ENS Event | |
|---|---|
06:00 Jan 26, 2005 | |
| Title | Agreement State Report - Medical Event |
| Event Description | The following information was provided by the licensee to the State of Louisiana (licensee text in quotes):
The following incident took place on 1/26/05 in the Tulane Hospital/Clinic Nuclear Medicine area. A patient was to be administered 5[milliCuries] of I-131 for a total body scan in order to look for thyroid metastases. Due to an error in transcription of the order, a student technologist injected a 27 [millicuries] Tc-99m MDP bone scan. The resulting Effective Dose Equivalents were 0.675 rad to the bone and 0.189 rad to the total body. The patient was notified of the error and the correct radiopharmaceutical later administered. The senior technologist was reprimanded by the Radiology Department Head for not properly supervising the procedure. The physician was notified. The State of Louisiana Department of Environmental Quality will be conducting their own investigation. |
| Where | |
|---|---|
| Tulane University New Orleans, Louisiana (NRC Region 4) | |
| License number: | LA-004-L01 |
| Organization: | Louisiana Radiation Protection Div |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+1036.3 h43.179 days <br />6.168 weeks <br />1.42 months <br />) | |
| Opened: | Joseph Noble 10:18 Mar 10, 2005 |
| NRC Officer: | Jeff Rotton |
| Last Updated: | Mar 10, 2005 |
| 41478 - NRC Website | |
Tulane University with Agreement State | |
WEEKMONTHYEARENS 414782005-01-26T06:00:00026 January 2005 06:00:00
[Table view]Agreement State Agreement State Report - Medical Event ENS 411242004-10-01T05:00:0001 October 2004 05:00:00 Agreement State Agreement State - Medical Event ENS 409872004-04-20T05:00:00020 April 2004 05:00:00 Agreement State Agreement State Report - Incorrect Medical Treatment Site 2005-01-26T06:00:00 | |