ENS 56546

v t e ENS Event
04:00 May 28, 2023
Title	Medical Event - Incorrect Target Organ
Event Description	The following information was provided by the Florida Department of Health Bureau of Radiation Control (BRC) via email: The Radiation Safety Officer (RSO) for Santa Rosa Medical Center, called the BRC to report an incident which occurred on Sunday 5/28/23. A technician was performing a lung scan on a patient and accidentally grabbed the wrong dose. The patient received 4 mCi of Tc-99 before the technician realized her mistake; whole dose would have been 10 mCi. The radiologist and the patient were both made aware of the incident. Licensing and technology is being asked to further investigate this incident. The following additional information was obtained from the RSO: The prescribed dose was 10 mCi of Tc-99 tagged for lung scan while the administered dose of Tc-99 was tagged for the liver. The total body effective dose equivalent to the patient was 80 mrem. Florida Incident Number: FL23-082 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 56546 +/-
Where
Santa Rosa Medical Center Milton, Florida (NRC Region 1)
License number:	3356-1
Organization:	Florida Bureau Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+79.37 h3.307 days <br />0.472 weeks <br />0.109 months <br />)
Opened:	Ashley Pierre-Saint 11:22 May 31, 2023
NRC Officer:	Adam Koziol
Last Updated:	Jun 1, 2023
56546 - NRC Website
v • d • e

v t e Emergency Notification System
Santa Rosa Medical Center with Agreement State
WEEKMONTHYEAR2023-05-28T04:00:00 [Table view]
[ENS list for Santa Rosa Medical Center]

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