ENS Event | |
|---|---|
04:00 Jun 16, 2009 | |
| Title | Agreement State Report - Medical Event Due to Double Administration of Diagnostic Dose |
| Event Description | The following information was received from the State of Florida Bureau of Radiation Control via facsimile:
Patient received two doses of Thalium-201 (Liquid form - 7.2 milliCurie) for a diagnostic Cardiovascular Procedure in the Nuclear Medicine Department. Two nuclear medicine technologists were working in the same room. Second technologist misunderstood that the first tech had already delivered the first dose. Jacksonville area office will investigate. Estimated maximum internal organ dose received by patient is 9.36 Rem. Florida Report FL09-052 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 Hospital Jacksonville, Florida (NRC Region 1) | |
| License number: | 2567-1 |
| Organization: | Florida Bureau Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+13.15 h0.548 days <br />0.0783 weeks <br />0.018 months <br />) | |
| Opened: | Steve Furnace 17:09 Jun 16, 2009 |
| NRC Officer: | Bill Huffman |
| Last Updated: | Jun 16, 2009 |
| 45135 - NRC Website | |
Memorial Hospital with Agreement State | |
WEEKMONTHYEARENS 451352009-06-16T04:00:00016 June 2009 04:00:00
[Table view]Agreement State Agreement State Report - Medical Event Due to Double Administration of Diagnostic Dose 2009-06-16T04:00:00 | |