ENS 46956

v t e ENS Event
04:00 May 4, 2011
Title	Agreement State Report - Medical Event During Liver Radiation Therapy
Event Description	The following report was received via fax: On May 4, 2011 a patient underwent a Y-90 therapy procedure. Two doses were to be administered to the right lobe of the patient's liver. The first dose was terminated when stasis was achieved. The second dose was terminated because of patient pain after 48% of the dose had been delivered. The pain during the second dose was considered most likely due to embolization. The licensee notified VDH (Virginia Department of Health) and requested guidance on whether the circumstances could be due to patient intervention. It was determined by VDH to be a medical event and not excepted because of patient intervention. A conference call was held with the licensee on June 10th and a written report submitted to VDH. The licensee indicated written directives, patient preparation, and pain control methods would be reviewed. 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 46956 +/-
Where
Sentara Hospital Norfolk, Virginia (NRC Region 1)
License number:	710-189-1
Organization:	Virginia Rad Materials Program
Reporting

Agreement State
Time - Person (Reporting Time:+972.65 h40.527 days <br />5.79 weeks <br />1.332 months <br />)
Opened:	Charles Coleman 16:39 Jun 13, 2011
NRC Officer:	Mark Abramovitz
Last Updated:	Jun 13, 2011
46956 - NRC Website
v • d • e

v t e Emergency Notification System
Sentara Hospital with Agreement State
WEEKMONTHYEAR2011-05-04T04:00:00 [Table view]
[ENS list for Sentara Hospital]

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