ENS 54483

v t e ENS Event
20:45 Jan 16, 2020
Title	Alabama Agreement State Report - Patient Received Greater Dose than Prescribed
Event Description	The following information was received from the state of Alabama via facsimile: On January 16, 2020 at approximately 1445 CST, [the radiation safety officer (RSO)] of Alabama licensee East Alabama Medical Center notified the Alabama Office of Radiation Control [the Agency] that a patient apparently received more dose than prescribed during a treatment via HDR [high dose rate] afterloader on or around Thursday, 1/9/2020. [The RSO] stated that he noted the matter yesterday (1/15/20 at around 1530); he stated that the physician associated with the patient's case confirmed [the RSO's] concerns about the patient's dose. [The RSO] reported that the patient apparently received dose in 1 fraction that was to be administered over 2-3 fractions. The Agency has no further information on this matter as of the date of submission of this memo. Of note, East Alabama Medical Center is authorized to possess and use an Elekta Flexitron model 136149A02 HDR medical irradiator under Alabama license 105, with a maximum of 12 Ci of Ir-192. Alabama Event 20-01 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 54483 +/-
Where
Alabama Radiation Control Opelika, Alabama (NRC Region 1)
License number:	105
Organization:	Alabama Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+15.2 h0.633 days <br />0.0905 weeks <br />0.0208 months <br />)
Opened:	Cason Coan 11:57 Jan 17, 2020
NRC Officer:	Howie Crouch
Last Updated:	Jan 17, 2020
54483 - NRC Website
v • d • e

v t e Emergency Notification System
Alabama Office of Radiation Control with Agreement State
WEEKMONTHYEAR2020-08-03T22:00:00 [Table view]
[ENS list for Alabama Office of Radiation Control]

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