ENS 52131

v t e ENS Event
07:00 Jul 27, 2016
Title	Agreement State Report - Patient Received Less than the Prescribed Dose of I-131
Event Description	The following information was provided by the State of Washington via email: At approximately 3:50 pm [PDT] on Thursday, July 28th 2016, the Director of Radiology of Virginia Mason Medical Center called the radioactive materials section [WA Office of Radiation Protection] to report a medical event. The event occurred on the previous day, July 27th 2016, but was not noticed until the 28th . A patient was supposed to receive 120.8 mCi of I-131 in the form of two capsules for thyroid treatment. However, the patient only received one capsule resulting in the patient only receiving 53 mCi of the 120.8 mCi. The event was discovered (8:45 am [on] July 28, 2016) when an I-131 capsule was returned to the pharmacy on the 28th and it was noticed that the patient did not get both capsules as intended. 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 52131 +/-
Where
Virginia Mason Medical Center Seattle, Washington (NRC Region 4)
License number:	WA-M048
Organization:	Wa Office Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+37 h1.542 days <br />0.22 weeks <br />0.0507 months <br />)
Opened:	Tristan Hay 20:00 Jul 28, 2016
NRC Officer:	Steve Sandin
Last Updated:	Jul 28, 2016
52131 - NRC Website
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v t e Emergency Notification System
Virginia Mason Medical Center with Agreement State
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