ENS 47158

v t e ENS Event
04:00 Aug 9, 2011
Title	Dose Different than Prescribed
Event Description	A patient was scheduled to receive three separate treatments for pancreatic cancer containing Yttrium-90. Each dose was to contain 10.5 milliCuries of Yttrium-90 for a total of 31.5 milliCuries. Cardinal Health (the producer of the treatment) provided the entire dose of 31.5 milliCurie in a single syringe. The physician verified the receipt of the syringe and administered it to the patient. When the patient was scheduled to return on 8/16/11 for the second treatment Cardinal Health realized that they had provided the entire dose instead of three separate doses of 10.5 milliCuries. Cardinal Health notified Christiana Care of the error. The treating physician and patient have been notified. No adverse health effects are expected. * * RETRACTION FROM JOESPH SOLGE TO JOHN SHOEMAKER AT 1009 EDT ON 11/01/11 * * * The original directive was correct in regard to the dose administered, therefore this event is being retracted. Notified the R1DO (Perry) and FSME (McIntosh). 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 47158 +/- *RETRACTED*
Where
Christiana Care Newark, Delaware (NRC Region 1)
License number:	0712153-02
Organization:	Christiana Care
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+178.78 h7.449 days <br />1.064 weeks <br />0.245 months <br />)
Opened:	Joseph Solge 14:47 Aug 16, 2011
NRC Officer:	Charles Teal
Last Updated:	Nov 1, 2011
47158 - NRC Website
v • d • e

v t e Emergency Notification System
Christiana Care with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2011-08-09T04:00:00 [Table view]
[ENS list for Christiana Care]

Navigation menu