ENS 55313

v t e ENS Event
05:00 Jun 11, 2021
Title	Medical Event - Possible Misadministration
Event Description	The following was submitted by Alabama Department of Radiation Control via email: The licensee reported that a patient was treated with fraction 2 of 3 on Friday 6/11/2021 using a vaginal cylinder. Once the fraction was completed, the treatment team noted that the vaginal cylinder had been displaced about 6 cm, a shift of about 5 cm. Unknown when the cylinder shifted during treatment. Licensee estimated a dose difference of approximately 5.58 Gray. Alabama Event 21-19 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 55313 +/-
Where
University Of Alabama In Birmingham Birmingham, Alabama (NRC Region 1)
License number:	266
Organization:	Alabama Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+150.97 h6.29 days <br />0.899 weeks <br />0.207 months <br />)
Opened:	Cason Coan 11:58 Jun 17, 2021
NRC Officer:	Jeffrey Whited
Last Updated:	Jun 17, 2021
55313 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Alabama In Birmingham with Agreement State
WEEKMONTHYEAR2021-06-11T05:00:00 [Table view]
[ENS list for University Of Alabama In Birmingham]

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