ENS Event | |
|---|---|
05:00 Oct 15, 2024 | |
| Title | Medical Event |
| Event Description | The following information was provided by the Florida Bureau of Radiation Control (BRC) via email:
Sacred Heart's failure to notify the Florida BRC at the time of the occurrence, 10/15/24, was identified by [the Florida BRC inspector] during a routine inspection. Sacred Heart intended to inject the patient with 6 mCi of Tc-99m mebrofenin which would travel to the gallbladder. Instead, the patient received 6 mCi of Tc-99m methyl diphosphonate which targeted the bladder wall. The dose received [by the patient] is estimated at 1.6 mGy. Sacred Heart states the syringe had the expected markings of mebrofenin, and the error was caused by the supplier in Alabama. The patient and primary physician were notified of the occurrence. Florida Incident Number: FL24-110 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. |
| Where | |
|---|---|
| Sacred Heart Hospital Emerald Coast Miramar Beach, Florida (NRC Region 1) | |
| License number: | 3111-2 |
| Organization: | Florida Bureau Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+850.4 h35.433 days <br />5.062 weeks <br />1.165 months <br />) | |
| Opened: | Monroe A. Cooper 16:24 Nov 19, 2024 |
| NRC Officer: | Ernest West |
| Last Updated: | Nov 19, 2024 |
| 57433 - NRC Website | |
Sacred Heart Hospital Emerald Coast with Agreement State | |
WEEKMONTHYEARENS 574332024-10-15T05:00:00015 October 2024 05:00:00
[Table view]Agreement State Medical Event 2024-10-15T05:00:00 | |