ENS 40465

v t e ENS Event
05:00 Dec 29, 2003
Title	Possible Medical Event
Event Description	The possible medical event occurred at a medical broad-scope permittee authorized under the master materials license issued to the Department of Veterans Affairs, NRC License 03-23853-01VA. The permittee is VA Medical Center, Ann Arbor, Michigan (Permit # 21-00159-01). The possible medical event occurred on December 29, 2003. The possible medical event was discovered on January 21, 2004. The basis for the possible medical event is under 10 CFR 35.3045(a)(2)(i) and involved administration of a wrong radiopharmaceutical drug. Specifically, the written directive for a patient therapy procedure incorrectly listed Strontium 90 when in fact Strontium 89 was administered to the patient. Since the clinical intent was for the patient to receive Strontium 89, the possible medical event will not have any adverse impact on the patient. The permittee has implemented corrective actions to prevent a recurrence of the circumstances that resulted in the possible medical event. The Department of Veterans Affairs will evaluate the circumstances related to the possible medical event and submit a written report to NRC, Region III, within 15 days.

ENS 40465 +/-
Where
Va Med Center Ann Arbor, Mi Ann Arbor, Michigan (NRC Region 3)
License number:	21-00159-01
Organization:	Us Dept Of Veteran Affairs
Reporting

10 CFR 35.3045(a)(2)
Time - Person (Reporting Time:+586.32 h24.43 days <br />3.49 weeks <br />0.803 months <br />)
Opened:	Joseph Wissing 15:19 Jan 22, 2004
NRC Officer:	Mike Ripley
Last Updated:	Jan 22, 2004
40465 - NRC Website
v • d • e

v t e Emergency Notification System
Va Med Center Ann Arbor, Mi with 10 CFR 35.3045(a)(2)
WEEKMONTHYEAR2003-12-29T05:00:00 [Table view]
[ENS list for Va Med Center Ann Arbor, Mi]

Navigation menu