ENS 43734

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v t e ENS Event
09:00 Oct 19, 2007
Title	Agreement State Report - Patient Overexposure Greater than 50 Rem
Event Description	A patient intervened during a vaginal iridium seed implant treatment by removing one of the needles from her body. The needle was found by a nurse approximately 30 minutes after it had been removed by the patient. The needle was located at the foot of the bed near the patients right foot and ankle. The doctor directed the nurse to place the source back into the pig. There were six sources in the needle. Total activity is 7 milliCuries of Ir-192. The estimated dose to the nurses hand was 13 milliRem, and she was wearing a whole body dosimeter, which is being examined. The estimated dose to the patients right ankle is 4.6 to 165 Rem. The patient will be monitored for acute radiation signs. The patient is in the process of receiving the planned dose. * * UPDATE PROVIDED BY MELANIE RASMUSSON TO JEFF ROTTON AT 1123 EST ON 01/02/08 * * * The State of Iowa received a recent update stating that the licensee concluded that the patient's intended dose with IMRT (external beam Intensity Modulated Radiation Therapy) and the dose to the exposed areas of the patients' legs and ankles from the removed source showed no signs of skin reaction as of December 5, 2007 and was due to patient intervention. They are going to continue to follow the patient and said that they would keep the State of Iowa informed. Notified R3DO (Louden) and FSME (Flannery) 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 43734 +/-
Where
University Of Iowa Hospital Iowa City, Iowa (NRC Region 3)
License number:	0037-1-52-AAB
Organization:	Iowa Department Of Public Health
Reporting

Agreement State
Time - Person (Reporting Time:+9.72 h0.405 days <br />0.0579 weeks <br />0.0133 months <br />)
Opened:	Melanie Rasmusson 18:43 Oct 19, 2007
NRC Officer:	Joe O'Hara
Last Updated:	Jan 2, 2008
43734 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Iowa Hospital with Agreement State
WEEKMONTHYEAR2019-05-22T17:52:00 [Table view]
[ENS list for University Of Iowa Hospital]

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