ENS 53338

v t e ENS Event
04:00 Apr 13, 2018
Title	Florida Agreement State Report - Patient Received 65 Percent of Prescribed Dose to Intended Treatment Site
Event Description	The following information was obtained from the state of Florida via email: An underdose of Y-90 Theraspheres to the patient's liver was reported to the BRC [Florida Bureau of Radiation Control] on 4/14/2018 at 3:15 p.m. [EDT]. Incident occurred on Friday, 4/13/2018 sometime during the afternoon. 60 mCi of Y-90 Theraspheres prescribed, of which 65% was delivered to patient's liver and 35% went to the waist. The RSO [Radiation Safety Officer] to follow up with documentation and a corrective action plan. Florida Incident No.: FL18-050 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 53338 +/-
Where
Mayo Clinic Jacksonville, Florida (NRC Region 1)
License number:	1812-3
Organization:	Florida Bureau Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+41.65 h1.735 days <br />0.248 weeks <br />0.0571 months <br />)
Opened:	Mark Seidensticker 21:39 Apr 14, 2018
NRC Officer:	Howie Crouch
Last Updated:	Apr 14, 2018
53338 - NRC Website
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v t e Emergency Notification System
Mayo Clinic with Agreement State
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