ENS 57250

v t e ENS Event
21:24 May 13, 2024
Title	Medical Misadministration
Event Description	The following information was provided by the Colorado Department of Public Health and Environment via email: This event in Colorado was originally sent to the wrong NRC email address and it is now being provided to the NRC. This event is being tracked as NMED number 240183. A patient was administered a measured dose of 0.613 GBq Y-90 TheraSpheres on 5/13/2024, at 1524 MDT. The desired administration location in the liver received a dose of 0.582 Gbq. Post administration imaging analysis conducted on 5/15/2024, showed an uptake to the stomach wall of 1.5 Sievert. Notification made per: 10 CFR 35.3045(a)(1)(iii) Colorado event report ID No.: CO240013 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 57250 +/-
Where
Rose Medical Center Denver, Colorado (NRC Region 4)
License number:	CO 229-03
Organization:	Colorado Dept Of Public Health
Reporting

Agreement State
Time - Person (Reporting Time:+1836.33 h76.514 days <br />10.931 weeks <br />2.515 months <br />)
Opened:	Phillip Peterson 09:44 Jul 29, 2024
NRC Officer:	Josue Ramirez
Last Updated:	Jul 29, 2024
57250 - NRC Website
v • d • e

v t e Emergency Notification System
Rose Medical Center with Agreement State
WEEKMONTHYEAR2024-05-13T21:24:00 [Table view]
[ENS list for Rose Medical Center]

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