ENS 52611

v t e ENS Event
05:00 Feb 16, 2017
Title	Agreement State Report - Administered Dose Lower than Prescribed Dose
Event Description	The following information was received from the Commonwealth of Kentucky via email: Hardin Memorial Hospital (HMH) reported that a patient only received 106 mCi of I-131, instead of the prescribed 150 mCi post-thyroidectomy on 2/16/17. Two capsules of I-131 were received from the radiopharmacy in a single vial. When the technologist gave the patient the vial, the patient shook the contents of the vial into her mouth only swallowing one capsule. The tech did not see one capsule remained in the vial. Surveys on the package (containing the vial) that was to be sent back to the radiopharmacy were higher than background so [it] was held for decay. Another survey on 2/28/17 was taken and was still higher than background so the tech opened the package and discovered the remaining pill. Kentucky Event Report ID No.: KY170002 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 52611 +/-
Where
Hardin Memorial Hospital Elizabethtown, Kentucky (NRC Region 1)
License number:	202-029-22
Organization:	Kentucky Dept Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+637.58 h26.566 days <br />3.795 weeks <br />0.873 months <br />)
Opened:	Marissa Vega Velez 17:35 Mar 14, 2017
NRC Officer:	Howie Crouch
Last Updated:	Mar 14, 2017
52611 - NRC Website
v • d • e

v t e Emergency Notification System
Hardin Memorial Hospital with Agreement State
WEEKMONTHYEAR2018-09-07T04:00:00 [Table view]
[ENS list for Hardin Memorial Hospital]

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