ENS Event | |
|---|---|
04:00 May 21, 2019 | |
| Title | Agreement State Report - Actual Dose Greater than Prescribed Dose by 87.6% |
| Event Description | The following information was obtained from the state of Florida via email:
On May 22, 2019, [the licensee Radiation Safety Officer] notified the BRC [Florida Bureau of Radiation Control] of an overdose of radiation treatment to a female 60 year-old Caucasian patient. Patient was prescribed ten 340 cGy planning target volume (ptv) fractionated treatments: 2 per day for 5 days. Minimum dose of 340 cGy per fraction, mean dose value 625 cGy per fraction, actual dose administered 1167.3 cGy in single fraction. Source S/N: 24-01-7403-001-032119-13092-68. Licensee has notified the patient that an overdose did occur, and expects no harm to the patient due to this fraction of treatment. Patient has five more treatments. The machine used was a Varying GammaMed+, SN 641053, using a 7.385 Ci Iridium-192 GammaMed 232 source. Florida Incident number: FL19-071 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. |
| Where | |
|---|---|
| Florida Cancer Specialists - New Port Richey New Port Richey, Florida (NRC Region 1) | |
| License number: | 3825-13 |
| Organization: | Florida Bureau Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+60.92 h2.538 days <br />0.363 weeks <br />0.0834 months <br />) | |
| Opened: | Matthew Senison 16:55 May 23, 2019 |
| NRC Officer: | Howie Crouch |
| Last Updated: | May 23, 2019 |
| 54082 - NRC Website | |
Florida Cancer Specialists - New Port Richey with Agreement State | |
WEEKMONTHYEARENS 540822019-05-21T04:00:00021 May 2019 04:00:00
[Table view]Agreement State Agreement State Report - Actual Dose Greater than Prescribed Dose by 87.6% 2019-05-21T04:00:00 | |