ENS 54250

v t e ENS Event
18:05 Feb 20, 2019
Title	Patient Received Dose Greater than Prescribed Dose
Event Description	Summary via phone call: This is a notification of a medical event that occurred on February 20, 2019 at 1205 MDT, in which 81 microCi of Radium-223 (Xofigo) was administered intravenously to the patient for metastatic prostate cancer that had spread to the bone. The original written directive from the patient's physician was for 56 microCi of Radium-223, however the pharmacy label was written for 81 microCi. The medical event was discovered during the Radiation Safety Officer's internal audit with the conclusion that the 81 microCi was the correct dosage at the intended organ. No adverse effect is expected for the patient. 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 54250 +/-
Where
Saint Luke'S Magic Valley Medical Center Twin Falls, Idaho (NRC Region 4)
License number:	11-27312-01
Organization:	St Luke'S Regional Medical Center
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+4582.22 h190.926 days <br />27.275 weeks <br />6.277 months <br />)
Opened:	Scott Fuller 15:18 Aug 30, 2019
NRC Officer:	Brian Lin
Last Updated:	Aug 30, 2019
54250 - NRC Website
v • d • e

v t e Emergency Notification System
Saint Luke'S Magic Valley Medical Center with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2019-02-20T18:05:00 [Table view]
[ENS list for Saint Luke'S Magic Valley Medical Center]

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