ENS 43917

v t e ENS Event
05:00 Jan 17, 2008
Title	Potential Overexposure
Event Description	The possible medical event occurred at a broad-scope permittee authorized under the master materials license issued to the Department of Veterans Affairs, NRC License 03-23853-01VA. The permittee is VA Boston Healthcare System, Boston, Massachusetts. The possible medical event occurred on January 17, 2008, and was discovered the same day. The basis for the possible medical event is under 10 CFR 35.3045(a)(2) and involved administration of radiopharmaceutical that might have resulted in more than 50 rem to tissue and involved a wrong route of administration. Specifically, a F-18 FDG injection of approximately 3.6 millicuries was infiltrated into a patient's arm. The Department of Veterans Affairs and permittee are reviewing the possible medical event circumstances and the dose calculation methods. The permittee informed the patient and referring physician. * * RETRACTION FROM THOMAS HUSTON TO HOWIE CROUCH ON 3/12/08 @ 1430 HRS. * * * The basis for retracting the event is that infiltration is not considered to be a wrong route of administration. This basis was communicated to NHPP [National Health Physics Program] in a phone call received from our NRC Region III Project Manager (Cassandra Frazier) on March 7, 2008 at 4:40 pm. Notified R1DO (Lorson), R3DO (Ring), and FSME (Burgess).

ENS 43917 +/- *RETRACTED*
Where
Department Of Veterans Affairs Boston, Massachusetts (NRC Region 1)
License number:	03-23853-01VA
Organization:	Department Of Veterans Affairs
Reporting

10 CFR 35.3045(a)(2)
Time - Person (Reporting Time:+34.33 h1.43 days <br />0.204 weeks <br />0.047 months <br />)
Opened:	Gary Williams 15:20 Jan 18, 2008
NRC Officer:	Jason Kozal
Last Updated:	Mar 12, 2008
43917 - NRC Website
v • d • e

v t e Emergency Notification System
Department Of Veterans Affairs with 10 CFR 35.3045(a)(2)
WEEKMONTHYEAR2008-01-17T05:00:00 [Table view]
[ENS list for Department Of Veterans Affairs]

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