ENS 45401

v t e ENS Event
05:00 Oct 1, 2009
Title	Agreement State - Administered Radiation Treatment to Wrong Area
Event Description	The following was received via email: On October 1, 2009, the Agency was notified by the licensee that a patient had received 13 of 25 fractions to the wrong breast. The patient received 2,340 centigrays by the time the error was discovered. The Radiation Safety Officer stated that he had just fount out about the event and no additional information was available. Additional information will be provided as it is obtained. Texas Incident #: I-8676 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. * * RETRACTION FROM ART TUCKER TO DAN LIVERMORE ON 12/08/2009 AT 1705 * * * The following was received via email: This event involved an exposure to a patient from a linear accelerator and should not have been reported to the NRC; therefore, the Agency [Texas Department of Health] is retracting this report. Notified R4DO (Spitzberg) and FSME EO (Einberg)

ENS 45401 +/- *RETRACTED*
Where
Oncology Hematology Consultants Pa Fort Worth, Texas (NRC Region 4)
License number:	05919
Organization:	Texas Department Of Health
Reporting

Agreement State
Time - Person (Reporting Time:+13.18 h0.549 days <br />0.0785 weeks <br />0.0181 months <br />)
Opened:	Art Tucker 18:11 Oct 1, 2009
NRC Officer:	Charles Teal
Last Updated:	Dec 8, 2009
45401 - NRC Website
v • d • e

v t e Emergency Notification System
Oncology Hematology Consultants Pa with Agreement State
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