ENS Event | |
|---|---|
06:00 Mar 18, 2021 | |
| Title | Medical Event (Incorrect Dose Location) |
| Event Description | The following report was received from the state of North Dakota Department of Environmental Quality via email:
Received a phone call at 1600 [CST] on Thursday March 18 that a PET/CT patient was injected with 10 milliCuries of Fluorine-18 and it was found that all of the injected Fluorine-18 had infiltrated in the arm of the patient [rather than being dispersed throughout the body]. Patient's arm was imaged by PET scanner to confirm dose was in fact infiltrated in the arm. Dose calculations are being performed by licensee to determine the dose to the patient's skin. ND NMED Event # ND210001
The following is a summary of a phone conversation with Brooke Olson from the North Dakota Department of Environmental Quality: After calculations were performed, it was determined that the event did not meet the reporting requirements of a medical event and is being retracted. Notified: R4DO (Pick) and NMSS (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 | |
|---|---|
| Sanford Medical Center Fargo, North Dakota (NRC Region 4) | |
| License number: | 33-10227-02 |
| Organization: | North Dakota Department Of Env Qual |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+30.08 h1.253 days <br />0.179 weeks <br />0.0412 months <br />) | |
| Opened: | Brooke Olson 12:05 Mar 19, 2021 |
| NRC Officer: | Lloyd Desotell |
| Last Updated: | Apr 14, 2021 |
| 55145 - NRC Website | |
Sanford Medical Center with Agreement State | |
WEEKMONTHYEARENS 551452021-03-18T06:00:00018 March 2021 06:00:00
[Table view]Agreement State Medical Event (Incorrect Dose Location) ENS 534342018-04-04T06:00:0004 April 2018 06:00:00 Agreement State Agreement State Report - Patient Skin Contaminated with Flourine-18 2021-03-18T06:00:00 | |