ENS 43882

v t e ENS Event
05:00 Dec 13, 2007
Title	Patient Received Less That Prescribed Dose
Event Description	On 12/13/07, a patient was scheduled for a thyroid ablation with 100 mCi of NaI-131. The dose arrived with 3 capsules totaling 95.5 mCi. The nuc med tech was unaware that the package contained 3 capsules due to lack of visualization. The nuc med tech administered 1 capsule with the activity of 21.39 mCi of NaI-131. The package was sent back to the pharmacy with the remaining 2 capsules of approximately 70 mCi of NaI-131. The mistake was recognized the next morning. The radiologist was made aware of the situation and the patient notified immediately. The patient returned the morning of 12/14/07 and was administered the remaining 2 capsules totaling 69.7 mCi of NaI-131. Overall, the patient received a total of 91.09 mCi of Nal-131 over the course of 17 hours1.967593e-4 days <br />0.00472 hours <br />2.810847e-5 weeks <br />6.4685e-6 months <br />. 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 43882 +/-
Where
Hackley Hospital Muskegon, Michigan (NRC Region 3)
License number:	21-04125-01
Organization:	Hackley Hospital
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+538.33 h22.43 days <br />3.204 weeks <br />0.737 months <br />)
Opened:	Carlo Santa Anna 15:20 Jan 4, 2008
NRC Officer:	Jeff Rotton
Last Updated:	Jan 4, 2008
43882 - NRC Website
v • d • e

v t e Emergency Notification System
Hackley Hospital with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2007-12-13T05:00:00 [Table view]
[ENS list for Hackley Hospital]

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