ENS 54786

v t e ENS Event
04:00 Jul 16, 2020
Title	Agreement State Report - Medical Misadministration
Event Description	The following was received from the Florida Bureau of Radiation Control (BRC) via email: On July 16, 2020, a 54 year old man was mistakenly provided two doses of Tc-99 Sestamibi for heart stress test. Two doses were administered with a total activity of 41.6 mCi, estimated dose of 7.49 R, to the intestinal wall. The RSO [(Radiation Safety Officer]) reports that standard verification process for patient identification prior to dosage was not followed. Patient and patient's cardiologist have both been notified, no effects of the mis-dose are expected. The RSO will provide additional info in the 15 day letter to BRC. Licensing and Technology will be tasked to investigate. Florida Incident Number FL20-081 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.

ENS 54786 +/-
Where
Florida Bureau Of Radiation Control Jacksonville, Florida (NRC Region 1)
License number:	3157-1
Organization:	Florida Bureau Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+29.82 h1.243 days <br />0.177 weeks <br />0.0408 months <br />)
Opened:	John A. Williamson 09:49 Jul 17, 2020
NRC Officer:	Ossy Font
Last Updated:	Jul 17, 2020
54786 - NRC Website
v • d • e

v t e Emergency Notification System
Florida Bureau of Radiation Control with Agreement State
WEEKMONTHYEAR	Agreement State Report - Vehicle Carrying Radio-Pharmaceuticals Involved in Accident	Agreement State Report - Lost/Stolen Troxler Gauge	Agreement State Report - Leaking Sealed Source	2020-09-04T04:00:00 [Table view]
[ENS list for Florida Bureau of Radiation Control]

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