ENS 55406

From kanterella

Jump to navigation Jump to search

v t e ENS Event
05:00 Aug 13, 2021
Title	Medical Event
Event Description	The following information was obtained from the Illinois Emergency Management Agency (the Agency) via email: Loyola University Medical Center contacted the Agency this afternoon to report a medical underdose of Lu-177 that occurred today, August 13, 2021. Although information provided was preliminary, no untoward medical impact is expected to the patient. [The] Radiation Safety Officer for the licensee contacted the Agency at approximately 1500 CDT on August 13, 2021, to report that a patient scheduled to receive 200 mCi of Lu-177, Lutathera therapy for neuroendocrine tumors, received only 14 percent of the dose prescribed (28 mCi) in the written directive. The underdosing was intentionally aborted by the authorized user after the patient advised they had received the planned chemotherapy injection the day before, rather than after the radiopharmaceutical administration per procedure. The licensee is investigating root cause. The licensee is calculating organ dose to the kidney, but preliminary estimates are 67 rad. If the dose falls beneath 50 rad, the incident may be retracted. Notification to the patient and the referring physician has been completed. Agency inspectors are awaiting additional information but plan a reactive inspection within 10 days. The reporting requirements for the licensee, as specified in 32 Ill. Adm. Code 335.1080(c) were met, and the licensee is aware of the need for a written report within 15 days. This report will be updated as additional information becomes available. Illinois NMED Report No.: IL210024 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 55406 +/-
Where
Loyola University Medical Center Maywood, Illinois (NRC Region 3)
License number:	IL-01131-02
Organization:	Illinois Emergency Mgmt. Agency
Reporting

Agreement State
Time - Person (Reporting Time:+11.73 h0.489 days <br />0.0698 weeks <br />0.0161 months <br />)
Opened:	Gary Forsee 16:44 Aug 13, 2021
NRC Officer:	Howie Crouch
Last Updated:	Aug 13, 2021
55406 - NRC Website
v • d • e

v t e Emergency Notification System
Loyola University Medical Center with Agreement State
WEEKMONTHYEAR2021-08-02T05:00:00 [Table view]
[ENS list for Loyola University Medical Center]

Retrieved from "https://kanterella.com/w/index.php?title=ENS_55406&oldid=3277394"

ENS Notification