ENS Event | |
|---|---|
04:00 Apr 20, 2010 | |
| Title | Agreement State Report - Possible Overexposure to a Member of the Public |
| Event Description | {{#Wiki_filter:Ohio Department of Health (ODH), Bureau of Radiation Protection (BPR) was notified of a possible overexposures to a member of the general public which occurred on 4/20/10 at the Ohio State University located in Columbus, Ohio.
A patient received a temporary implant of Cs-137 and Ir-192 seeds on April 16-18, 2010. The patient's visitor (her fianc�) was instructed by the licensee that he could stay no longer than 2 hours with the patient in a twenty four hour period, and must stay behind the bedside shield during these visitations. On Tuesday, April 20, 2010, the licensee was informed by the Assistant Nurse Manager that the fianc� spent the night in the patient's room on two consecutive nights. In addition, the initial investigation by the licensee indicates that the visitor told the Assistant Nurse Manager that he slept in the same bed with the patient both nights. Nursing Management personnel are in the process of interviewing staff members that were involved directly with the care of the implant patient to verify that the fianc� was in the room overnight with the patient. A preliminary and conservative worst case dose estimate for the visitor is 6 Rad (6 cGy) whole body exposure, based on a 16-hour stay time (8 hours each night for two nights). ODH BRP will continue to collect information of this event and conduct an investigation. The licensee has initiated an internal investigation. Ohio Report OH100005
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| Where | |
|---|---|
| Ohio State University Columbus, Ohio (NRC Region 3) | |
| License number: | OH02110250037 |
| Organization: | Ohio Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+32 h1.333 days <br />0.19 weeks <br />0.0438 months <br />) | |
| Opened: | Stephen James 12:00 Apr 21, 2010 |
| NRC Officer: | Ryan Alexander |
| Last Updated: | Jul 8, 2010 |
| 45864 - NRC Website
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Ohio State University with Agreement State | |
WEEKMONTHYEARENS 566842023-07-28T04:00:00028 July 2023 04:00:00
[Table view]Agreement State Treatment to Wrong Side of Organ ENS 564002023-03-07T05:00:0007 March 2023 05:00:00 Agreement State Misapplication of Medical Dose Resulting in Underdosing ENS 552482021-05-10T05:00:00010 May 2021 05:00:00 Agreement State Dose to Improper Treatment Site ENS 542092019-08-06T04:00:0006 August 2019 04:00:00 Agreement State Agreement State Report - Leaking Eckert & Ziegler Cs-137 Vial Source ENS 458642010-04-20T04:00:00020 April 2010 04:00:00 Agreement State Agreement State Report - Possible Overexposure to a Member of the Public 2023-07-28T04:00:00 | |