ENS 49427

v t e ENS Event
14:30 Oct 10, 2013
Title	Agreement State Report - Medical Event Involving Possible Equipment Malfunction
Event Description	The following was received from the Commonwealth of Kentucky via email: Licensee notified the Radiation Health Branch on October 10, 2013 at 0930 EDT of the possible event. The RSO, reported the following: A vaginal applicator using Cs-137 was found to be dislodged from the patient this morning. The RSO reported that the patient is paralyzed and would not have recognized the specific time that the applicator became dislodged. At this time, (1035 EDT) the RSO has received an email which requested him to provide all required notification information included in 902 KAR 100:072 section 15, has been provided a web link to the regulation, and has been provided with an information form to complete regarding the possible medical event. The RSO indicated he would provide the requested information to the Investigator by return email. The licensee is currently conducting an investigation into this matter to determine dose estimates for the patient and if there was an equipment failure. KY Event Report ID No: KY130004 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 49427 +/-
Where
Baptist Health Madisonville Madisonville, Kentucky (NRC Region 1)
License number:	202-141-26
Organization:	Kentucky Dept Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+1.13 h0.0471 days <br />0.00673 weeks <br />0.00155 months <br />)
Opened:	Eric Perry 15:38 Oct 10, 2013
NRC Officer:	Dong Park
Last Updated:	Oct 10, 2013
49427 - NRC Website
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v t e Emergency Notification System
Baptist Health Madisonville with Agreement State
WEEKMONTHYEAR2013-10-10T14:30:00 [Table view]
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