ENS Event | |
|---|---|
05:00 May 1, 2012 | |
| Title | Medical Event - Actual Dose Differed from Prescribed Dose |
| Event Description | An NRC Region I Inspector (Abogundi) performed an inspection at the licensee facility and determined that a medical event occurred and should have been reported.
In May, 2011, a patient received prostate LDR (Low-Dose Rate brachytherapy) treatment using 86 Pd-103 seeds for a prescribed dose of 125 Gy. During post-treatment evaluation, it was determined that the patient received between 72% and 75% of prescribed dose. The prescribing physician was notified and will not be notifying the patient due to treatment success. 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.
After reviewing their reporting procedures and in consultation with their Regional NRC Inspector (Abogundi), the licensee determined that this event did not meet their activity-based (versus dose-based) reporting criteria. Based on this information, the licensee has retracted this event notification. Notified R1DO (Powell) and FSME Resource via email. |
| Where | |
|---|---|
| Stamford Hospital Stamford, Connecticut (NRC Region 1) | |
| License number: | 06-066-9702 |
| Organization: | Stamford Hospital |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+4902.52 h204.272 days <br />29.182 weeks <br />6.715 months <br />) | |
| Opened: | Sarah Bull 12:31 Nov 21, 2012 |
| NRC Officer: | Howie Crouch |
| Last Updated: | Feb 4, 2013 |
| 48528 - NRC Website | |
Stamford Hospital with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 485282012-05-01T05:00:0001 May 2012 05:00:00
[Table view]10 CFR 35.3045(a)(1) Medical Event - Actual Dose Differed from Prescribed Dose 2012-05-01T05:00:00 | |