ENS 43193

v t e ENS Event
14:30 Feb 27, 2007
Title	Medical Event - Treatment to Wrong Patient
Event Description	Patient "A" was suppose to receive a non-nuclear stress treatment by a technologist. Patient "B" was suppose to receive a nuclear treatment by a technologist. Patient "B" did not show up for the scheduled appointment. The technologist mistakenly gave patient "A" an injection (0.67 ml) of Tc-99m Cardolite (15 millicuries), which was suppose to go to patient "B". The attending physician notified patient "A" of this error, and deemed no corrective action to the patient was necessary. The error was determined to be that the technologist did not follow procedures, which is to verify patient name. As a corrective measure, the technologist was provided additional instruction in this matter. 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. UPDATE FROM HASSIEN TO KNOKE AT 11:50 ON 03/05/07 *** The RSO called to retract this event stating that patient "A" did not reach the threshold of effective dose equivalent. Notified R3DO (Orth) and FSME (G. Morell).

ENS 43193 +/-
Where
Hannibal Clinic Hannibal, Missouri (NRC Region 3)
License number:	24-32619-01
Organization:	Hannibal Clinic
Reporting

10 CFR 35.3045(a)(2)
Time - Person (Reporting Time:+0.83 h0.0346 days <br />0.00494 weeks <br />0.00114 months <br />)
Opened:	Joel Hassien 15:20 Feb 27, 2007
NRC Officer:	John Knoke
Last Updated:	Mar 5, 2007
43193 - NRC Website
v • d • e

v t e Emergency Notification System
Hannibal Clinic with 10 CFR 35.3045(a)(2)
WEEKMONTHYEAR2007-02-27T14:30:00 [Table view]
[ENS list for Hannibal Clinic]

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