ENS 56071

From kanterella

Jump to navigation Jump to search

v t e ENS Event
05:00 Aug 25, 2022
Title	Diagnostic Misadministration
Event Description	The following information was provided by the Alabama Dept. of Public Health Office of Radiation Control via email: [The licensee's] Representative stated that a patient was prescribed 20 milliCuries of sodium pertechnetate (did not state for which type of scan); the patient received 30 milliCuries of sestamibi (intended for a cardiac stress dose). The representative stated that the nuclear medicine tech that administered the wrong dose is new and has been counseled. This nuclear medicine tech will also be subject to increased oversight into the near future. Representative did not state that the patient will experience any side effects, nor if the patient has been counseled. The misadministration appears to result in an EDE of 876.9 mrem; the highest organ/tissue dose appears to be to the gall bladder wall with a dose of estimated 3663 mrem. Alabama Incident 22-14 * * UPDATE ON 9/01/2022 AT 1634 EDT FROM ALABAMA OFFICE OF RADIATION CONTROL TO KAREN COTTON * * * Cause and Corrective Actions (State's and licensees' actions): The tech that administered the wrong dose was still in her orientation/training period. The licensee stated that the tech was counseled and will be under increased monitoring during her orientation period. Close-out report Notified NMSS DAY (Rivera-Cappella) and R1DO (Gray) and via email: NMSS Event Notification 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 56071 +/-
Where
Huntsville Hospital Health System Huntsville, Alabama (NRC Region 1)
Organization:	Alabama Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+35.22 h1.468 days <br />0.21 weeks <br />0.0482 months <br />)
Opened:	Cason Coan 16:13 Aug 26, 2022
NRC Officer:	Bethany Cecere
Last Updated:	Sep 2, 2022
56071 - NRC Website
v • d • e

v t e Emergency Notification System
Huntsville Hospital Health System with Agreement State
WEEKMONTHYEAR2022-08-25T05:00:00 [Table view]
[ENS list for Huntsville Hospital Health System]

Retrieved from "https://kanterella.com/w/index.php?title=ENS_56071&oldid=3469496"

ENS Notification