ENS Event | |
|---|---|
05:00 Mar 5, 2024 | |
| Title | Misadministration |
| Event Description | The following information was received from the Georgia Radioactive Materials Program via email:
The licensee reported on 3/5/24 about an incident at Piedmont Hospital with Y-90. They underdosed a patient when the catheter was put in the artery. There were vein convulsions which caused only about 30 percent of it to be administered. The licensee stated it did not cause stasis. A follow up with a report will be submitted to the Georgia Environmental Protection Division within 15 days. Georgia Incident Number: 79 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. |
| Where | |
|---|---|
| Piedmont Hospital Atlanta, Georgia (NRC Region 1) | |
| License number: | GA 292-1 |
| Organization: | Georgia Radioactive Material Pgm |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+28.23 h1.176 days <br />0.168 weeks <br />0.0387 months <br />) | |
| Opened: | John Hays 09:14 Mar 6, 2024 |
| NRC Officer: | Kerby Scales |
| Last Updated: | Mar 6, 2024 |
| 57011 - NRC Website
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Piedmont Hospital with Agreement State | |
WEEKMONTHYEARENS 570112024-03-05T05:00:0005 March 2024 05:00:00
[Table view]Agreement State Misadministration ENS 492692013-08-07T04:00:0007 August 2013 04:00:00 Agreement State Agreement State - Patient Received 20% Lower than I-131 Prescribed Dose 2024-03-05T05:00:00 | |