ENS 45661

v t e ENS Event
05:00 Apr 11, 2009
Title	Agreement State Report - Dose to an Embryo / Fetus
Event Description	The following excerpted information was received by facsimile: Notifications: DEP [PA Department of Environmental Protection] received a letter dated May 1, 2009; Received May 8, 2009 from St. Luke's describing the incident, corrective actions, effects and notification to the patient. A patient was administered a therapeutic dose of 134 mCi of I-131 for thyroid carcinoma on April 11, 2008. She had previous negative pregnancy tests on April 6, 2008 and April 10, 2008. Following treatment the patient suspected she was pregnant and returned to the hospital an April 28, 2008. Subsequent testing indicated she became pregnant approximately 4 to 6 days following her treatment. Calculated dose to the fetus was 35 rad, whole body dose. Patient and referring physician both notified. The event occurred because the patient didn't follow the contraceptive plan outlined in the procedure she signed prior to treatment. The hospital staff followed procedure for therapeutic administration of I-131, however corrective actions involve procedure modifications such as over-emphasizing the risks associated with becoming pregnant following administration of radioiodine to prevent further occurrence. Event Report ID No: PA080016

ENS 45661 +/-
Where
St. Luke'S Hospital Bethleham, Pennsylvania (NRC Region 1)
License number:	PA-0073
Organization:	Pa Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+6952.62 h289.693 days <br />41.385 weeks <br />9.524 months <br />)
Opened:	David Allard 22:37 Jan 25, 2010
NRC Officer:	John Knoke
Last Updated:	Jan 25, 2010
45661 - NRC Website
v • d • e

v t e Emergency Notification System
St. Luke'S Hospital with Agreement State
WEEKMONTHYEAR2009-04-11T05:00:00 [Table view]
[ENS list for St. Luke'S Hospital]

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