Best Practice #20 FAQ

Best Practice #20: Safeguard against wrong-route errors with tranexamic acid.

1. Question: Why does this Best Practice say to avoid storing tranexamic acid next to local anesthetics? Is this specific to tranexamic acid or only when tranexamic acid is kept in an anesthesia tray or cart?

Answer: In many of the error cases reported to ISMP, tranexamic acid was mistakenly given instead of a local anesthetic. ISMP recommends avoiding storing tranexamic acid in anesthesia trays, and separating or sequestering it in all storage locations (e.g., pharmacy, clinical areas) keeping it away from other local anesthetics. 

^{Rev. 1/10/2024}