ENS 54383

v t e ENS Event
05:00 Oct 30, 2019
Title	Agreement State Report - Underdose by 20 Percent or More
Event Description	The following was received from the Ohio Department of Heath via email: On 11/30/2019, the licensee notified the Ohio Department of Heath of a medical event involving a prostate seed implant. The licensee stated that it appears the implant template shifted prior to seed placement and resulted in a 48 percent underdose. The patient and referring physician have been notified. Isotope: Cs-131, 104.377 MBq Intended dose: 11000 rad Given dose: 6820 rad Item Number: OH190015 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 54383 +/-
Where
Mercy Health - St. Rita'S Medical Center Lima, Ohio (NRC Region 3)
License number:	02230020000
Organization:	Ohio Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+322.23 h13.426 days <br />1.918 weeks <br />0.441 months <br />)
Opened:	Michael Rubadue 16:14 Nov 12, 2019
NRC Officer:	Bethany Cecere
Last Updated:	Nov 12, 2019
54383 - NRC Website
v • d • e

v t e Emergency Notification System
Mercy Health - St. Rita'S Medical Center with Agreement State
WEEKMONTHYEAR2019-10-30T05:00:00 [Table view]
[ENS list for Mercy Health - St. Rita'S Medical Center]

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