ENS 52075

v t e ENS Event
07:00 Jul 7, 2016
Title	Agreement State Report - Total Dose Delivered Differs from the Prescribed Dose
Event Description	The following report was received from the California Department of Public Health, Radiation Health Branch (RHB) via email: RHB North was informed by the Radiation Safety Officer of UC [University of California] Davis Medical Center, of a Medical Event that took place on July 7, 2016. The Medical Event involved a SirSphere case. The patient received 29 per cent more than the prescribed dose. The physicians working on the case as well as the referring physician and the patient have been notified. There are no expected negative impacts on the patient. Prescribed dosage: 13.5 mCi. Administered dosage: 17.4 mCi. The apparent reason of the misadministration is that the CNMT [Certified Nuclear Medicine Technologist] miscalculated the dosage required. 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 52075 +/-
Where
University Of California Davis Health System Sacramento, California (NRC Region 4)
License number:	1334-57
Organization:	California Dept Of Public Health
Reporting

Agreement State
Time - Person (Reporting Time:+37.88 h1.578 days <br />0.225 weeks <br />0.0519 months <br />)
Opened:	L. Robert Greger 20:53 Jul 8, 2016
NRC Officer:	Bethany Cecere
Last Updated:	Jul 8, 2016
52075 - NRC Website
v • d • e

v t e Emergency Notification System
University Of California Davis Health System with Agreement State
WEEKMONTHYEAR2016-07-07T07:00:00 [Table view]
[ENS list for University Of California Davis Health System]

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