ENS Event | |
|---|---|
05:00 Jun 29, 2007 | |
| Title | Agreement State Report - Medical Misadministration |
| Event Description | Christus St. Francis Cabrini hospital called and reported an over exposure on a treatment using an HDR [High Dose Rate system]. The HDR system delivered a dose 40% more than what the treatment plan called for to the patient. The overexposure for the treatment was reported as 1400 cGy. This is all of the information we have at this time. An investigation has started for this incident.
LA report number - LA070017 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. |
| Where | |
|---|---|
| Christus St.Francis Cabrini Hospital Alexandria, Louisiana (NRC Region 4) | |
| License number: | LA-1121-L01 |
| Organization: | Louisiana Radiation Protection Div |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+100.48 h4.187 days <br />0.598 weeks <br />0.138 months <br />) | |
| Opened: | Richard Penrod 09:29 Jul 3, 2007 |
| NRC Officer: | Jason Kozal |
| Last Updated: | Jul 3, 2007 |
| 43469 - NRC Website | |
Christus St.Francis Cabrini Hospital with Agreement State | |
WEEKMONTHYEARENS 434692007-06-29T05:00:00029 June 2007 05:00:00
[Table view]Agreement State Agreement State Report - Medical Misadministration 2007-06-29T05:00:00 | |