ENS Event | |
|---|---|
18:30 Oct 22, 2019 | |
| Title | Administration of Dose to Wrong Individual |
| Event Description | The following is a synopsis of information received via phone:
On 10/22/19, at approximately 1330 CDT, 22.0 mCi of Tc-99m-white blood cells was administered to the wrong patient. The patient was confused and not able to correctly confirm that they were the patient receiving the dose. This patient was informed of event, but has a power of attorney who will also be notified. This patient's condition means the dose, carried by the white blood cells, will possibly end up in their bowel. Extra monitoring is being performed. The correct patient will be rescheduled.
After discussion with R3 (Gattone), Ozark Medical Center is retracting this event because the delivered dose does not exceed the reportable limits described in 10 CFR 35.3045. Notified R3DO (Riemer) and NMSS Events Notification (email). A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient. |
| Where | |
|---|---|
| Ozark Medical Center West Plains, Missouri (NRC Region 3) | |
| License number: | 24-18733-01 |
| Organization: | Ozark Medical Center |
| Reporting | |
| 10 CFR 35.3045(a)(2) | |
| Time - Person (Reporting Time:+-2.1 h-0.0875 days <br />-0.0125 weeks <br />-0.00288 months <br />) | |
| Opened: | John Mckenzie 16:24 Oct 22, 2019 |
| NRC Officer: | Ossy Font |
| Last Updated: | Oct 29, 2019 |
| 54344 - NRC Website | |
Ozark Medical Center with 10 CFR 35.3045(a)(2) | |
WEEKMONTHYEARENS 543442019-10-22T18:30:00022 October 2019 18:30:00
[Table view]10 CFR 35.3045(a)(2) Administration of Dose to Wrong Individual 2019-10-22T18:30:00 | |