ENS Event | |
|---|---|
17:00 Jul 2, 2014 | |
| Title | Agreement State Report - Underdose Administration for Treatment of Prostate Cancer |
| Event Description | The following report was received from the New York City Office of Radiological Health (NYC ORH) via facsimile:
Type of Incident: Underdose of Sm-153 administration IV for treatment of prostate cancer. Location of Incident: Long Island Jewish Medical Center. New York City Radioactive Materials License No. 75-2986-01 Date and time of Incident: 07/02/14 at 1300 EDT. Date and time of Report to NYC ORH: 07/02/14 at 1530 EDT. Date of Investigation by ORH inspector: Inspection will be assigned no later than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> from time of report to the Office of Radiological Health. Description of event: Patient was being injected with Samarium-153 intravenously [IV], in the arm for treatment of prostate cancer. In preliminary telephone report by hospital, RSO stated that administration was made into the skin, rather than IV as intended. Physician's prescription was for 100 microcuries (reporting RSO twice stated 'microcuries'). Of the prescribed 100 microcuries, it was estimated that only 39.2 microcuries was delivered. Procedure was stopped in the course of delivery. Reporting RSO at Medical Center stated that preliminary report would be sent by email later today. Letter with details to follow. 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. |
| Where | |
|---|---|
| Long Island Jewish Medical Center New York City, New York (NRC Region 1) | |
| License number: | 75-2986-01 |
| Organization: | New York City Bureau Of Rad Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+-0.62 h-0.0258 days <br />-0.00369 weeks <br />-8.49276e-4 months <br />) | |
| Opened: | Tobias Lickerman 16:23 Jul 2, 2014 |
| NRC Officer: | John Shoemaker |
| Last Updated: | Jul 2, 2014 |
| 50251 - NRC Website | |
Long Island Jewish Medical Center with Agreement State | |
WEEKMONTHYEARENS 502512014-07-02T17:00:0002 July 2014 17:00:00
[Table view]Agreement State Agreement State Report - Underdose Administration for Treatment of Prostate Cancer 2014-07-02T17:00:00 | |