ENS 47698: Difference between revisions
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| event date = 02/16/2012 CST | | event date = 02/16/2012 CST | ||
| last update date = 02/24/2012 | | last update date = 02/24/2012 | ||
| title = Agreement State Report - Misadministration | | title = Agreement State Report - Misadministration of a Radiopharmaceutical | ||
| event text = The following information was received from the State of Texas via email: | | event text = The following information was received from the State of Texas via email: | ||
On 2/22/12 the licensee notified the Agency [Texas Department of State Health Services] of a medical event that occurred on 2/16/12. The licensee reported that the wrong radiopharmaceutical had been administered to a patient. Tc-99m MAA was administered rather than the prescribed Tc-99m Pertechnitate. During the administration of the wrong drug, an estimated 1/3-1/2 of the dose infiltrated the skin causing an estimated 400 rad exposure subcutaneously. The referring physician and patient have been notified. No signs or symptoms have been observed in the patient as a result of the incident. The estimated exposure is being reevaluated by the licensee. | On 2/22/12 the licensee notified the Agency [Texas Department of State Health Services] of a medical event that occurred on 2/16/12. The licensee reported that the wrong radiopharmaceutical had been administered to a patient. Tc-99m MAA was administered rather than the prescribed Tc-99m Pertechnitate. During the administration of the wrong drug, an estimated 1/3-1/2 of the dose infiltrated the skin causing an estimated 400 rad exposure subcutaneously. The referring physician and patient have been notified. No signs or symptoms have been observed in the patient as a result of the incident. The estimated exposure is being reevaluated by the licensee. | ||
Latest revision as of 21:04, 1 March 2018
| Where | |
|---|---|
| University Of Texas Southwestern Medical Center Dallas, Texas (NRC Region 4) | |
| License number: | L00384 |
| Organization: | Texas Department Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+202.9 h8.454 days <br />1.208 weeks <br />0.278 months <br />) | |
| Opened: | Robert Free 16:54 Feb 24, 2012 |
| NRC Officer: | Vince Klco |
| Last Updated: | Feb 24, 2012 |
| 47698 - NRC Website | |