ENS 56965

v t e ENS Event
16:10 Feb 14, 2024
Title	Medical Event - Dose Misadministration
Event Description	The following is a summary of information provided by the licensee via phone: At 1110 EST on February 14, 2024, a patient was administered the wrong radiopharmaceutical. The prescribed dose was 25 mCi Tc-99m pyrophosphate, and the administered dose was 25 mCi Tc-99m sestamibi. The patient and referring physician were informed. There were no adverse effects to the patient. The total effective dose equivalent for this study was estimated to be 1,200 mrem. * * RETRACTION ON 2/15/24 AT 1240 EDT FROM GLADYS KAGAOAN TO ADAM KOZIOL * * * After further review, the dose to the patient was below reporting threshold. The radiopharmaceutical was a diagnostic tracer and non-therapeutic. Notified R1DO (Bickett), NMSS (Rivera-Capella), and NMSS Events (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 56965 +/- *RETRACTED*
Where
Trinity Health Of New England Medical Group - Ghc Nuclear Hartford, Connecticut (NRC Region 1)
License number:	06-30812-01
Organization:	Trinity Health Of New England Medical Group - Ghc Nuclear Laboratory
Reporting

10 CFR 35.3045(a)(3)
Time - Person (Reporting Time:+0.12 h0.005 days <br />7.142857e-4 weeks <br />1.64376e-4 months <br />)
Opened:	Dr. Gladys Kagaoan 16:17 Feb 14, 2024
NRC Officer:	Natalie Starfish
Last Updated:	Feb 15, 2024
56965 - NRC Website
v • d • e

v t e Emergency Notification System
Trinity Health Of New England Medical Group - Ghc Nuclear with 10 CFR 35.3045(a)(3)
WEEKMONTHYEAR2024-02-14T16:10:00 [Table view]
[ENS list for Trinity Health Of New England Medical Group - Ghc Nuclear]

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