ENS 55145

v t e ENS Event
06:00 Mar 18, 2021
Title	Medical Event (Incorrect Dose Location)
Event Description	The following report was received from the state of North Dakota Department of Environmental Quality via email: Received a phone call at 1600 [CST] on Thursday March 18 that a PET/CT patient was injected with 10 milliCuries of Fluorine-18 and it was found that all of the injected Fluorine-18 had infiltrated in the arm of the patient [rather than being dispersed throughout the body]. Patient's arm was imaged by PET scanner to confirm dose was in fact infiltrated in the arm. Dose calculations are being performed by licensee to determine the dose to the patient's skin. ND NMED Event # ND210001 * * RETRACTION ON 14 APRIL 2021 AT 1522 EDT FROM BROOKE OLSON TO JOANNA BRIDGE * * * The following is a summary of a phone conversation with Brooke Olson from the North Dakota Department of Environmental Quality: After calculations were performed, it was determined that the event did not meet the reporting requirements of a medical event and is being retracted. Notified: R4DO (Pick) and NMSS (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 55145 +/- *RETRACTED*
Where
Sanford Medical Center Fargo, North Dakota (NRC Region 4)
License number:	33-10227-02
Organization:	North Dakota Department Of Env Qual
Reporting

Agreement State
Time - Person (Reporting Time:+30.08 h1.253 days <br />0.179 weeks <br />0.0412 months <br />)
Opened:	Brooke Olson 12:05 Mar 19, 2021
NRC Officer:	Lloyd Desotell
Last Updated:	Apr 14, 2021
55145 - NRC Website
v • d • e

v t e Emergency Notification System
Sanford Medical Center with Agreement State
WEEKMONTHYEAR2021-03-18T06:00:00 [Table view]
[ENS list for Sanford Medical Center]

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