ENS 40990

v t e ENS Event
05:00 Aug 5, 2004
Title	Incorrect Dose Administered to a Patient
Event Description	A misadministration occurred on August 5, 2004. The patient was an uncooperative 20 year old Down's Syndrome who was to be injected with 20 mCi of Tc-99m MDP for a bone scan. While attempting to restrain the patient the technologist mistakenly reached for and injected a 4.2 mCi DMSA renal scan dose. The patient was notified of the error and subsequently injected with the correct dose. The misadministration did not exceed the 5 rems effective dose equivalent or the 50 rems dose equivalent to any organ. The technologist was been counseled to obtain assistance when performing such administrations in the future.

ENS 40990 +/-
Where
Children'S Hospital New Orleans, Louisiana (NRC Region 4)
License number:	LA-1448-L01
Organization:	Louisiana Radiation Protection Div
Reporting

Agreement State
Time - Person (Reporting Time:+532.58 h22.191 days <br />3.17 weeks <br />0.73 months <br />)
Opened:	Scott Blackwell (Fax) 09:35 Aug 27, 2004
NRC Officer:	Chauncey Gould
Last Updated:	Aug 27, 2004
40990 - NRC Website
v • d • e

v t e Emergency Notification System
Children'S Hospital with Agreement State
WEEKMONTHYEAR2004-08-05T05:00:00 [Table view]
[ENS list for Children'S Hospital]

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