ENS 41693

v t e ENS Event
04:00 May 11, 2005
Title	Medical Event - Actual Dose Greater than Prescribed Dose
Event Description	On 05/11/05, a patient in the hospital was scheduled to receive an I-131 dose of 12 millicuries to the thyroid. Due to an error by the nuclear medical technician, a dose of 14.8 millicuries of I-131 was measured and delivered. There were two doses for different patients being measured in the lab at the time and the prescribing physician typically would write nuclear medicine directives with a range, such as 12-14 millicuries. In this specific instance, the physician wrote the directive for exactly 12 millicuries. The physician stated that there would be no unintended damage to the patient. The hospital RSO stated that the prescribing physician would be notifying the patient. The RSO intends to reinforce following proper lab procedures and exercising caution when working with multiple doses to all physicians and lab personnel.

ENS 41693 +/-
Where
Shore Memorial Hospital Sommers Point, New Jersey (NRC Region 1)
License number:	29-11642-01
Organization:	Shore Memorial Hospital
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+34.55 h1.44 days <br />0.206 weeks <br />0.0473 months <br />)
Opened:	Johnathan Law 14:33 May 12, 2005
NRC Officer:	Jeff Rotton
Last Updated:	May 12, 2005
41693 - NRC Website
v • d • e

v t e Emergency Notification System
Shore Memorial Hospital with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2005-05-11T04:00:00 [Table view]
[ENS list for Shore Memorial Hospital]

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