ENS 52628

v t e ENS Event
14:00 Mar 17, 2017
Title	Wrong Mode of Treatment: Pet Scan Adminstered When Ct Scan Was Ordered
Event Description	A PET scan was administered to a patient even though a CT scan was ordered by the prescribing physician. Initially the prescribing physician ordered a PET scan, but changed the order to a CT scan. An administrative error resulted in the order change not being implemented to reflect the change to a CT scan. The patient was provided all release forms for the PET scan and was aware that a PET scan was being administered. The patient received 1R of exposure. There was no harm to the patient. * * RETRACTION AT 1429 EDT ON 3/22/17 FROM BRYAN HARRIS TO DONG PARK * * * The licensee has determined that this event did not meet reporting requirements. The licensee notified Region 3 (Craffey). Notified R3DO (Orlikowski) and NMSS Events Resource via email. 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 52628 +/-
Where
Michigan State University East Lansing, Michigan (NRC Region 3)
License number:	21-00021-29
Organization:	Michigan State University
Reporting

10 CFR 35.3045(a)(2)
Time - Person (Reporting Time:+114.17 h4.757 days <br />0.68 weeks <br />0.156 months <br />)
Opened:	Bryan Harris 08:10 Mar 22, 2017
NRC Officer:	Dan Livermore
Last Updated:	Mar 22, 2017
52628 - NRC Website
v • d • e

v t e Emergency Notification System
Michigan State University with 10 CFR 35.3045(a)(2)
WEEKMONTHYEAR2017-03-17T14:00:00 [Table view]
[ENS list for Michigan State University]

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