ENS Event | |
|---|---|
04:00 Apr 24, 2007 | |
| Title | Agreement State Report - North Carolina - Misadministration of Iodine-131 |
| Event Description | The State provided the following information via facsimile:
The State of North Carolina was notified on 4/26/07 of a misadministration of diagnostic Iodine-131. The event involved a "misdrawn and mislabeled dose from Shertech Pharmacy in Ashville NC (NC licensee 011-1203-1). The written directive [from the hospital] was for 30 microcuries for a diagnostic thyroid scan but 33.9 millicuries was delivered labeled as 33.9 microcuries. Nuclear Medical Technologist at Memorial Mission missed the error because they read the numbers (33.9) but not the units (millicuries vs. microcuries). Dose was administered on 4/24/07 and the error was found on 4/26/07. Patient and physician notified. Licensee is following up with Shertech." No information is available on any potential medical impact of the misadministration on the patient. 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 | |
|---|---|
| Memorial Mission Hospital Ashville, North Carolina (NRC Region 1) | |
| License number: | 011-0091-6 |
| Organization: | Nc Div Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+62.32 h2.597 days <br />0.371 weeks <br />0.0854 months <br />) | |
| Opened: | James Albright 18:19 Apr 26, 2007 |
| NRC Officer: | Bill Huffman |
| Last Updated: | Apr 26, 2007 |
| 43321 - NRC Website | |
Memorial Mission Hospital with Agreement State | |
WEEKMONTHYEARENS 534612018-06-19T04:00:00019 June 2018 04:00:00
[Table view]Agreement State Agreement State Report - Removable Contamination on Package ENS 433212007-04-24T04:00:00024 April 2007 04:00:00 Agreement State Agreement State Report - North Carolina - Misadministration of Iodine-131 2018-06-19T04:00:00 | |