ENS Event | |
|---|---|
05:00 Aug 10, 2004 | |
| Title | Medical Misadministration |
| Event Description | The following information was received from the State of Alabama Department of Public Health via facsimile:
SUBJECT: Licensee identification of I-131 Misadministration. By telefax notification on August 17, 2004, Northeast Alabama Regional Medical Center (Alabama Radioactive Material License No. 315) notified the State of Alabama of a misadministration involving Iodine-131. In the telefaxed report, the licensee indicated that the event occurred on August 10, 2004 and was discovered on August 12, 2004. The dose prescribed was 25 microcuries of I-131 and the dose administered was 3.0 millicuries. Based on the information supplied by the licensee, it appears that the imaging technologist misunderstood the referring physician's request and the dose was not approved by the authorized user. The licensee indicated in their report that there was no apparent effects to the patient. Corrective measures included reinstructing personnel and ensuring that all procedures are approved by the authorized user. At this time, the Office of Radiation Control is requesting additional information from the licensee. Once made available, the information will be supplied via the NMED database system. |
| Where | |
|---|---|
| Northeast Alabama Regional Medical Center Montgomery, Alabama (NRC Region 1) | |
| License number: | 315 |
| Organization: | Alabama Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+339.87 h14.161 days <br />2.023 weeks <br />0.466 months <br />) | |
| Opened: | David Tuberville 08:52 Aug 24, 2004 |
| NRC Officer: | Howie Crouch |
| Last Updated: | Aug 24, 2004 |
| 40979 - NRC Website | |
Northeast Alabama Regional Medical Center with Agreement State | |
WEEKMONTHYEARENS 409792004-08-10T05:00:00010 August 2004 05:00:00
[Table view]Agreement State Medical Misadministration 2004-08-10T05:00:00 | |