ENS 54344

v t e ENS Event
18:30 Oct 22, 2019
Title	Administration of Dose to Wrong Individual
Event Description	The following is a synopsis of information received via phone: On 10/22/19, at approximately 1330 CDT, 22.0 mCi of Tc-99m-white blood cells was administered to the wrong patient. The patient was confused and not able to correctly confirm that they were the patient receiving the dose. This patient was informed of event, but has a power of attorney who will also be notified. This patient's condition means the dose, carried by the white blood cells, will possibly end up in their bowel. Extra monitoring is being performed. The correct patient will be rescheduled. * * RETRACTION ON 10/29/2019 AT 1257 EDT FROM JOHN MCKENZIE TO ANDREW WAUGH * * * After discussion with R3 (Gattone), Ozark Medical Center is retracting this event because the delivered dose does not exceed the reportable limits described in 10 CFR 35.3045. Notified R3DO (Riemer) and NMSS Events Notification (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 54344 +/- *RETRACTED*
Where
Ozark Medical Center West Plains, Missouri (NRC Region 3)
License number:	24-18733-01
Organization:	Ozark Medical Center
Reporting

10 CFR 35.3045(a)(2)
Time - Person (Reporting Time:+-2.1 h-0.0875 days <br />-0.0125 weeks <br />-0.00288 months <br />)
Opened:	John Mckenzie 16:24 Oct 22, 2019
NRC Officer:	Ossy Font
Last Updated:	Oct 29, 2019
54344 - NRC Website
v • d • e

v t e Emergency Notification System
Ozark Medical Center with 10 CFR 35.3045(a)(2)
WEEKMONTHYEAR2019-10-22T18:30:00 [Table view]
[ENS list for Ozark Medical Center]

Navigation menu