ENS Event | |
|---|---|
20:30 Sep 13, 2011 | |
| Title | Medical Event Involving The Administration Of The Wrong Radiopharmaceutical |
| Event Description | At approximately 1000 HST a patient scheduled to receive an administration of 5 mCi In-111 for an imaging scan (Octreotide) received instead a 1.55 mCi Sr-89 injection. The Sr-89 dose, originally 4mCi, was expired (89 days) and administered unintentionally due to personnel error. The RSO calculates that the red bone marrow will receive a dose of 63 rem.
The patient was informed and is being monitored for changes in blood chemistry. The attending and prescribing physician will be informed. 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 | |
|---|---|
| Queen'S Medical Center Honolulu, Hawaii (NRC Region 4) | |
| License number: | 53-16533-02 |
| Organization: | Queen'S Medical Center |
| Reporting | |
| 10 CFR 35.3045(a)(2) | |
| Time - Person (Reporting Time:+1.52 h0.0633 days <br />0.00905 weeks <br />0.00208 months <br />) | |
| Opened: | Brian Oyadomari 22:01 Sep 13, 2011 |
| NRC Officer: | Steve Sandin |
| Last Updated: | Sep 13, 2011 |
| 47263 - NRC Website | |
Queen'S Medical Center with 10 CFR 35.3045(a)(2) | |
WEEKMONTHYEARENS 472632011-09-13T20:30:00013 September 2011 20:30:00
[Table view]10 CFR 35.3045(a)(2) Medical Event Involving the Administration of the Wrong Radiopharmaceutical 2011-09-13T20:30:00 | |