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.
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. |
| 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 | |
Valley Hospital with 10 CFR 35.3045(a)(3) | |
WEEKMONTHYEARENS 452502009-08-06T21:00:0006 August 2009 21:00:00
[Table view]10 CFR 35.3045(a)(3) Potential Dose to Wrong Site 2009-08-06T21:00:00 | |