ENS Event | |
|---|---|
04:00 Jun 25, 2015 | |
| Title | Agreement State Report - Medical Underdose |
| Event Description | A prostate brachytherapy implant using I-125 performed at Fauquier Hospital on 6/25/2015, resulted in a dose distribution having a D90 percent of 97Gy as measured on post implant CT done on 8/12/15. The written directive prescribed a D90 percent of 145Gy. The implanted dose of 97 Gy is 66.9 percent of the intended 145 Gy. The patient was notified and is being monitored to determine if additional treatment is required.
The final determination was not made until 10/8/15 and Fauquier notified VRMP [Virginia Radioactive Materials Program] by email on 10/8/15. A telephone conversation was held on 10/13/15 regarding the 15 day written report. VRMP will review the report and determine whether an inspection will be performed. Virginia Report ID: VA-15-14 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 | |
|---|---|
| Fauquier Hospital Warrenton, Virginia (NRC Region 1) | |
| License number: | 061-092-1 |
| Organization: | Virginia Rad Materials Program |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+2647.05 h110.294 days <br />15.756 weeks <br />3.626 months <br />) | |
| Opened: | Mike Welling 11:03 Oct 13, 2015 |
| NRC Officer: | Mark Abramovitz |
| Last Updated: | Oct 13, 2015 |
| 51466 - NRC Website | |
Fauquier Hospital with Agreement State | |
WEEKMONTHYEARENS 514662015-06-25T04:00:00025 June 2015 04:00:00
[Table view]Agreement State Agreement State Report - Medical Underdose 2015-06-25T04:00:00 | |