Event Notification Report for February 22, 2017
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
02/21/2017 - 02/22/2017
EVENT NUMBERS
52572
Agreement State
Event Number: 52572
Rep Org: OK DEQ RAD MANAGEMENT
Licensee: MUSKOGEE REGIONAL MEDICAL CENTER
Region: 4
City: MUSKOGEE State: OK
County:
License #: OK-13157-01
Agreement: Y
Docket:
NRC Notified By: KEVIN SAMPSON
HQ OPS Officer: JEFF ROTTON
Licensee: MUSKOGEE REGIONAL MEDICAL CENTER
Region: 4
City: MUSKOGEE State: OK
County:
License #: OK-13157-01
Agreement: Y
Docket:
NRC Notified By: KEVIN SAMPSON
HQ OPS Officer: JEFF ROTTON
Notification Date: 02/23/2017
Notification Time: 14:44 [ET]
Event Date: 02/22/2017
Event Time: 00:00 [CST]
Last Update Date: 02/23/2017
Notification Time: 14:44 [ET]
Event Date: 02/22/2017
Event Time: 00:00 [CST]
Last Update Date: 02/23/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
GREG PICK (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
GREG PICK (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE REPORT - MISADMINISTRATION OF RADIOISOTOPE TO PATIENT
The following information was received via email from the State of Oklahoma:
"[State of Oklahoma] has been informed that MUSKOGEE REGIONAL MEDICAL CENTER, LLC dba EASTAR HEALTH SYSTEM (OK-13157-01) administered 10 mCi of Tc-99m to a patient without an order from an Authorized User. This was done on the basis of a phone call from a nurse on the ward who indicated the patient was to have a stress test. After the initial dose had been administered, the physician [patients attending physician] called the Nuclear Medicine department and informed them that no study had been ordered for this patient. The second dose was not administered. The highest dose resulting from the administration is 1.25 REM to the gallbladder and 340 mR whole body. This does not appear to be a medical event."
The State of Oklahoma did not know if the patient has been informed of the misadministration.
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.
The following information was received via email from the State of Oklahoma:
"[State of Oklahoma] has been informed that MUSKOGEE REGIONAL MEDICAL CENTER, LLC dba EASTAR HEALTH SYSTEM (OK-13157-01) administered 10 mCi of Tc-99m to a patient without an order from an Authorized User. This was done on the basis of a phone call from a nurse on the ward who indicated the patient was to have a stress test. After the initial dose had been administered, the physician [patients attending physician] called the Nuclear Medicine department and informed them that no study had been ordered for this patient. The second dose was not administered. The highest dose resulting from the administration is 1.25 REM to the gallbladder and 340 mR whole body. This does not appear to be a medical event."
The State of Oklahoma did not know if the patient has been informed of the misadministration.
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.