ENS 40464

v t e ENS Event
21:10 Jan 16, 2004
Title	Agreement State Report Involving an Abnormal Occurrence (Ao)
Event Description	On 11/20/03 a 19 year old female patient received 140.1 millicuries I-131 for thyroid carcinoma as prescribed. At the time she was unaware and had completed the required forms indicating she was not pregnant. On 12/5, 12/8 and 12/11/03 quantitative tests confirmed that she was pregnant. The results were provided to her endocrinologist who recommended that a fetal dose calculation be performed. The hospital was notified and their consultant informed the endocrinologist that the fetus would have received 19.6 rads. The Endocrinologist sent the results to the Center for Human Genetics at University Hospital in Cleveland where as assessment was performed that the pregnancy could safely continue. The Ohio Bureau of Radiation was informed on 1/16/04 and submitted the information to the NRC Region III office. NRC Region III (Lynch) recommended making a telephonic notification due to the incident meeting the criteria of an AO even though Ohio is not required to conform with the revised reporting requirements for a period of three years (October 2005) after the final rule is issued. Hillcrest Hospital has implemented pregnancy testing for child bearing age female patients receiving radiation therapy.

ENS 40464 +/-
Where
Hillcrest Hospital Mayfield Heights, Ohio (NRC Region 3)
License number:	OH02120180042
Organization:	Ohio Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+132.32 h5.513 days <br />0.788 weeks <br />0.181 months <br />)
Opened:	Mark Light 09:29 Jan 22, 2004
NRC Officer:	Steve Sandin
Last Updated:	Jan 22, 2004
40464 - NRC Website
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v t e Emergency Notification System
Hillcrest Hospital with Agreement State
WEEKMONTHYEAR2004-01-16T21:10:00 [Table view]
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