ENS 41124

v t e ENS Event
05:00 Oct 1, 2004
Title	Agreement State - Medical Event
Event Description	This incident took place on October 1, 2004. A patient from Room 5206 was administered 20 millicuries of Xe-133 gas resulting in a lung dose of 0.22 Rad and an Effective Dose Equivalent of 0.028 Rad. It was then found that the orders were written for a patient in Room 5213. The order form had the wrong patient name sticker attached. The nursing station supervisor stated that they had noticed incorrect patient name stickers in the Room 5213 patient chart. It is not known how these stickers and chart orders were switched. The patient was notified of the error and the correct patient later received the Xenon scan. Event Report: LA040012

ENS 41124 +/-
Where
Tulane University New Orleans, Louisiana (NRC Region 4)
License number:	LA-0004-L01
Organization:	Louisiana Radiation Protection Div
Reporting

Agreement State
Time - Person (Reporting Time:+342.13 h14.255 days <br />2.036 weeks <br />0.469 months <br />)
Opened:	Scott Blackwell 11:08 Oct 15, 2004
NRC Officer:	Bill Gott
Last Updated:	Oct 15, 2004
41124 - NRC Website
v • d • e

v t e Emergency Notification System
Tulane University with Agreement State
WEEKMONTHYEAR2005-01-26T06:00:00 [Table view]
[ENS list for Tulane University]

Navigation menu