ENS Event | |
|---|---|
16:00 Mar 12, 2007 | |
| Title | Incorrect Radionuclide Administered to Patient |
| Event Description | The licensee was performing a gall bladder study that required a dose of 5 millicuries of Tc-99 to be administered. A participant in the study was given the wrong radionuclide Gallium Citrate (Ga-67), accelerator produced, in error. Both syringes containing the doses were located in the same case, which was delivered to Sibley Hospital by Mallinckrodt. The licensee informed the patient of the error and that there is minimal risk of adverse effects to the patients health.
The actual dose versus the prescribed dose is still under investigation. Additional corrective actions will be determined at a later date.
The licensee is retracting this report after conducting a review that concluded no reporting criteria was met. Notified R1DO (Hott) and FSME (Morell). 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. |
| Where | |
|---|---|
| Sibley Memorial Hospital Washington, District Of Columbia (NRC Region 1) | |
| License number: | 08-07398-03 |
| Organization: | Sibley Memorial Hospital |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+-2.05 h-0.0854 days <br />-0.0122 weeks <br />-0.00281 months <br />) | |
| Opened: | Jordie Keck 13:57 Mar 12, 2007 |
| NRC Officer: | Jason Kozal |
| Last Updated: | Mar 13, 2007 |
| 43229 - NRC Website | |
Sibley Memorial Hospital with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 432292007-03-12T16:00:00012 March 2007 16:00:00
[Table view]10 CFR 35.3045(a)(1) Incorrect Radionuclide Administered to Patient 2007-03-12T16:00:00 | |