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. |
| 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 | |
Martha Jefferson Hospital with Agreement State | |
WEEKMONTHYEARENS 453962009-09-30T04:00:00030 September 2009 04:00:00
[Table view]Agreement State Agreement State Report - Patient Given a Therapeutic Dose Vice a Diagnostic Dose 2009-09-30T04:00:00 | |