ENS 45396

v t e ENS Event
04:00 Sep 30, 2009
Title	Agreement State Report - Patient Given a Therapeutic Dose Vice a Diagnostic Dose
Event Description	The following information was received from the Commonwealth of Virginia by facsimile: On September 30, 2009 a patient was given a therapeutic dose of I-131(100 mCi) instead of a diagnostic dose as prescribed (4 mCi). The patient was previously given a therapeutic dose in August of 2008 and a follow up diagnostic visit was scheduled for September 30, 2009. During scheduling, the dose was incorrectly entered as therapeutic instead of diagnostic. The licensee notified the patient's physician and consulted with the patient. The licensee notified their risk management group and has begun an investigation into the event. The licensee was informed to provide RMP [Radioactive Materials Program] with a written report within 15 days. Event Report Number: VA-09-04. 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 45396 +/-
Where
Martha Jefferson Hospital Charlottesville, Virginia (NRC Region 1)
License number:	540-137-1
Organization:	Virginia Rad Materials Program
Reporting

Agreement State
Time - Person (Reporting Time:+11.68 h0.487 days <br />0.0695 weeks <br />0.016 months <br />)
Opened:	Michael Welling 15:41 Sep 30, 2009
NRC Officer:	Joe O'Hara
Last Updated:	Sep 30, 2009
45396 - NRC Website
v • d • e

v t e Emergency Notification System
Martha Jefferson Hospital with Agreement State
WEEKMONTHYEAR2009-09-30T04:00:00 [Table view]
[ENS list for Martha Jefferson Hospital]

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