ENS Event | |
|---|---|
14:30 Feb 27, 2007 | |
| Title | Medical Event - Treatment to Wrong Patient |
| Event Description | Patient "A" was suppose to receive a non-nuclear stress treatment by a technologist. Patient "B" was suppose to receive a nuclear treatment by a technologist. Patient "B" did not show up for the scheduled appointment. The technologist mistakenly gave patient "A" an injection (0.67 ml) of Tc-99m Cardolite (15 millicuries), which was suppose to go to patient "B". The attending physician notified patient "A" of this error, and deemed no corrective action to the patient was necessary. The error was determined to be that the technologist did not follow procedures, which is to verify patient name. As a corrective measure, the technologist was provided additional instruction in this matter.
A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
The RSO called to retract this event stating that patient "A" did not reach the threshold of effective dose equivalent. Notified R3DO (Orth) and FSME (G. Morell). |
| Where | |
|---|---|
| Hannibal Clinic Hannibal, Missouri (NRC Region 3) | |
| License number: | 24-32619-01 |
| Organization: | Hannibal Clinic |
| Reporting | |
| 10 CFR 35.3045(a)(2) | |
| Time - Person (Reporting Time:+0.83 h0.0346 days <br />0.00494 weeks <br />0.00114 months <br />) | |
| Opened: | Joel Hassien 15:20 Feb 27, 2007 |
| NRC Officer: | John Knoke |
| Last Updated: | Mar 5, 2007 |
| 43193 - NRC Website | |
Hannibal Clinic with 10 CFR 35.3045(a)(2) | |
WEEKMONTHYEARENS 431932007-02-27T14:30:00027 February 2007 14:30:00
[Table view]10 CFR 35.3045(a)(2) Medical Event - Treatment to Wrong Patient 2007-02-27T14:30:00 | |