Thallous
Chloride (4 mCi of Tl-201) was injected into a patient without a prescription. A technician asked the patient before administering the dose if he/she was the person on the prescription. The patient responded positively. The technician administered the dose to the patient without checking the patient's wrist-band identification to confirm the patient's identity. The Thallous
Chloride was prescribed to a different patient in preparation for an X-ray examination of the heart.
The physician notified the patient that he/she inadvertently received a 4 mCi dose of Thallous
Chloride. The physician determined that no medical treatment was required to treat the effects of the misadministered dose. The technician has received counseling, a copy of the hospital's identification policy, and a written warning as a corrective measures action.