On July 01, 2004 the licensee had three patients scheduled for
I-131 treatments. Two patients were scheduled to receive less than 33 milliCuries and one patient was scheduled to receive 100 milliCuries. One of the patients scheduled to receive less than 33 milliCuries was administered 100 milliCuries instead. The patient was allowed to leave the facility without the proper instructions being given. The authorized user who signed the written directive was at the facility when the dose was administered. The temporary
RSO was at South Fulton Hospital and he was notified. The patient was notified and was given the proper instructions prior to release and the referring physician was notified.
On 07/19/04, a written copy of this event was received by the [Georgia] Department [of Natural Resources], including measures taken to prevent recurrence. Incident was not discovered by licensee until after patient had left with her children. On 7/26/04, the Department received report from the medical physicist consultant hired by licensee that no
overexposures or affects from radiation would have been received by patient's children.