ENS 47263

v t e ENS Event
20:30 Sep 13, 2011
Title	Medical Event Involving the Administration of the Wrong Radiopharmaceutical
Event Description	At approximately 1000 HST a patient scheduled to receive an administration of 5 mCi In-111 for an imaging scan (Octreotide) received instead a 1.55 mCi Sr-89 injection. The Sr-89 dose, originally 4mCi, was expired (89 days) and administered unintentionally due to personnel error. The RSO calculates that the red bone marrow will receive a dose of 63 rem. The patient was informed and is being monitored for changes in blood chemistry. The attending and prescribing physician will be informed. 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 47263 +/-
Where
Queen'S Medical Center Honolulu, Hawaii (NRC Region 4)
License number:	53-16533-02
Organization:	Queen'S Medical Center
Reporting

10 CFR 35.3045(a)(2)
Time - Person (Reporting Time:+1.52 h0.0633 days <br />0.00905 weeks <br />0.00208 months <br />)
Opened:	Brian Oyadomari 22:01 Sep 13, 2011
NRC Officer:	Steve Sandin
Last Updated:	Sep 13, 2011
47263 - NRC Website
v • d • e

v t e Emergency Notification System
Queen'S Medical Center with 10 CFR 35.3045(a)(2)
WEEKMONTHYEAR2011-09-13T20:30:00 [Table view]
[ENS list for Queen'S Medical Center]

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