ENS Event | |
|---|---|
05:00 May 7, 2024 | |
| Title | Medical Event |
| Event Description | The following was provided by the Illinois Emergency Management Agency (the Agency) via email:
The radiation safety officer for Endeavor Health Clinical Operations (IL-01248-02) contacted the Agency at 1115 CDT on 5/8/2024 to report a medical underdose. The patient had been prescribed two administrations of Y-90 TheraSpheres. The first administration was completed without incident. The second administration (a separate written directive) resulted in only 14 percent of the dose being delivered (17.1 Gy of 122.14 Gy prescribed). The administering physician reported initial resistance due to a kinked catheter at the distal end. Both the patient and the referring physician were notified. The licensee met the reporting requirements. A reactive inspection is scheduled to be performed on 5/16/2024. IL Event Number: IL240012 A Medical Event may indicate potential problems in a medical facilitys use of radioactive materials. It does not necessarily result in harm to the patient. |
| Where | |
|---|---|
| Endeavor Health Clinical Operations Evanston, Illinois (NRC Region 3) | |
| License number: | IL-01248-02 |
| Organization: | Illinois Emergency Mgmt. Agency |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+36 h1.5 days <br />0.214 weeks <br />0.0493 months <br />) | |
| Opened: | Whitney Cox 17:00 May 8, 2024 |
| NRC Officer: | Natalie Starfish |
| Last Updated: | May 8, 2024 |
| 57114 - NRC Website | |
Endeavor Health Clinical Operations with Agreement State | |
WEEKMONTHYEARENS 571142024-05-07T05:00:0007 May 2024 05:00:00
[Table view]Agreement State Medical Event 2024-05-07T05:00:00 | |