ENS 46143

v t e ENS Event
04:00 Jul 9, 2010
Title	Agreement State Report - Patient Exposure to an Unintended Area
Event Description	On July 9, 2010, a cervical cancer brachytherapy study was being performed using a Cs-137 source (44.2 mCi). The physician failed to place the source in the afterloader and the source fell on the patient's buttocks. The source was later recovered from the trash before it left the facility. The licensee estimates the maximum dose received was 1050 centiGray. The patient's physician and the patient were notified of this event. No reddening of the skin has been noticed. The state was notified on 7/12/2010 and a written report was received from the licensee on 7/26/2010. 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 46143 +/-
Where
Greater Baltimore Medical Center Baltimore, Maryland (NRC Region 1)
License number:	MD-05-002-03
Organization:	Maryland Dept Of The Environment
Reporting

Agreement State
Time - Person (Reporting Time:+606.37 h25.265 days <br />3.609 weeks <br />0.831 months <br />)
Opened:	Ray Manley 10:22 Aug 3, 2010
NRC Officer:	Mark Abramovitz
Last Updated:	Aug 3, 2010
46143 - NRC Website
v • d • e

v t e Emergency Notification System
Greater Baltimore Medical Center with Agreement State
WEEKMONTHYEAR2014-04-01T13:00:00 [Table view]
[ENS list for Greater Baltimore Medical Center]

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