ENS Event | |
|---|---|
04:00 Aug 7, 2013 | |
| Title | Agreement State Report - Ventilation Perfusion Lung Scan Administered Instead of Ct Lung Scan |
| Event Description | The following event report was received from the State of Florida via facsimile:
Received notification of a medical event on 15 Aug 2013 at 10:30 am [EDT] from Bayfront Medical Center, license number 4374-1. Date of procedure was 7 Aug 2013. A patient was prescribed a CT lung scan by the physician. Technologist entered, by mistake, Ventilation Perfusion Lung Scan into the computer (9 mCi's of Xenon-133). Patient's physician was notified, patient was on a ventilator and was not able to communicate. [This incident was] assigned to the Tampa Office for investigation. No further action will be taken on this incident. Florida Incident Number: FL13-056 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 | |
|---|---|
| Bayfront Medical Center St. Petersburg, Florida (NRC Region 1) | |
| License number: | 4374-1 |
| Organization: | Florida Bureau Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+202.75 h8.448 days <br />1.207 weeks <br />0.278 months <br />) | |
| Opened: | Steve Furnace 14:45 Aug 15, 2013 |
| NRC Officer: | Dong Park |
| Last Updated: | Aug 15, 2013 |
| 49283 - NRC Website | |
Bayfront Medical Center with Agreement State | |
WEEKMONTHYEARENS 492832013-08-07T04:00:0007 August 2013 04:00:00
[Table view]Agreement State Agreement State Report - Ventilation Perfusion Lung Scan Administered Instead of Ct Lung Scan 2013-08-07T04:00:00 | |