ENS 45250

v t e ENS Event
21:00 Aug 6, 2009
Title	Potential Dose to Wrong Site
Event Description	A patient with radiation seed prostate implants came back to the facility to have a CAT Scan. Based on the CAT Scan results, the physician suspects the improper positioning of the radiation seed implants. Due to the patient's medical condition the hospital cannot conduct a verification CAT Scan with contrast material. The patient plans to return to the hospital at a later date. A hospital review of the patient's treatment is ongoing. * * UPDATE FROM TKI CHAK TO JOHN KNOKE AT 1530 ON 08/11/09 * * * The licensee confirmed that the patient had improper positioning of the radiation seed implants. This was considered an under dose to the patient since the seeds went into the tissue and not the prostate. The patient was advised by the physician and will receive a follow-on treatment with a tomotheraphy procedure. Notified FSME (Andrew Mauer) and R1DO (William Cook). 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 45250 +/-
Where
Valley Hospital Ridgewood, New Jersey (NRC Region 1)
License number:	29-03845-01
Organization:	Valley Hospital
Reporting

10 CFR 35.3045(a)(3)
Time - Person (Reporting Time:+20.53 h0.855 days <br />0.122 weeks <br />0.0281 months <br />)
Opened:	Tki Chak 17:32 Aug 7, 2009
NRC Officer:	Vince Klco
Last Updated:	Aug 11, 2009
45250 - NRC Website
v • d • e

v t e Emergency Notification System
Valley Hospital with 10 CFR 35.3045(a)(3)
WEEKMONTHYEAR2009-08-06T21:00:00 [Table view]
[ENS list for Valley Hospital]

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