ENS 57114

v t e 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.

ENS 57114 +/-
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
v • d • e

v t e Emergency Notification System
Endeavor Health Clinical Operations with Agreement State
WEEKMONTHYEAR2024-05-07T05:00:00 [Table view]
[ENS list for Endeavor Health Clinical Operations]

Navigation menu