ENS 55424

v t e ENS Event
20:00 Aug 21, 2021
Title	Prescribed Dose Exceeded
Event Description	The following is a summary of information received from the State of Oregon: Licensee miscalculated and administered more radiation to a patient's spine than the prescription allowed. Radiation dose to the patient was intended to be 800 centigray but the actual dose delivered exceeded this by 21%. Oregon Emergency Response System Incident Number: 2021-2250 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. * * RETRACTION ON 24 AUGUST 2021 AT 1550 EDT FROM DARYL LEON TO KAREN COTTON * * * The following is a synopsis of information received via e-mail from the state of Oregon via e-mail: After obtaining direct information from the responsible party, the radiation dose above the prescribed 800 centigray was from an x-ray generating device and is therefore a nonreportable event to NRC but is being investigated at the State (Oregon) level. This is not a reportable event to the NRC. Notified R4DO (KOZAL) and NMSS Events (by email).

ENS 55424 +/- *RETRACTED*
Where
Oregon Health And Science University Portland, Oregon (NRC Region 4)
License number:	ORE-90013
Organization:	Or Dept Of Health Rad Protection
Reporting

Agreement State
Time - Person (Reporting Time:+43.33 h1.805 days <br />0.258 weeks <br />0.0594 months <br />)
Opened:	Daryl Leon 15:20 Aug 23, 2021
NRC Officer:	Mike Stafford
Last Updated:	Aug 24, 2021
55424 - NRC Website
v • d • e

v t e Emergency Notification System
Oregon Health And Science University with Agreement State
WEEKMONTHYEAR2021-08-21T20:00:00 [Table view]
[ENS list for Oregon Health And Science University]

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