ENS Event | |
|---|---|
04:00 Jan 29, 2013 | |
| Title | Agreement State Report - Catheter Leakage During Treatment |
| Event Description | The Division of Radiological Health was notified on Tuesday March 26, 2013, by a representative from Vanderbilt [University], of a misadministration. A patient was treated January 29, 2013, with Iodine 131-MIBG [metaiodobenzylguanidine]. The patient stayed in the hospital for 4 days until February 2, 2013. Foley catheter leakage occurred during this interval, but not recognized as a misadministration because there was no visible effect.
The patient returned for a second treatment on March 19, 2013, at that time a rash was noted and attributed to the catheter leakage during the initial treatment in January. Inspectors from the Nashville Field Office will [request additional information and] follow-up and keep NRC informed of the status of our investigation. Tennessee Division of Radiological Health Report Number: TN-13-044 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 | |
|---|---|
| Vanderbilt University Nashville, Tennessee (NRC Region 1) | |
| License number: | R-19021-I15 |
| Organization: | Tennessee Div Of Rad Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+1356.38 h56.516 days <br />8.074 weeks <br />1.858 months <br />) | |
| Opened: | Sasi Krishnasarma 15:23 Mar 26, 2013 |
| NRC Officer: | John Shoemaker |
| Last Updated: | Mar 27, 2013 |
| 48856 - NRC Website | |
Vanderbilt University with Agreement State | |
WEEKMONTHYEARENS 543952019-11-14T05:00:00014 November 2019 05:00:00
[Table view]Agreement State Tennessee Agreement State Report - Medical Event That Resulted in Skin Injury ENS 488562013-01-29T04:00:00029 January 2013 04:00:00 Agreement State Agreement State Report - Catheter Leakage During Treatment 2019-11-14T05:00:00 | |