ENS 50479

v t e ENS Event
18:30 Sep 20, 2014
Title	Agreement State Report - Medical Misadministration
Event Description	The following report was received from the State of Colorado via email: The State of Colorado received a report this morning from a medical licensee of a misadministration. The licensee reported that at 1230 [MDT] on Saturday 9/20/14, the technologist injected a patient with a bulk dose of Tc-99m instead of a [smaller] patient dose. The initial estimate for the amount injected is 140 mCi. The initial potential whole body dose is 6-7 rem with 30 rad as the highest potential organ dose (upper intestine). The investigation is ongoing. Additional information regarding the intended patient dose will be provided when available. The attending physician and patient will be informed by the licensee. 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 50479 +/-
Where
Avista Adventist Hospital Louisville, Colorado (NRC Region 4)
License number:	CO 793-01
Organization:	Colorado Dept Of Health
Reporting

Agreement State
Time - Person (Reporting Time:+42.6 h1.775 days <br />0.254 weeks <br />0.0584 months <br />)
Opened:	Phillip Peterson 13:06 Sep 22, 2014
NRC Officer:	John Shoemaker
Last Updated:	Sep 22, 2014
50479 - NRC Website
v • d • e

v t e Emergency Notification System
Avista Adventist Hospital with Agreement State
WEEKMONTHYEAR2014-09-20T18:30:00 [Table view]
[ENS list for Avista Adventist Hospital]

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