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 Start dateReporting criterionTitleEvent descriptionSystemLER
ENS 4387228 December 2007 05:00:00Agreement StateMedical Event - Incorrect Isotope AdministeredDoctor ordered iodine (didn't specify isotope) thyroid uptake & scan for a patient. This licensee uses I-123 for this purpose. Patient was incorrectly scheduled for a I-131 (2.2mCi) whole body scan and that was done on 12/17/07. Error was discovered 12/25. Patient & doctor have been notified and no adverse health effects are expected. Licensee will submit a written report. Scheduling personnel will be re-educated to verify an order before scheduling patients for a procedure. The tech will be re-educated to read the script before dosing a patient. Any further action on this incident is referred to Radioactive Materials. Incident Number FL07-205 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.