ENS Event | |
|---|---|
04:00 Jan 11, 2011 | |
| Title | Agreement State- Under Dose Administered to Patient |
| Event Description | The following was received via facsimile.
In January 2011 a patient was administered 1.58 millicuries of (Iodine) I-I31 for a whole body scan. The written directive specified a 2.0 millicurie dosage. The difference was discovered during a routine audit by the licensee's health physics consultant in March 2011. Calculations by the health physicist indicated the difference between the written directive and the administered dose differed by more than 20 percent, that the difference in the effective dose exceeded 5 rem and that the difference in the dose to the thyroid exceeded 50 rem. A report dated March 24, 2011 was received by (Virginia Department of Health) VDH on April 4, 2011. An on-site investigation by VDH was performed on April 8, 2011. The licensee indicated that the quality of the whole body scan was not compromised and that because the administered dose was less than the written directive, there is no radiological hazard to the patient. Virginia Radioactive Materials Program Event Report ID.: VA-11-01 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 | |
|---|---|
| Virginia Hospital Center Arlington, Virginia (NRC Region 1) | |
| License number: | 013-220-1 |
| Organization: | Virginia Rad Materials Program |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+2242.98 h93.458 days <br />13.351 weeks <br />3.072 months <br />) | |
| Opened: | Charles Coleman 13:59 Apr 14, 2011 |
| NRC Officer: | John Shoemaker |
| Last Updated: | Apr 14, 2011 |
| 46754 - NRC Website | |
Virginia Hospital Center with Agreement State | |
WEEKMONTHYEARENS 467542011-01-11T04:00:00011 January 2011 04:00:00
[Table view]Agreement State Agreement State- Under Dose Administered to Patient 2011-01-11T04:00:00 | |