ENS 48260

v t e ENS Event
04:00 Aug 31, 2012
Title	Agreement State Report - Patient Received Less than the Prescribed Fractional Dose
Event Description	The following information was received from the Commonwealth of Virginia via email: On August 31, 2012, the licensee reported that a wire drift error occurred during a high dose rate afterloader procedure on August 31. The patient undergoing a tandem and ovoid treatment was scheduled to receive a fraction dose of 6 Gray. Because of the wire drift error the fraction was terminated prior to completion and the patient received only 0.73 Gray. The licensee has informed the patient and the referring physician. The cause of the error and the patient's revised treatment plan are being reviewed by the licensee. The Virginia Radioactive Material Program will review the circumstances of the event. 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 48260 +/-
Where
University Of Virginiia Charlottesville, Virginia (NRC Region 1)
License number:	540-248-1
Organization:	Virginia Rad Materials Program
Reporting

Agreement State
Time - Person (Reporting Time:+11.32 h0.472 days <br />0.0674 weeks <br />0.0155 months <br />)
Opened:	Charles Coleman 15:19 Aug 31, 2012
NRC Officer:	Steve Sandin
Last Updated:	Aug 31, 2012
48260 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Virginiia with Agreement State
WEEKMONTHYEAR2012-08-31T04:00:00 [Table view]
[ENS list for University Of Virginiia]

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