ENS 42859

v t e ENS Event
17:20 Jun 28, 2006
Title	Incorrect Initial Prescribed Dose
Event Description	On 6/23/06 a physician wrote a prescribed dose of 10 microcuries of iodine-131 for a patient with graves disease. The physician meant to have written the prescribed dose to be 10 millicuries instead of 10 microcuries of iodine -131 for the patient. On 06/28/06 the dose was placed in a calibrator and measured at 10 millicuries with the physician present. After the dose was calibrated at 10 millicuries the physician signed, but forgot to date it, for the patient to receive the 10 millicurie dose. The patient received the 10 millicurie dose. A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.

ENS 42859 +/-
Where
West Branch Regional Medical Cent. West Branch, Michigan (NRC Region 3)
License number:	21-18892-01
Organization:	Medical Physics Consultants
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+2132.08 h88.837 days <br />12.691 weeks <br />2.921 months <br />)
Opened:	Michelle Kritzman 13:25 Sep 25, 2006
NRC Officer:	John Mackinnon
Last Updated:	Sep 25, 2006
42859 - NRC Website
v • d • e

v t e Emergency Notification System
West Branch Regional Medical Cent. with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2006-06-28T17:20:00 [Table view]
[ENS list for West Branch Regional Medical Cent.]

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