ENS Event | |
|---|---|
20:00 Dec 15, 2020 | |
| Title | Patient Received the Wrong Radionuclide During Treatment |
| Event Description | A patient was set to receive an I-123 scan and uptake procedure on 12/15/20. Due to an error in scheduling the patient incorrectly underwent an I-131 therapy procedure instead. The I-131 therapy procedure delivered 15.8 mCi to the patient's thyroid where an I-123 scan and uptake procedure would have only delivered microCuries to the patient's thyroid.
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 | |
|---|---|
| Avera Mckennan Nuclear Medicine Sioux Falls, South Dakota (NRC Region 4) | |
| License number: | 40-16571-02 |
| Organization: | Avera Mckennan Nuclear Medicine |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+184.2 h7.675 days <br />1.096 weeks <br />0.252 months <br />) | |
| Opened: | Michelle White 12:12 Dec 23, 2020 |
| NRC Officer: | Andrew Waugh |
| Last Updated: | Dec 23, 2020 |
| 55045 - NRC Website | |
Avera Mckennan Nuclear Medicine with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 550452020-12-15T20:00:00015 December 2020 20:00:00
[Table view]10 CFR 35.3045(a)(1) Patient Received the Wrong Radionuclide During Treatment 2020-12-15T20:00:00 | |