ENS 43881

v t e ENS Event
15:30 Jan 3, 2008
Title	Administration of a Dose to the Wrong Individual
Event Description	The 1st technologist went to standardized waiting room to call for a patient by their first name only. An older gentleman answered and was taken to the radiology lab where the 2nd technologist administered an IV with 7 millicuries of Cholotec (Tc-99). The patient was instructed about the test and when the patient was taken to the Radiologist, it was noticed that they had administered the dose to the wrong patient. The unintended patient had the same first name as the scheduled intended patient. After the error was discovered, the unintended patient was made aware of the mistake. The intended patient was found later and administered the prescribed dose. The RSO was notified and the physician determined that their will be no unintended permanent functional damage to an organ or a physiological system. The licensee plans to perform better screening of patients (using first and last names, SSN, and DOB, by both technologists) to prevent recurrence. 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.

ENS 43881 +/-
Where
Charlotte Hungerford Hospital Torrington, Connecticut (NRC Region 1)
License number:	06-08349-04
Organization:	Charlotte Hungerford Hospital
Reporting

10 CFR 35.3045(a)(2)
Time - Person (Reporting Time:+23.08 h0.962 days <br />0.137 weeks <br />0.0316 months <br />)
Opened:	Elizabeth Demicco 14:35 Jan 4, 2008
NRC Officer:	Jeff Rotton
Last Updated:	Jan 4, 2008
43881 - NRC Website
v • d • e

v t e Emergency Notification System
Charlotte Hungerford Hospital with 10 CFR 35.3045(a)(2)
WEEKMONTHYEAR2008-01-03T15:30:00 [Table view]
[ENS list for Charlotte Hungerford Hospital]

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