ENS Event | |
|---|---|
04:00 May 5, 2010 | |
| Title | Agreement State Report - Patient Received Dose Less than Prescribed |
| Event Description | The following information was received from the State of North Carolina via email:
On 05/05/10, a physician at Iredell Memorial Hospital (NC License 049-0412-2) performed a prostate seed implant procedure. The prescribed dose was 1440 cGray (~1440 REM). After the seeds were implanted, they did a scan and discovered a seed in the urethra. They removed the seed and it was part of a strand of four seeds. On 05/19/10, the patient returned for a follow-up and had an additional strand of three seeds. The patient said the seeds had come out during urination about a week before. The patient went through the post-implant CT scan. On 07/02/10, the post-dose calculations were performed. The D-90 actual dose (dose to 90% of the mass) was calculated as 77% of the prescribed dose. The hospital has made the notification [to the North Carolina Division on Radiation Protection] and is attempting to make the physician and patient notification. A report will be prepared and delivered within 15 days. State Event No.: NC 10-32 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. |
| Where | |
|---|---|
| Iredell Memorial Hospital Statesville, North Carolina (NRC Region 1) | |
| License number: | 049-0412-2 |
| Organization: | Nc Div Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+1495.28 h62.303 days <br />8.9 weeks <br />2.048 months <br />) | |
| Opened: | Henry Barnes 11:17 Jul 6, 2010 |
| NRC Officer: | Dong Park |
| Last Updated: | Jul 6, 2010 |
| 46071 - NRC Website | |
Iredell Memorial Hospital with Agreement State | |
WEEKMONTHYEARENS 460712010-05-05T04:00:0005 May 2010 04:00:00
[Table view]Agreement State Agreement State Report - Patient Received Dose Less than Prescribed 2010-05-05T04:00:00 | |