ENS 51590

v t e ENS Event
05:00 Dec 4, 2015
Title	Agreement State Report - Delivered Dose of Yttrium-90 Less than Prescribed Dose
Event Description	The following report was received from the Pennsylvania Department of Environmental Protection via facsimile: On 12/4/2015, a patient was scheduled for a yttrium-90 (Y-90) Sirsphere procedure. The prescribed dose on the written directive was 10 mCi. The ion chamber measurements indicated a delivered dose of 7.72 mCi (-22.8% of prescribed dose). Both the patient and referring physician were notified. No harm is expected to the patient. A reactive inspection is planned by the Pennsylvania Department of Environmental Protection. Pennsylvania Event Report ID No: PA150032 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 51590 +/-
Where
Geisinger Health System Danville, Pennsylvania (NRC Region 1)
License number:	PA-0006
Organization:	Pa Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+81.65 h3.402 days <br />0.486 weeks <br />0.112 months <br />)
Opened:	Joe Melnic 14:39 Dec 7, 2015
NRC Officer:	Jeff Herrera
Last Updated:	Dec 7, 2015
51590 - NRC Website
v • d • e

v t e Emergency Notification System
Geisinger Health System with Agreement State
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