ENS 48876

v t e ENS Event
06:00 Feb 26, 2013
Title	Medical Event Involving Delivered Dose Exceeding Prescribed Dose >20%
Event Description	During a review of post implant dosimetry for prostate cancer treatment at 0800 hours0.00926 days <br />0.222 hours <br />0.00132 weeks <br />3.044e-4 months <br /> [MDT] on 4/02/13, it was discovered that a patient received 145 gray vice 110 gray prescribed as a "boost" treatment. The prescribing physician will inform the patient and consult with the urologist. The error occurred due to not taking into account that the prescribed dose was a "boost" to the previously delivered 45 gray on 2/14/13, and used the default value of 145 gray for initial treatment. The physician is evaluating any potential adverse consequences for the patient. 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 48876 +/-
Where
Rapid City Regional Hospital Rapid City, South Dakota (NRC Region 4)
License number:	40-00238-04
Organization:	Rapid City Regional Hospital
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+849.83 h35.41 days <br />5.059 weeks <br />1.164 months <br />)
Opened:	James Mckee 14:50 Apr 2, 2013
NRC Officer:	Steve Sandin
Last Updated:	Apr 2, 2013
48876 - NRC Website
v • d • e

v t e Emergency Notification System
Rapid City Regional Hospital with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2018-03-08T06:00:00 [Table view]
[ENS list for Rapid City Regional Hospital]

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