ENS Event | |
|---|---|
04:00 Oct 2, 2003 | |
| Title | Maryland Agreement State Report - Medical Misadministration |
| Event Description | On 10/02/03, a patient with suspected hyperthyroidism was undergoing treatment at Sinai Hospital in Baltimore, MD. During administration of an uptake diagnostic test, the patient was given a dose of 80 microcuries of I-131 versus the prescribed dose of 8 microcuries. Preliminary investigation indicates that hospital policy is to have technician dose measurement verified by another technician and approved by supervision until the technician shows proficiency at this task. It is unclear at this time whether the technician followed this protocol.
The prescribing physician has been notified and has notified the patient. Follow-up tests will be performed on the patient, but no increase in physiological effect on the patient is expected.. Maryland Department of Radiation Health is planning to contact the Hospital Radiation Safety Officer. |
| Where | |
|---|---|
| Sinai Hospital Baltimore, Maryland (NRC Region 1) | |
| License number: | MD-07-011-01 |
| Organization: | Maryland Dept Of The Environment |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+33.75 h1.406 days <br />0.201 weeks <br />0.0462 months <br />) | |
| Opened: | Nathaniel Owrutsky 13:45 Oct 3, 2003 |
| NRC Officer: | Jeff Rotton |
| Last Updated: | Oct 3, 2003 |
| 40218 - NRC Website | |
Sinai Hospital with Agreement State | |
WEEKMONTHYEARENS 402182003-10-02T04:00:0002 October 2003 04:00:00
[Table view]Agreement State Maryland Agreement State Report - Medical Misadministration 2003-10-02T04:00:00 | |