ENS 45436

v t e ENS Event
21:00 Oct 14, 2009
Title	Patient Received Approximately 76% of the Prescribed Dose
Event Description	A three year old boy was undergoing a palliative treatment for a cancer related illness with I-131. The boy was prescribed 180.5 milliCuries of I-131 by his physician. During the treatment, a technician noticed that there were air bubbles in the intravenous tubing leading to the boy and stopped the treatment. Upon subsequent investigation, it was revealed that the patient only received 138 milliCuries of the prescribed 180.5 milliCuries of I-131, which is approximately 76% of the prescribed dose. The patient's physician has been notified, and is making a decision whether to inform the boy's parents. The licensee is investigating the cause of the incident. 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 45436 +/-
Where
University Of Michigan Hospital Ann Arbor, Michigan (NRC Region 3)
License number:	21-00215-04
Organization:	University Of Michigan Hospital
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+19.7 h0.821 days <br />0.117 weeks <br />0.027 months <br />)
Opened:	Mark Driscoll 16:42 Oct 15, 2009
NRC Officer:	Joe O'Hara
Last Updated:	Oct 15, 2009
45436 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Michigan Hospital with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2018-10-25T04:00:00 [Table view]
[ENS list for University Of Michigan Hospital]

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