ENS 40490

v t e ENS Event
16:51 Jan 30, 2004
Title	Medical Event Due to Administered Dose Exceeding Prescribed Dosage to the Thyroid
Event Description	The 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 Boston Healthcare System, Boston, Massachusetts. The medical event occurred on January 29, 2004, and was discovered the same day. The basis for the medical event is under 10 CFR 35.3045(a)(1)(ii) in that an administered dosage differed from the prescribed dosage by more than 20% and resulted in a dose of more than 50 rem to an organ. Specifically, the verbal order from the authorized user was for 5 microcuries Iodine 131 and the patient was given 500 microcuries Iodine 131. After the event was discovered, the patient was given a thyroid blocking solution. Based on the patient's resultant thyroid uptake, the permittee computed a dose to the thyroid of approximately 83 rem. The authorized user does not anticipate any adverse medical effects to the patient. The permittee has implemented initial corrective actions to prevent a recurrence of the circumstances that resulted in the medical event. The Department of Veterans Affairs will evaluate the circumstances related to the medical event and submit a written report to NRC, Region III, within 15 days.

ENS 40490 +/-
Where
Va Boston Healthcare System Boston, Massachusetts (NRC Region 1)
License number:	03-23853-01VA
Organization:	Us Dept Of Veterans Affairs
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+-3.42 h-0.143 days <br />-0.0204 weeks <br />-0.00468 months <br />)
Opened:	Gary Williams 13:26 Jan 30, 2004
NRC Officer:	Steve Sandin
Last Updated:	Jan 30, 2004
40490 - NRC Website
v • d • e

v t e Emergency Notification System
Va Boston Healthcare System with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2004-01-30T16:51:00 [Table view]
[ENS list for Va Boston Healthcare System]

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