ENS 42306

v t e ENS Event
05:00 Jan 16, 2006
Title	Agreement State Report - Medical Misadministration
Event Description	The State provided the following information via facsimile: The South Carolina Department of Health and Environmental Control was notified (telephone) on February 3, 2006, by the licensee, that a medical misadministration had occurred. A patient who was scheduled for an Iodine-131 whole body scan (~4 millicuries) was administered an Iodine-131 therapy dose of 200 millicuries instead. This event took place on January 16, 2006, but was not discovered by the Nuclear Medicine Department until February 2, 2006. The Nuc. Med. Dept. notified the Radiation Safety Office on February 3, 2006. The Radiation Safety Office then notified the Department as well on February 3, 2006 at 3:15 p.m. The referring physician has been notified and was in the process of notifying the patient. The licensee knew no additional details at this point. Additional information will be provided by the licensee in a written report within 15 days. Updates to this event will be made through the NMED system as further information is received. Event Report ID #SC060002

ENS 42306 +/-
Where
Medical University Of South Carolina Charleston, South Carolina (NRC Region 1)
License number:	081
Organization:	Sc Div Of Health & Env Control
Reporting

Agreement State
Time - Person (Reporting Time:+443.42 h18.476 days <br />2.639 weeks <br />0.607 months <br />)
Opened:	Melinda Bradshaw 16:25 Feb 3, 2006
NRC Officer:	Mark Abramovitz
Last Updated:	Feb 3, 2006
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v t e Emergency Notification System
Medical University of South Carolina with Agreement State
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