ENS 41483

v t e ENS Event
14:35 Mar 9, 2005
Title	Incorrect Dose Given to an Infant
Event Description	A 5 month old infant was to have received 0.5 millicuries of technetium-99 myoview sulfur colloid but instead received 11.6 millicuries of technetium-99 myoview sulfur colloid. Person did not look at the label when measuring the dose to be given to the 5 month old infant. Calculated whole body dose to the infant ranges from 1.0 to 10 rem (most likely between 5.2 and 10 rem whole body dose to the infant) . No adverse reaction to the infant due to receiving 11.6 millicuries of technetium-99 myoview sulfur colloid. Physician has talked to the parents of the infant. Licensee looking into what corrective actions to take in order to prevent this same incident from happening in the future. A written report will be issued.

ENS 41483 +/-
Where
St. Johns Mercy Medical Center St. Louis, Missouri (NRC Region 3)
License number:	24-00794-03
Organization:	St. Johns Mercy Medical Center
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+50.82 h2.118 days <br />0.302 weeks <br />0.0696 months <br />)
Opened:	Robert F. Turco, Rso 17:24 Mar 11, 2005
NRC Officer:	John Mackinnon
Last Updated:	Mar 11, 2005
41483 - NRC Website
v • d • e

v t e Emergency Notification System
St. Johns Mercy Medical Center with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2009-05-21T20:30:00 [Table view]
[ENS list for St. Johns Mercy Medical Center]

Navigation menu