Scenario : Thyroid Uptake administration Incident, Patient Info: 34 years old - Scheduled for thyroid uptake exam at 10:00 a.m., Ordered Technique: oral capsule I 123, Nurse accidentally drew the capsule into a syringe and gave it IV, gamma camera show High radioactivity at injection site (arm) , So What’s the problem?, Radiopharmaceutical given via wrong route -Oral route needed to go through digestive system to thyroid, Immediate Actions: -scan stopped - Extra appointment scheduled to repeat exam properly, Normal thyroid gland showing symmetric uptake of I-123 after oral administration, Solution / Safety Measures:New department standard: verify & document route before every administration.

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