ENS 56881

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v t e ENS Event
05:00 Dec 7, 2023
Title	Medical Misadminstration
Event Description	The following information is a synopsis of information provided by the Georgia Radioactive Materials Program via email: The State received a call from the licensee's radiation safety officer on December 7, 2023, stating that a patient, who was scheduled for a high-dose rate (HDR) Ir-192 procedure, received the wrong dose. As of December 8, 2023, the state has not received any additional information. The state will provide updated information once it is provided. Manufacturer: Nucletron Flexitron Model: 136149A02 Georgia Incident Number: 73 * * UPDATE ON 12/15/23 AT 1234 EST FROM KAAMILYA NAJEEULLAH TO THOMAS HERRITY * * * The following information is a synopsis of information provided by the Georgia Radioactive Materials Program via email: The official written report from Wellstar Kennestone Hospital, Georgia License GA 328-1, was received from the Radiation Safety Officer (RSO), on December 15, 2023. The report includes details of the misadministration - human error, and the corrective actions the licensee has instituted to prevent recurrence. The patient was underdosed by 2 percent. The prescribing physician was notified and choose not inform the patient of this incident. No adverse effects to the patient are anticipated. Notified R1DO(Gray) and NMSS Events Notification via email. 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 56881 +/-
Where
Wellstar Kennestone Hospital Marietta, Georgia (NRC Region 2)
License number:	GA 328-1
Organization:	Georgia Radioactive Material Pgm
Reporting

Agreement State
Time - Person (Reporting Time:+35.02 h1.459 days <br />0.208 weeks <br />0.048 months <br />)
Opened:	Kaamilya Najeeullah 16:01 Dec 8, 2023
NRC Officer:	Karen Cotton-Gross
Last Updated:	Dec 15, 2023
56881 - NRC Website
v • d • e

v t e Emergency Notification System
Wellstar Kennestone Hospital with Agreement State
WEEKMONTHYEAR2023-12-07T05:00:00 [Table view]
[ENS list for Wellstar Kennestone Hospital]

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