ENS 53343

v t e ENS Event
04:00 Apr 17, 2018
Title	Written Directive for Ra-223 Administration Incorrect
Event Description	A quarterly review conducted on 4/17/18, identified that the written directive for administration of Ra-223 was incorrect. The written directive stated that the Ra-223 should be administered orally, but should have stated that it was to be administered intravenously (IV). The review determined that there was no impact to any patients as a result of the error in the written directive. The review identified one case where the written directive was used. However, the technician administered the Ra-223 to the patient via IV and not orally. The corrective actions taken by the licensee were to correct the written directive, and review the directive with the technician to understand why the technician did not consult with the physician when there was an error in the directive. The licensee notified the NRC R3 Office (Warren). 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 53343 +/-
Where
Providence Hospital Southfield, Michigan (NRC Region 3)
License number:	21-280203
Organization:	Providence Hospital
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+33.23 h1.385 days <br />0.198 weeks <br />0.0455 months <br />)
Opened:	Michelle Kritzman 13:14 Apr 18, 2018
NRC Officer:	Jeff Herrera
Last Updated:	Apr 18, 2018
53343 - NRC Website
v • d • e

v t e Emergency Notification System
Providence Hospital with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2018-04-17T04:00:00 [Table view]
[ENS list for Providence Hospital]

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