ENS 47090

v t e ENS Event
05:00 Jul 21, 2011
Title	Agreement State Report Involving a Patient Receiving an Incorrect Dosage of I-131
Event Description	The following report was received from the State of Wisconsin via fax: The Wisconsin Department of Health Services (DHS) received a phone call from the Radiation Safety Officer (RSO) on July 22, 2011 that a patient received the wrong dose of I-131 on July 21, 2011. The patient was scheduled for a diagnostic procedure involving 8 mCi of I-131, but instead received a 150 mCi therapeutic dose of I-131. DHS will be conducting an investigation on July 26, 2011 and the licensee will be submitting a 15 day written report concerning the medical event. Wisconsin Event Report ID No.: WI10010 * * RETRACTION ON 7/26/11 AT 1405 EDT VIA FAX TO HUFFMAN FROM TIMMERMAN * * * This is an update to [the State of Wisconsin] Event Notification WI-10010. On July 26, 2011, the licensee informed [the Wisconsin Department of Health Services] that the reported medical event on July 22, 2011 involving a patient that received 150 mCi dose of I-131 on July 21, 2011, was an internal miscommunication. Upon review of the written directive and speaking with UW-Madison staff, DHS has verified that the patient received an I-131 therapeutic dose as prescribed on the written directive. This medical event is retracted." R3DO (Giessner) and FSME EO (McIntosh) notified.

ENS 47090 +/- *RETRACTED*
Where
Uw-Madison Madison, Wisconsin (NRC Region 3)
License number:	025-1323-01
Organization:	Wisconsin Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+35.48 h1.478 days <br />0.211 weeks <br />0.0486 months <br />)
Opened:	Chris Timmerman 16:29 Jul 22, 2011
NRC Officer:	Steve Sandin
Last Updated:	Jul 26, 2011
47090 - NRC Website
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v t e Emergency Notification System
Uw-Madison with Agreement State
WEEKMONTHYEAR2011-08-07T05:00:00 [Table view]
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