ENS 55870

v t e ENS Event
05:00 Apr 27, 2022
Title	Diagnostic Radiopharmaceutical Misadministration
Event Description	The following information was received from the Alabama Office of Radiation Control (the Department) via E-mail: The Department received a phone call and e-mail on 4/28/2022 from the licensee regarding two patients that apparently received the wrong radiopharmaceuticals on 4/27/2022. The patients' doses appeared to have been inadvertently switched. Patient: 1 (male) Ordered dose: 10.0 mCi Fluciclovine (Axumin) F-18 Given: 10.64 mCi FDG F-18 Patient: 2 (female) Ordered dose: 10.0 mCi FDG F-18 Given: 12.62 mCi Fluciclovine (Axumin) F-18 It appears that at least one patient received an effective dose over 500 mrem. Alabama Radiation Control will provide more information as the investigation continues. Alabama Event: 22-07 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 55870 +/-
Where
The University Of South Alabama Mobile, Alabama (NRC Region 1)
License number:	RML 584
Organization:	Alabama Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+60.97 h2.54 days <br />0.363 weeks <br />0.0835 months <br />)
Opened:	Cason Coan 17:58 Apr 29, 2022
NRC Officer:	Lloyd Desotell
Last Updated:	Apr 29, 2022
55870 - NRC Website
v • d • e

v t e Emergency Notification System
The University Of South Alabama with Agreement State
WEEKMONTHYEAR2022-04-27T05:00:00 [Table view]
[ENS list for The University Of South Alabama]

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