ENS 44599

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v t e ENS Event
04:00 Oct 22, 2008
Title	Agreement State Report - Excess Dose to the Fetus of a Pregnant Patient
Event Description	The licensee notified the State of Georgia on 10/23/2008 regarding a dose of greater than 500 mrem administered to the fetus of a pregnant patient. The apparent unintended dose was identified by the licensee on 10/22/08. The State of Georgia is attempting to contact the licensee for additional follow-up details and a report related to this event. * * UPDATE RECEIVED VIA FAX FROM IRENE BENNETT TO JOE O'HARA AT 1531 ON 10/27/08 * * * The following information was provided to the State of Georgia by the licensee: The patient was administered the radiopharmaceutical on October 13, 2008. Our facility was informed of the patients pregnancy on October 22, 2008. The RSO and our consulting medical physicists were notified. A dose calculation was performed and it was determined that the embryo/fetus received an effective dose equivalent in excess of 500 millirem. The patient was scheduled for a Nuclear Cardiology treadmill stress test on October 13, 2008. The patient was asked by the staff if she was pregnant per facility policy. The patient indicated that she was not pregnant. This was documented by our staff. The patient was administered 10 mCi Tc-99m Myoview for resting procedure and 30 mCi Tc-99m Myoview for stress. The patient subsequently determined she was pregnant and notified us as described above. The patient withheld information regarding pregnancy and fertility medication when asked prior to the study. The dose to the conceptus is estimated to be approximately 1.12 rad with an uncertainty factor of 50 percent. Determination of dose is limited by patient habitus and metabolic parameters. The prescribing physician was notified October 23, 2008 at 9:34 AM and stated that she will notify the primary physician and patient. Notified R1DO(Cobey) and FSME(Mauer)

ENS 44599 +/-
Where
N.E Georgia Medical Center, Wd Stribling Heart Clinic Gainesville, Georgia (NRC Region 1)
License number:	1479-1
Organization:	Georgia Radioactive Material Pgm
Reporting

Agreement State
Time - Person (Reporting Time:+58.77 h2.449 days <br />0.35 weeks <br />0.0805 months <br />)
Opened:	Irene Bennett 14:46 Oct 24, 2008
NRC Officer:	Vince Klco
Last Updated:	Oct 28, 2008
44599 - NRC Website
v • d • e

v t e Emergency Notification System
N.E Georgia Medical Center, Wd Stribling Heart Clinic with Agreement State
WEEKMONTHYEAR2008-10-22T04:00:00 [Table view]
[ENS list for N.E Georgia Medical Center, Wd Stribling Heart Clinic]

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