ENS Event | |
|---|---|
06:00 May 1, 2017 | |
| Title | Medical Event Written Dose Directive Is Different than Prescribed Dose |
| Event Description | An endocrinologist specified a therapy dose of 20 milliCuries of I-131. An authorized dose directive was incorrectly written for 30 milliCuries of I-131. The patient was administered the initially determined dose of 20 milliCuries of I-131. Medical personnel determined that there was no impact on the patient.
Hospital supervision notified the on-site Authorized User, the Radiation Safety Officer and the Medical Physicist. 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.
The actual event date was May 1, 2017, and the discovery date was September 25, 2017, at approximately 1500 MDT. Notified R4DO (Proulx) and NMSS Events Notification (via email). |
| Where | |
|---|---|
| Kalispell Regional Medical Center Kalispell, Montana (NRC Region 4) | |
| License number: | 25-15463-01 |
| Organization: | Kalispell Regional Medical Center |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+3561.65 h148.402 days <br />21.2 weeks <br />4.879 months <br />) | |
| Opened: | Andre Vanterpool 15:39 Sep 26, 2017 |
| NRC Officer: | Vince Klco |
| Last Updated: | Sep 27, 2017 |
| 52993 - NRC Website | |
Kalispell Regional Medical Center with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 529932017-05-01T06:00:0001 May 2017 06:00:00
[Table view]10 CFR 35.3045(a)(1) Medical Event Written Dose Directive Is Different than Prescribed Dose 2017-05-01T06:00:00 | |