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. |
| 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 | |
Children'S Hospital with Agreement State | |
WEEKMONTHYEARENS 409902004-08-05T05:00:0005 August 2004 05:00:00
[Table view]Agreement State Incorrect Dose Administered to a Patient 2004-08-05T05:00:00 | |