ENS 57293

v t e ENS Event
04:00 Aug 26, 2024
Title	Agreement State - Medical Underdose
Event Description	The following is a summary of information provided by the Georgia Radioactive Materials Program (the Program) via email: The radiation safety officer (RSO) at Piedmont Athens Regional Medical Center notified the Program on August 26, 2024, that an incident occurred with Y-90 underdose. The catheter line became kinked during the procedure and the dose given was more than 20 percent below the planned dose. The RSO will send an official written report to the Program within 15 days. Georgia Incident Number: 86 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. * * UPDATE ON 9/17/2024 AT 1131 EDT FROM KAAMILYA NAJEEULLAH TO ROBERT THOMPSON * * * The following information was provided by the Georgia Radioactive Materials Program (the Program) via email: The Program received the official written report from the licensee radiation safety officer (RSO) on September 12, 2024. The RSO stated that one dosage was successfully delivered. The second dosage was not fully delivered due to a kink in the catheter. Prescribed dosage: 15.68 mCi and 16.76 mCi Y-90 microspheres Administered dosage: 5.39 mCi and 16.87 mCi Y-90 microspheres Notified R1DO (Werkheiser), NMSS Events Notification (email).

ENS 57293 +/-
Where
Piedmont Athens Regional Med Center Athens, Georgia (NRC Region 1)
License number:	GA 4-1
Organization:	Georgia Radioactive Material Pgm
Reporting

Agreement State
Time - Person (Reporting Time:+35.2 h1.467 days <br />0.21 weeks <br />0.0482 months <br />)
Opened:	Kaamilya Najeeullah 15:12 Aug 27, 2024
NRC Officer:	Robert A. Thompson
Last Updated:	Sep 17, 2024
57293 - NRC Website
v • d • e

v t e Emergency Notification System
Piedmont Athens Regional Med Center with Agreement State
WEEKMONTHYEAR2024-08-26T04:00:00 [Table view]
[ENS list for Piedmont Athens Regional Med Center]

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