ENS Event | |
|---|---|
05:00 Sep 16, 2022 | |
| Title | Medical MISADMINISTRATION-DIAGNOSTIC |
| Event Description | The following information was provided by Alabama Radiation Control via email:
The licensee reported that a patient was scheduled on 9/16/2022 for a 1-day protocol. The patient was scheduled to receive 36 millicuries of Tc-99m labeled sestamibi/Cardiolite. The patient mistakenly received 36 millicuries of Tc-99m sodium pertechnetate. This matter does appear to meet Alabama's criteria for a misadministration with approximately 1731.6 mrem WB EDE [whole body effective dose equivalent], the highest organ/tissue does appears to be to the wall of the upper large intestine at 7592.4 mrem. Alabama Radiation Control will provide more information as the investigation continues. Alabama Incident No.: 22-17 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 | |
|---|---|
| Huntsville Hospital Huntsville, Alabama (NRC Region 1) | |
| License number: | RML 274 |
| Organization: | Alabama Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+11.88 h0.495 days <br />0.0707 weeks <br />0.0163 months <br />) | |
| Opened: | Cason Coan 16:53 Sep 16, 2022 |
| NRC Officer: | Bill Gott |
| Last Updated: | Sep 16, 2022 |
| 56111 - NRC Website | |
Huntsville Hospital with Agreement State | |
WEEKMONTHYEARENS 561112022-09-16T05:00:00016 September 2022 05:00:00
[Table view]Agreement State Medical MISADMINISTRATION-DIAGNOSTIC 2022-09-16T05:00:00 | |