ENS 55635

v t e ENS Event
15:00 Dec 7, 2021
Title	NON-AGREEMENT State Report - Dose Misadministration
Event Description	The following is a summary of information received via telephonic conversation from the Radiation Safety Officer at Saint Vincent Indianapolis Hospital: At 1000 EST on December 8, the health physicist became aware that on the previous day a patient was treated with the wrong plan parameters. The patient was given a dose on the same organ as the assigned patient on the treatment report with nearly the same prescribed dose. The total dose was 3030 cGy, which is 1 percent higher than the prescribed dose of 3000 cGy that the patient was prescribed. The treatment was completed with no unintended harm to the patient. The second patient was not affected by the error. The event is being reported under 10CFR35.3045(a)(2) for an administration of a dose or dosage to the wrong individual. 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 55635 +/-
Where
Saint Vincent Indianapolis Hospital Anderson, Indiana (NRC Region 3)
License number:	13-00133-02
Organization:	Saint Vincent Indianapolis Hospital
Reporting

10 CFR 35.3045(a)(2)
Time - Person (Reporting Time:+44.32 h1.847 days <br />0.264 weeks <br />0.0607 months <br />)
Opened:	Edward Wroblewski 11:19 Dec 9, 2021
NRC Officer:	Brian Lin
Last Updated:	Dec 9, 2021
55635 - NRC Website
v • d • e

v t e Emergency Notification System
Saint Vincent Indianapolis Hospital with 10 CFR 35.3045(a)(2)
WEEKMONTHYEAR2021-12-07T15:00:00 [Table view]
[ENS list for Saint Vincent Indianapolis Hospital]

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