ENS 45759

v t e ENS Event
05:00 Mar 11, 2010
Title	Agreement State Report - Potential Medical Overdose
Event Description	The following report was received via e-mail: Patient was receiving the 2nd of 14 fractions of 250 centiGray treatments to the ear. The therapist accidently pushed the 'auto radiography' button rather than the 'treatment' button which delivered approximately 9 times the intended dose. The patient and doctor have been notified. No health effects are expected. Licensee will send a written report. Florida is investigating. Isotope: Ir-192, 5.7 Ci Maximum dose received: 2250 centiGray Device: HDR Surface Applicator manufactured by Nucletron Model V2 MicroSelectron Florida Incident Number: FL10-035 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 45759 +/-
Where
Coral Springs Clinic Coral Springs, Florida (NRC Region 1)
License number:	3109-2
Organization:	Florida Bureau Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+10.92 h0.455 days <br />0.065 weeks <br />0.015 months <br />)
Opened:	Charles Adams 15:55 Mar 11, 2010
NRC Officer:	Mark Abramovitz
Last Updated:	Mar 11, 2010
45759 - NRC Website
v • d • e

v t e Emergency Notification System
Coral Springs Clinic with Agreement State
WEEKMONTHYEAR2010-03-11T05:00:00 [Table view]
[ENS list for Coral Springs Clinic]

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