ENS 47263: Difference between revisions

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| event date = 09/13/2011 10:30 HST
| event date = 09/13/2011 10:30 HST
| last update date = 09/13/2011
| last update date = 09/13/2011
| title = Medical Event Involving The Administration Of The Wrong Radiopharmaceutical
| title = Medical Event Involving the Administration of the Wrong Radiopharmaceutical
| event text = At approximately 1000 HST a patient scheduled to receive an administration of 5 mCi In-111 for an imaging scan (Octreotide) received instead a 1.55 mCi Sr-89 injection.  The Sr-89 dose, originally 4mCi, was expired (89 days) and administered unintentionally due to personnel error.  The RSO calculates that the red bone marrow will receive a dose of 63 rem.
| event text = At approximately 1000 HST a patient scheduled to receive an administration of 5 mCi In-111 for an imaging scan (Octreotide) received instead a 1.55 mCi Sr-89 injection.  The Sr-89 dose, originally 4mCi, was expired (89 days) and administered unintentionally due to personnel error.  The RSO calculates that the red bone marrow will receive a dose of 63 rem.
The patient was informed and is being monitored for changes in blood chemistry.  The attending and prescribing physician will be informed.     
The patient was informed and is being monitored for changes in blood chemistry.  The attending and prescribing physician will be informed.     

Latest revision as of 22:05, 1 March 2018

ENS 47263 +/-
Where
Queen'S Medical Center
Honolulu, Hawaii (NRC Region 4)
License number: 53-16533-02
Organization: Queen'S Medical Center
Reporting
10 CFR 35.3045(a)(2)
Time - Person (Reporting Time:+1.52 h0.0633 days <br />0.00905 weeks <br />0.00208 months <br />)
Opened: Brian Oyadomari
22:01 Sep 13, 2011
NRC Officer: Steve Sandin
Last Updated: Sep 13, 2011
47263 - NRC Website