Purpose: To develop a policy to standardize the care of patients paralyzed with neuromuscular blocking agents (NMBAs).
Methods: Criteria were developed to assess adherence to the policy. Categorical and continuous data were collected and analyzed.
Results: Deficiencies were identified in frequency of train-of-four monitoring and in carrying out daily discontinuation of NMBAs to allow effects of paralysis to dissipate.
Conclusions: The policy was useful as an educational tool. A NMBA order form should be developed to improve adherence to the policy.