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. |
| 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 | |
Mercy Health - St. Rita'S Medical Center with Agreement State | |
WEEKMONTHYEARENS 543832019-10-30T05:00:00030 October 2019 05:00:00
[Table view]Agreement State Agreement State Report - Underdose by 20 Percent or More 2019-10-30T05:00:00 | |