ENS 42748

v t e ENS Event
06:00 Jun 19, 2006
Title	Utah Agreement State Report - Medical Event
Event Description	The State provided the following information via facsimile: On July 11, 2006, the licensee indicated to a Division inspector that a 'misadministration' had occurred. The licensee sent a letter dated July 17, 2006, to the Division indicating that a 'medical event' had occurred. The letter did not contain sufficient information to determine if the incident was an actual medical event. Multiple attempts were made to contact the RSO who reported the incident to verify that it was a medical event. The RSO was on vacation during most of July 2006. The RSO contacted the Division by telephone on August 1, 2006, and confirmed that a medical event had occurred. Event Description: On June 19, 2006, two patients were scheduled at the same time for radioactive treatment of hyperthyroidism. One patient was scheduled for 15 mCi of I-131, and the other patient was scheduled for 29 mCi of 1-131. The patient who was scheduled for 15 mCi of 1-131 ingested 29.0 mCi of 1-131. The error was identified by the licensee prior to the administration of I-131 to the other patient. The other patient's dose was corrected, and the patients' physicians were informed of the incident. Utah Event Report ID: UT-06-0002 * UPDATED ON 3/13/07 BY KOZAL TO EXPORT TO NRC PUBLIC WEBSITE * *

ENS 42748 +/-
Where
Mckay-Dee Hospital Center Ogden, Utah (NRC Region 4)
License number:	UT 2900147
Organization:	Utah Division Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+1040.92 h43.372 days <br />6.196 weeks <br />1.426 months <br />)
Opened:	Phillip Griffin 14:55 Aug 1, 2006
NRC Officer:	Mike Ripley
Last Updated:	Mar 13, 2007
42748 - NRC Website
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v t e Emergency Notification System
Mckay-Dee Hospital Center with Agreement State
WEEKMONTHYEAR2006-06-19T06:00:00 [Table view]
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