ENS 47698

v t e ENS Event
06:00 Feb 16, 2012
Title	Agreement State Report - Misadministration of a Radiopharmaceutical
Event Description	The following information was received from the State of Texas via email: On 2/22/12 the licensee notified the Agency [Texas Department of State Health Services] of a medical event that occurred on 2/16/12. The licensee reported that the wrong radiopharmaceutical had been administered to a patient. Tc-99m MAA was administered rather than the prescribed Tc-99m Pertechnitate. During the administration of the wrong drug, an estimated 1/3-1/2 of the dose infiltrated the skin causing an estimated 400 rad exposure subcutaneously. The referring physician and patient have been notified. No signs or symptoms have been observed in the patient as a result of the incident. The estimated exposure is being reevaluated by the licensee. Texas Incident: I-8937 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 47698 +/-
Where
University Of Texas Southwestern Medical Center Dallas, Texas (NRC Region 4)
License number:	L00384
Organization:	Texas Department Of Health
Reporting

Agreement State
Time - Person (Reporting Time:+202.9 h8.454 days <br />1.208 weeks <br />0.278 months <br />)
Opened:	Robert Free 16:54 Feb 24, 2012
NRC Officer:	Vince Klco
Last Updated:	Feb 24, 2012
47698 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Texas Southwestern Medical Center with Agreement State
WEEKMONTHYEAR2012-02-16T06:00:00 [Table view]
[ENS list for University Of Texas Southwestern Medical Center]

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