ENS 56265

v t e ENS Event
05:00 Dec 8, 2022
Title	Radiopharmaceutical Misadministration
Event Description	The following report was received from the New Jersey Department of Environmental Protection (NJDEP), via email: The licensee had scheduled two patients who were each to receive 200 mCi of Lu-177. One patient was to receive 200 mCi of Lu-177 Lutathera, while the other was to receive 200 mCi of Lu-177 PSMA. The PSMA patient was mistakenly administered the Lutathera, while the Lutathera patient was mistakenly administered the PSMA. Licensee is working with Radiation Safety Officer on steps needed to prevent recurrence. NJDEP Actions: Will conduct on-site visit if warranted. 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 56265 +/-
Where
Astera Cancer Care Monroe, New Jersey (NRC Region 1)
License number:	833985
Organization:	Nj Dept Of Environmental Protection
Reporting

Agreement State
Time - Person (Reporting Time:+12.67 h0.528 days <br />0.0754 weeks <br />0.0174 months <br />)
Opened:	Richard Peros 17:40 Dec 8, 2022
NRC Officer:	Thomas Herrity
Last Updated:	Dec 8, 2022
56265 - NRC Website
v • d • e

v t e Emergency Notification System
Astera Cancer Care with Agreement State
WEEKMONTHYEAR2022-12-08T05:00:00 [Table view]
[ENS list for Astera Cancer Care]

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