ENS 41271
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ENS Event | |
|---|---|
20:00 Oct 25, 2004 | |
| Title | Agreement State Medical Event |
| Event Description | The following information was received via facsimile:
At 2:00PM on October 25, 2004, Saint Mary's Diagnostic Center reported that a Myoview dose was not showing the heart, but the sternum was viewable, indicating that the dose may have been MDP (bone agent). The syringe was retrieved from the customer and test confirmed the dose was MDP. The cause of the error was improper drug selection when filling the prescription. An in-service was conducted for the importance of detail when filling prescriptions and dispensing doses to correct the problem. The written notification was not received until December 13, 2004. LA Event Report ID - LA040014 |
| Where | |
|---|---|
| Cardinal Health Lafayette, Louisiana (NRC Region 4) | |
| License number: | LA-5115-L01 |
| Organization: | Louisiana Radiation Protection Div |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+1356.75 h56.531 days <br />8.076 weeks <br />1.858 months <br />) | |
| Opened: | Scott Blackwell 09:45 Dec 21, 2004 |
| NRC Officer: | Jeff Rotton |
| Last Updated: | Dec 21, 2004 |
| 41271 - NRC Website | |
Cardinal Health with Agreement State | |
WEEKMONTHYEARENS 573482024-09-27T09:00:00027 September 2024 09:00:00
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Radiopharmaceuticals Delivery Vehicle Accident ENS 441362008-04-09T12:00:0009 April 2008 12:00:00 Agreement State Agreement State - Mississippi - Traffic Accident Involving Truck Carrying Tc-99M ENS 441392008-03-19T04:00:00019 March 2008 04:00:00 Agreement State Agreement State - Florida - Missing Dose of Tc-99M ENS 438412007-11-19T15:13:00019 November 2007 15:13:00 Agreement State Agreement State Report - Dose to Wrong Organs ENS 437312007-09-24T05:00:00024 September 2007 05:00:00 Agreement State Agreement State Report Involving an Improper Injection ENS 434322007-05-16T05:00:00016 May 2007 05:00:00 Agreement State Louisiana Agreement State Report - Medical Event Due to Dispensing Error ENS 432012007-02-14T06:00:00014 February 2007 06:00:00 Agreement State Agreement State Report - Dispensing Error for Thallium -201 Dose ENS 429992006-11-16T06:00:00016 November 2006 06:00:00 Agreement State Agreement State - Stolen Truck Containing Radiopharmiceuticals ENS 428582006-09-22T11:00:00022 September 2006 11:00:00 Agreement State Agreement State Report - Traffic Accident Involving a Truck Carrying Radioactive Material ENS 426242006-05-22T05:00:00022 May 2006 05:00:00 Agreement State Agreement State Report - Unsecured Delivery of Radioactive Material ENS 424412006-03-22T08:00:00022 March 2006 08:00:00 Agreement State Agreement State Report - Radiation Exposure ENS 424182006-03-05T06:00:0005 March 2006 06:00:00 Agreement State Agreement State Report - Patient Received Improper Medical Dose ENS 422732006-01-18T06:00:00018 January 2006 06:00:00 Agreement State Agreement State Report of an Extremity Exposure Greater than Limit ENS 422362005-12-29T16:45:00029 December 2005 16:45:00 Agreement State Agreement State Report - Transportation Accident Involving Used Technetium 99M Syringes ENS 422232005-12-22T12:30:00022 December 2005 12:30:00 Agreement State Agreement State Report of Traffic Accident Involving Radioactive Material ENS 418402005-06-26T21:20:00026 June 2005 21:20:00 Agreement State Agreement State - Medical Sources Stolen ENS 414692005-03-08T13:40:0008 March 2005 13:40:00 Agreement State Agreement State Report - Truck Containing Radiopharmaceuticals Stolen in Massachusetts ENS 413512005-01-20T17:00:00020 January 2005 17:00:00 Agreement State Agreement State Report Involving a Pharmacy Spill of Samarium-153 ENS 413062005-01-01T10:00:0001 January 2005 10:00:00 Agreement State Agreement State Report of Truck Crash Resulting in Minor Contamination and Loss of Radiopharmaceutical Vials ENS 412712004-10-25T20:00:00025 October 2004 20:00:00 Agreement State Agreement State Medical Event ENS 409362004-08-09T13:30:0009 August 2004 13:30:00 Agreement State Spill of I-131 Resulting in Contamination ENS 418332004-05-02T04:00:0002 May 2004 04:00:00 Agreement State Agreement State Report Involving a Potential Extremity Overexposure ENS 408482004-02-27T05:00:00027 February 2004 05:00:00 Agreement State Lousiana Agreement State Report - Medical Event ENS 405532004-02-26T21:00:00026 February 2004 21:00:00 Agreement State Agreement State Reports Spill at Nuclear Pharmacy 2024-09-27T09:00:00 | |
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