ENS Event | |
|---|---|
05:00 Jun 21, 2011 | |
| Title | Dosage Delivered Greater than Prescribed |
| Event Description | The following occurred at St. Louis University Hospital: A 30 mCi I-131 Sodium Iodide oral capsule was prescribed for administration to a patient for ablation of residual tissue following a thyroidectomy. However, a 115 mCi I-131 Sodium Iodide capsule was administered instead, due to conflicting information in the patient record.
At this time, it is believed that there will be no adverse affect to the patient. The patient has been notified of this incident. The Radiation Safety Officer will be reviewing this incident to determine what actions to take 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.
After review by the licensee and NRC staff, it was determined that this was not a reportable event. Notified R3DO (Hills) and FSME EO (Turtil). |
| Where | |
|---|---|
| St Louis University St. Louis, Missouri (NRC Region 3) | |
| License number: | 24-00196-07 |
| Organization: | St Louis University |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+86.75 h3.615 days <br />0.516 weeks <br />0.119 months <br />) | |
| Opened: | Mark Haenchen 19:45 Jun 24, 2011 |
| NRC Officer: | Donald Norwood |
| Last Updated: | Jul 5, 2011 |
| 46984 - NRC Website | |
St Louis University with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 469842011-06-21T05:00:00021 June 2011 05:00:00
[Table view]10 CFR 35.3045(a)(1) Dosage Delivered Greater than Prescribed 2011-06-21T05:00:00 | |