ENS 43841: Difference between revisions

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| event date = 11/19/2007 09:13 CST
| event date = 11/19/2007 09:13 CST
| last update date = 12/14/2007
| last update date = 12/14/2007
| title = Agreement State Report - Dose To Wrong Organs
| title = Agreement State Report - Dose to Wrong Organs
| event text = The Agreement State of Louisiana submitted the following information:
| event text = The Agreement State of Louisiana submitted the following information:
On Monday November 19, 2007, Cardinal Health Nuclear Pharmacy delivered an isotope dose labeled incorrectly.  The dose delivered, was labeled Tc-99m Mertiatide (Mag-3) assayed at 5.1 milliCuries at 9:13 AM.  The dose ordered was for a Renal Scan scheduled for 9:30 AM.  After injection of the ordered dose, subsequent imaging revealed accumulation of radiopharmaceutical in the liver and spleen.  The target organ for Mag-3 is the kidneys.  The images would suggest Tc-99m Sulfur Colloid as the agent delivered.  This information was reported by the facility that received the dose.  The facility also notified Cardinal Health.   
On Monday November 19, 2007, Cardinal Health Nuclear Pharmacy delivered an isotope dose labeled incorrectly.  The dose delivered, was labeled Tc-99m Mertiatide (Mag-3) assayed at 5.1 milliCuries at 9:13 AM.  The dose ordered was for a Renal Scan scheduled for 9:30 AM.  After injection of the ordered dose, subsequent imaging revealed accumulation of radiopharmaceutical in the liver and spleen.  The target organ for Mag-3 is the kidneys.  The images would suggest Tc-99m Sulfur Colloid as the agent delivered.  This information was reported by the facility that received the dose.  The facility also notified Cardinal Health.   

Revision as of 21:15, 1 March 2018

ENS 43841 +/-
Where
Cardinal Health
Baton Rouge, Louisiana (NRC Region 4)
License number: La-5394-L01
Organization: Louisiana Radiation Protection Div
Reporting
Agreement State
Time - Person (Reporting Time:+593.38 h24.724 days <br />3.532 weeks <br />0.813 months <br />)
Opened: Richard Penrod
08:36 Dec 14, 2007
NRC Officer: Pete Snyder
Last Updated: Dec 14, 2007
43841 - NRC Website