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Re: Risk Assessment



I've read of a case where the wrong patient was given the nuclear medicine administration!



The opinions expressed are strictly mine.

It's not about dose, it's about trust.

Curies forever.



Bill Lipton

liptonw@dteenergy.com





Marissa Bartlett wrote:



> Susan,

>

> Apart from spills, misadministration is the most common adverse event, in my experience.  This can be either

> 1) injecting the wrong amount of the right radiopharmaceutical

> 2) injecting the wrong radiopharmaceutical, so that another injection has to be given at a later date,

> 3) tissue-ing of the injection, so another dose must be given to get a diagnostic scan.

>

> You might also want to list failure to advise on breastfeeding, resulting in a dose to an infant.

> Of course, if you're doing therapy work, you'll have to consider failure to advise on precautions after release, resulting in doses to members of the public.  Also, the possibility of your therapy patient walking out ahead of time.

>

> Hope this helps,

> Marissa

>

> ===============================

> Dr Marissa Bartlett

> Dept of Nuclear Medicine

> Royal Brisbane Hospital

>

> marissa_bartlett@health.qld.gov.au

> ph: + 61 7 3636 7569

> fax: + 61 7 3636 8481

>

> >>> "Susan Harrison" <SHarriso@hillcrest.com> 13/03/03 9:42:36 >>>

> I am new to this list and have never contributed.  I am a Radiology

> Director for a medium sized rural hospital.  Our new Safety Officer for

> the hospital has asked me to perform a Risk Assessment for our Radiation

> Safety plan.  These are the following potential "hazards" I have

> identified thus far.  Our Safety Officer, however, has mentioned that he

> would like a list of ALL possible radiation-related possibilites (no

> matter how extreme the may seem)...so, I ask you to please, please

> assist me with suggestions for this list.

>

> Here is what I have:

> Radiating a Pregnant Patient

> Large, Moderate, and Minor Spill (internal and external)

> Theft of Radioactive Material from the Nuc Med Hot Lab

> Employee Exceeding Annual Limits

>

> Please help me with any other suggestions.

>

> Thank you  in advance,

> Susan Harrison

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