ENS 42256

v t e ENS Event
05:00 Jan 12, 2006
Title	Agreement State Report - Medical Misadministration
Event Description	The State provided the following information via facsimile: The South Carolina Department of Health and Environmental Control was notified (telephone) on January 13, 2006, by the licensee, that a medical misadministration had occurred. A patient being treated with a Iridium 192 HDR after loading brachytherapy system received a fractionated dose that differed from the prescribed dose, for a single fraction, by 50 percent or more. The patient was undergoing the first of three treatments to the pelvic region. The prescribed dose for this first treatment was 700 centigray but the patient only received 233 centigray, approximately one third of the intended dose. Further details of the misadministration will be supplied by the licensee in the forthcoming written report. Updates to this event will be made through the NMED system. SC Report ID No. - SC060001

ENS 42256 +/-
Where
Carealliance Health Services Roper Hospital Charleston, South Carolina (NRC Region 1)
License number:	646
Organization:	Sc Div Of Health & Env Control
Reporting

Agreement State
Time - Person (Reporting Time:+35.4 h1.475 days <br />0.211 weeks <br />0.0485 months <br />)
Opened:	Jim Peterson 16:24 Jan 13, 2006
NRC Officer:	John Knoke
Last Updated:	Jan 13, 2006
42256 - NRC Website
v • d • e

v t e Emergency Notification System
Carealliance Health Services Roper Hospital with Agreement State
WEEKMONTHYEAR2006-01-12T05:00:00 [Table view]
[ENS list for Carealliance Health Services Roper Hospital]

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