ENS 50103

v t e ENS Event
05:00 May 8, 2014
Title	Agreement State Report Involving Over Dose to Patient
Event Description	{{#Wiki_filter:The following information was received from the State of Texas via email: The University of Texas Medical Branch reported that a patient received .975 MBq (26.35 �Ci) instead of the prescribed .37 MBq (10 �Ci) of I-131 for a diagnostic test for Grave's Disease on May 7, 2014. The rinse bottle used to add water to the I-131 to ensure all Iodine was ingested was contaminated from a previous therapeutic treatment on May 2, 2014. The rinse bottle tip which was used to squirt water into a 20 mCi I-131 solution for the therapeutic dose siphoned some of the iodine back into the bottle. The expected thyroid dose for the diagnostic procedure was 26 cGy (rad). The calculated thyroid dose with the additional contamination from the bottle was 68.51 cGy (rad). The Agency directed that the hospital immediately inform the patient. An investigation into this event by the Texas Department of State Health Services in ongoing. Additional information will be provided IAW with SA300 reporting requirements. Texas Incident #: I-9192 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 50103 +/-
Where
University Of Texas Galveston, Texas (NRC Region 4)
License number:	01299
Organization:	Texas Department Of Health
Reporting

Agreement State
Time - Person (Reporting Time:+34.95 h1.456 days <br />0.208 weeks <br />0.0479 months <br />)
Opened:	Chris Moore 15:57 May 9, 2014
NRC Officer:	Dong Park
Last Updated:	May 9, 2014
50103 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Texas with Agreement State
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