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A patient was scheduled for a Tc-99m MyoviA patient was scheduled for a Tc-99m Myoview diagnostic cardiac resting perfusion study on 12/04/2010. Prescribed dosage was 10 mCi as noted on the departmental Prescribed Dosage List. These dosages are delivered as unit dose quantities along with Tc-99m in bulk quantity.</br>Technetium-99m was delivered in bulk quantity in a syringe at approximately 0600 (EST) as 150 mCi calibrated for 1200 (EST). At approximately 0900 (EST) a MAA kit was made by withdrawing 64 mCi from the bulk allotment.</br>The nuclear medicine technologist inadvertently picked up the syringe at approximately 1030 (EST) containing Tc-99m as pertechnetate in bulk quantity (124.5 mCi) and without confirmatory assay in the dose calibrator injected the patient.</br>As per 10 CFR 35.3045 (a)(1), the dose delivered differs from the prescribed dose by greater than 5 rem effective dose equivalent (EDE). However the upper large intestine (ULI) dose does not differ by more than 50 rads from the dose to be delivered from the prescribed dosage as follows:</br>Prescribed Dosage (10 mCi) EDE: 0.481 rem</br>Administered Dosage (31.4 mCi) EDE: 5.988 rem (Difference = 5.507 rem)</br>ULI Dose from Prescribed Dosage (10 mCi) 2.109 rads</br>ULI Dose From Administered Dosage (124.5 mCi) 26.257 rads (Difference = 24.148 rads)</br>As per 10 CFR 35.3045 (a)(1)(ii), the administered dosage (124.5 mCi) differs from the prescribed dosage (10 mCi) by greater than the limit of 20%.</br>The physician determined there was no adverse impact on the patient.</br>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.necessarily result in harm to the patient.  +
15:30:00, 4 December 2010  +
14:49:00, 6 December 2010  +
15:30:00, 4 December 2010  +
A patient was scheduled for a Tc-99m MyoviA patient was scheduled for a Tc-99m Myoview diagnostic cardiac resting perfusion study on 12/04/2010. Prescribed dosage was 10 mCi as noted on the departmental Prescribed Dosage List. These dosages are delivered as unit dose quantities along with Tc-99m in bulk quantity.</br>Technetium-99m was delivered in bulk quantity in a syringe at approximately 0600 (EST) as 150 mCi calibrated for 1200 (EST). At approximately 0900 (EST) a MAA kit was made by withdrawing 64 mCi from the bulk allotment.</br>The nuclear medicine technologist inadvertently picked up the syringe at approximately 1030 (EST) containing Tc-99m as pertechnetate in bulk quantity (124.5 mCi) and without confirmatory assay in the dose calibrator injected the patient.</br>As per 10 CFR 35.3045 (a)(1), the dose delivered differs from the prescribed dose by greater than 5 rem effective dose equivalent (EDE). However the upper large intestine (ULI) dose does not differ by more than 50 rads from the dose to be delivered from the prescribed dosage as follows:</br>Prescribed Dosage (10 mCi) EDE: 0.481 rem</br>Administered Dosage (31.4 mCi) EDE: 5.988 rem (Difference = 5.507 rem)</br>ULI Dose from Prescribed Dosage (10 mCi) 2.109 rads</br>ULI Dose From Administered Dosage (124.5 mCi) 26.257 rads (Difference = 24.148 rads)</br>As per 10 CFR 35.3045 (a)(1)(ii), the administered dosage (124.5 mCi) differs from the prescribed dosage (10 mCi) by greater than the limit of 20%.</br>The physician determined there was no adverse impact on the patient.</br>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.necessarily result in harm to the patient.  +
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00:00:00, 6 December 2010  +
21-11457-02  +
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02:08:15, 2 March 2018  +
14:49:00, 6 December 2010  +
1.972 d (47.32 hours, 0.282 weeks, 0.0648 months)  +
15:30:00, 4 December 2010  +
Delivered Dose Greater than Prescribed Dose  +
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