ENS 53720

v t e ENS Event
05:00 Nov 1, 2018
Title	Agreement State Report - Misadministration Due to Batch Error
Event Description	The following information was received by the State of Florida: At noon [on 11/7/18], [Akumin] called [the State of FL Bureau of Radiation Control] to report that both Akumin Hollywood and Akumin Aventura View ordered F-18 Fluciclovine, and received packages that were labeled as F-18 Fluciclovine, but were subsequently notified by their radiopharmaceutical vendor PET NET Solutions-Ft Lauderdale, on Thursday, November 1, 2018 that due to a 'batch error,' the packages actually contained F-18 FDG [Fludeoxyglucose]. Three patients were reported as receiving the incorrect radiopharmaceutical. Activity reported as approximately 10 mCi. Florida Incident: FL18-137 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 53720 +/-
Where
Akumin Jacksonville, Florida (NRC Region 1)
License number:	4510-4,6
Organization:	Florida Bureau Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+153.73 h6.405 days <br />0.915 weeks <br />0.211 months <br />)
Opened:	Matthew Senison 15:44 Nov 7, 2018
NRC Officer:	Vince Klco
Last Updated:	Nov 7, 2018
53720 - NRC Website
v • d • e

v t e Emergency Notification System
Akumin with Agreement State
WEEKMONTHYEAR2018-11-01T05:00:00 [Table view]
[ENS list for Akumin]

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