ENS 43731: Difference between revisions
Jump to navigation
Jump to search
StriderTol (talk | contribs) (Created page by program invented by Mark Hawes) |
StriderTol (talk | contribs) (Created page by program invented by StriderTol) |
||
| (One intermediate revision by the same user not shown) | |||
| Line 3: | Line 3: | ||
| facility = Cardinal Health | | facility = Cardinal Health | ||
| Organization = Louisiana Radiation Protection Div | | Organization = Louisiana Radiation Protection Div | ||
| license number = | | license number = LA-3385-L01 | ||
| region = 4 | | region = 4 | ||
| state = Louisiana | | state = Louisiana | ||
| Line 16: | Line 16: | ||
| event date = 09/24/2007 CDT | | event date = 09/24/2007 CDT | ||
| last update date = 10/20/2007 | | last update date = 10/20/2007 | ||
| title = Agreement State Report Involving | | title = Agreement State Report Involving an Improper Injection | ||
| event text = The following information was received from the Louisiana Department of Environmental Quality via fax: | | event text = The following information was received from the Louisiana Department of Environmental Quality via fax: | ||
On September 24, 2007, a customer called the pharmacy to inform them that a Tc-99m mertiatide prescription for renal imaging showed no renal distribution and instead showed only liver distribution. After an investigation by the licensee, it was determined that the error occurred in the pharmacy and all customers who could have been affected by the event were notified. Only one of the patients was injected. The radiation dose to the patient involved was minimal. Procedures not followed is the root cause of this incident. The corrective actions for this incident include retraining on policy and procedures regarding compounding doses. | On September 24, 2007, a customer called the pharmacy to inform them that a Tc-99m mertiatide prescription for renal imaging showed no renal distribution and instead showed only liver distribution. After an investigation by the licensee, it was determined that the error occurred in the pharmacy and all customers who could have been affected by the event were notified. Only one of the patients was injected. The radiation dose to the patient involved was minimal. Procedures not followed is the root cause of this incident. The corrective actions for this incident include retraining on policy and procedures regarding compounding doses. | ||
Latest revision as of 19:31, 24 November 2018
| Where | |
|---|---|
| Cardinal Health New Orleans, Louisiana (NRC Region 4) | |
| License number: | LA-3385-L01 |
| Organization: | Louisiana Radiation Protection Div |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+604.92 h25.205 days <br />3.601 weeks <br />0.829 months <br />) | |
| Opened: | Richard Penrod 09:55 Oct 19, 2007 |
| NRC Officer: | Steve Sandin |
| Last Updated: | Oct 20, 2007 |
| 43731 - NRC Website | |