunderstood the order and dispensed NORCURON (vecuronium). The nurse trusted the pharmacist and thought that might be the generic, so it was administered.  Many other cases have been reported where these two drugs have been mixed up due to the like sounding names. ## Unlabeled and Mislabeled Syringes On multiple accounts, vecuronium syringes have been mistaken for something else and administered in error. There have also been mix ups with the wrong syringes being stored in the right locations and vice versa. ## Knowledge Deficit About Drug Action & Required Ventilation There have been fatal errors where a knowledge deficit played a role. For example, there was an incident where an ER physician gave a verbal order for vecuronium and midazolam and the nurse administered the drugs without realizing that vecuronium would paralyze the respiratory muscles. ## Unsafe Storage Unsafe storage leaves room for error. Several infants received atracurium instead of the hepatitis B vaccine. One infant sustained permanent injury and another died. The neuromuscular blockers are never stored in the nursery unit, but an anesthesiologist from the OR had placed the atracurium in the nursery refrigerator near look-alike vials. There are other ways NMBAs get dispensed and administered on accident. Unsafe mnemonics, drug administration after extubation, orders entered wrong into the electronic health system, syringe swaps, reversal agent not available, residual drug in tubing, dose or rate confusion and so on all can lead to vecuronium errors.  ### Primary Recommendations - Assess labeling and packaging - Standardize prescribing. - Use clear terminology. - Build computer reminders. - Limit access. - Segregate storage. - Affix warning labels. - Dispense from pharmacy. - Verify neuromuscular blockers. - Use smart infusion pumps. ### Secondary Recommendations - Reduce the risk of IV admixture errors. - Reduce the risk of batching errors. - Reduce unsafe mnemonics - Provide warnings on pharmacy labels. - Require proper labeling - Provide access to reversal agents - Flush the line. - Timely dispensing and prompt removal - Increase awareness - Verify competency Vecuronium and NMBA errors are dangerous and serious adverse events that continue to occur. Although the cases highlighted above vary, most of the extremely harmful errors were caused by choosing a NMBA instead of the drug requested. NMBAs are a strong focus of ISMP Best Practice 7, which intends to promote the safe storage of neuromuscular blockers. Using the primary and secondary recommendations above will help your facility safely order, store, select, prepare, and administer NMBAs. ##### Other Blogs You Might Be Interested In...  - [Immunization Certified Pharmacists Help Raise Vaccination Rates](https://blog.helmerinc.com/immunization-certified-pharmacists-help-raise-vaccination-rates) - [Reducing Refrigerated Medication Errors with New Technology](https://blog.helmerinc.com/reducing-refrigerated-medication-errors-with-new-technology) - [Drug Storage Automation— Finding Solutions for your Refrigerated Products](https://blog.helmerinc.com/drug-storage-automation-finding-solutions-for-your-refrigerated-products) - [Preventing Diversion in the Outpatient Setting](https://blog.helmerinc.com/preventing-diversion-in-the-outpatient-setting) New technology such as the BD Pyxis™ ES Refrigerator helps mitigate risk of improper NMBA storage. This medical-grade refrigerator provides integrated and secure, single line-item access to high-risk and high-value refrigerated medications such as vecuronium. Learn more about this safe solution at the link below. [![Learn More »](https://no-cache.hubspot.com/cta/default/1862406/f1779170-2491-4945-bc35-a2224c79413b.png)](https://cta-redirect.hubspot.com/cta/redirect/1862406/f1779170-2491-4945-bc35-a2224c79413b) ![Miranda Schroeder](https://blog.helmerinc.com/hubfs/Blog/authors/MirandaAllen.jpg) ### Written by [Miranda Schroeder](https://blog.helmerinc.com/author/miranda-schroeder) Helmer designs, manufactures, and sells reliable medical-grade refrigeration. Miranda specializes in the pharmacy segment in regards to proper cold storage for refrigerated and frozen medications and vaccines. [LinkedIn](https://www.linkedin.com/profile/preview?locale=en_US&trk=prof-0-sb-preview-primary-button) #### Share or write a comment! [![Share on facebook](https://7528309.fs1.hubspotusercontent-na1.net/hub/7528309/hubfs/raw_assets/public/mV0_d-web-default-modules_hubspot/img/facebook-color.png?width=24&name=facebook-color.png)](http://www.facebook.com/share.php?u=https%3A%2F%2Fblog.helmerinc.com%2Fvecuronium-errors-how-to-mitigate-risk%3Futm_medium%3Dsocial%26utm_source%3Dfacebook) [![Share on linkedin](https://7528302.fs1.hubspotusercontent-na1.net/hub/7528302/hubfs/raw_assets/public/mV0_d-web-default-modules_hubspot/img/linkedin-color.png?width=24&name=linkedin-color.png)](http://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Fblog.helmerinc.com%2Fvecuronium-errors-how-to-mitigate-risk%3Futm_medium%3Dsocial%26utm_source%3Dlinkedin) ### Subscribe to Our BlueView Blog ### Subscribe to Our Newsletter --- ### Recent Posts --- [![Share on facebook](https://7528309.fs1.hubspotusercontent-na1.net/hub/7528309/hubfs/raw_assets/public/mV0_d-web-default-modules_hubspot/img/facebook-color.png?width=24&name=facebook-color.png)](http://www.facebook.com/share.php?u=https%3A%2F%2Fblog.helmerinc.com%2Fvecuronium-errors-how-to-mitigate-risk%3Futm_medium%3Dsocial%26utm_source%3Dfacebook) [![Share on linkedin](https://7528302.fs1.hubspotusercontent-na1.net/hub/7528302/hubfs/raw_assets/public/mV0_d-web-default-modules_hubspot/img/linkedin-color.png?width=24&name=linkedin-color.png)](http://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Fblog.helmerinc.com%2Fvecuronium-errors-how-to-mitigate-risk%3Futm_medium%3Dsocial%26utm_source%3Dlinkedin) [![Helmer](https://blog.helmerinc.com/hubfs/HelmerScientific_September2019%20Theme/Images/helmer_logo.png)](https://www.helmerinc.com/) [About Helmer Scientific](https://www.helmerinc.com/about-us) - [Regulatory & Compliance](https://www.helmerinc.com/regulatory-compliance) - [About Us](https://www.helmerinc.com/about-us) - [Blog](https://blog.helmerinc.com/) - [Generosity](https://www.helmerinc.com/making-impact) - [Careers](https://www.helmerinc.com/careers) - [Contact Us](https://www.helmerinc.com/contact-us) [Support & Resources](https://www.helmerinc.com/knowledge-center) - [Knowledge Center](https://www.helmerinc.com/knowledge-center) - [Distributor Locator](https://www.helmerinc.com/distributor-locator) - [Distributor Resources](https://www.helmerinc.com/distributor-resources) - [Request a Quote](https://www.helmerinc.com/quote-request) - [Submit Service Request](https://www.helmerinc.com/technical-support) - [Supplier Resources](https://www.helmerinc.com/supplier-resources) - [Helmer Store](https://www.helmerinc.com/search?search%5B0%5D=product_category%3Adisposables&search%5B1%5D=product_category%3Aparts_and_accessories) [Products](https://www.helmerinc.com/helmer-products) - [Pharmacy Refrigerators](https://www.helmerinc.com/product-types/pharmacy-refrigerators) - [Vaccine Refrigerators](https://www.helmerinc.com/vaccine-refrigerators) - [Blood Bank Refrigerators](https://www.helmerinc.com/product-types/blood-bank-refrigerators) - [Laboratory Refrigerators](https://www.helmerinc.com/product-types/laboratory-refrigerators) - [Laboratory Freezers](https://www.helmerinc.com/product-types/laboratory-freezers-30degc) - [Vaccine Freezers](https://www.helmerinc.com/pharmacy-vaccine-refrigerators-freezers) - [Plasma Freezers](https://www.helmerinc.com/product-types/plasma-freezers) - [ULT Freezers](https://www.helmerinc.com/product-types/ultra-low-freezers-80degc) - [Platelet Storage](https://www.helmerinc.com/product-types/platelet-storage-systems) - [Plasma Thawers](https://www.helmerinc.com/product-types/plasma-thawers) - [Cell Washer](https://www.helmerinc.com/product-types/cell-washer) - [Centrifuges](https://www.helmerinc.com/product-types/centrifuges) - [Custom Products](https://www.helmerinc.com/custom-products) - [Helmer Store](https://www.helmerinc.com/search?search%5B0%5D=product_category%3Adisposables&search%5B1%5D=product_category%3Aparts_and_accessories) [For Laboratory](https://www.helmerinc.com/search?search%5B0%5D=apps%3A201&search%5B1%5D=apps%3A206&search%5B2%5D=apps%3A211&search%5B3%5D=apps%3A216&search%5B4%5D=apps%3A221) - [Clinical Laboratory](https://www.helmerinc.com/applications/clinical-laboratory) - [Blood Bank | Transfusion Service](https://www.helmerinc.com/applications/blood-bank-transfusion-service) - [Blood Center](https://www.helmerinc.com/applications/blood-center) - [Physician's Office](https://www.helmerinc.com/applications/physician-office) - [Tissue Storage](https://www.helmerinc.com/applications/tissue-storage) [For Pharmacy](https://www.helmerinc.com/search?search%5B0%5D=apps%3A161&search%5B1%5D=apps%3A166&search%5B2%5D=apps%3A171&search%5B3%5D=apps%3A176) - [Hospital Pharmacy](https://www.helmerinc.com/applications/hospital-pharmacy) - [Specialty Pharmacy](https://www.helmerinc.com/applications/specialty-pharmacy) - [Outpatient Care](https://www.helmerinc.com/applications/outpatient-care) - [Patient Care Areas](https://www.helmerinc.com/applications/patient-care-areas) - [Retail Pharmacy](https://www.helmerinc.com/applications/retail-pharmacy) [For Life Sciences](https://www.helmerinc.com/search?search%5B0%5D=apps%3A181&search%5B1%5D=apps%3A186&search%5B2%5D=apps%3A191&search%5B3%5D=apps%3A196) - [BioPharma & BioTech](https://www.helmerinc.com/applications/biopharma-biotech) - [BioRepository](https://www.helmerinc.com/applications/biorepository) - [Industrial](https://www.helmerinc.com/applications/industrial) - [University & Government](https://www.helmerinc.com/applications/university-government) Copyright 2024 Helmer Scientific Inc. - [Terms of Use](https://www.helmerinc.com/terms-use) - [Privacy Policy](https://www.helmerinc.com/privacy-policy) - [Sales Terms & Conditions](https://www.helmerinc.com/sales-terms-conditions) - [Contact Us](https://www.helmerinc.com/contact-us) - [800-743-5637](tel:8007435637) ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Miranda Schroeder", "url" : "https://blog.helmerinc.com/author/miranda-schroeder" }, "dateModified" : "2021-07-09T15:32:06.819Z", "datePublished" : "2019-09-18T14:00:00.000Z", "headline" : "Vecuronium Errors & How to Mitigate Risk", "image" : [ "https://blog.helmerinc.com/hubfs/Immunization%20Certified%20Pharmacists-1.png" ], "mainEntityOfPage" : { "@id" : "https://blog.helmerinc.com/vecuronium-errors-how-to-mitigate-risk", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://blog.helmerinc.com/hubfs/logo.png" }, "name" : "Helmer Scientific" } } ```