PNO-II-99-038, on 990929,licensee RSO Notified NRC Operations Ctr of Diagnostic Misadministration That Had Occurred on 990928.Patient Was Given 2.76 Mci of I-131 for Whole Body Diagnostic Scan Rather than Prescribed 2.0 Mci
| ML20212G714 | |
| Person / Time | |
|---|---|
| Site: | 03002631 |
| Issue date: | 09/29/1999 |
| From: | Bermudez H NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
| To: | |
| References | |
| PNO-II-99-038, NUDOCS 9909300092 | |
| Download: ML20212G714 (1) | |
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September 29, 1999 j PRELIMINARY NOTIFICATION OF EVENT OR UNUSUAL OCCURRENCE PNO-II-99-038 Thic preliminary notification constitutes EARLY notice of events of POSSIBLE cofoty or public interest significance. The information is as initially racsived without verification or evaluation, and is basically all that is known by Region'II staff in Atlanta, Georgia on this date.
heility Licensee Emeraency Classification Dapartment Of The Army Notification of Unusual Event '
Womack Army Medical Center Alert Fort Bragg, North Carolina Site Area Emergency Dockcts: 03002631 License No: 32-04054-04 General Emergency X Not Applicable i
Subject:
DIAGNOSTIC MISADMINISTRATION At 1:46 p.m. on September 29, 1999, the licensee's Radiation Safety Officer (RSO) notified the NRC Operations Center of a diagnostic minedministration that had occurred on September 28, 1999. A patient was given 2.76 millicuries of sodium iodide I-131 for a whole body diagnostic ecan rather than the prescribed 2.0 millicuries. Approximately one hour after the administration, the technologist notified the authorized user that a dosage of 2.76 instead of 2.0 mil 11 curies had been administered.
Although above the amount specified in the written directive, the amount administered is within the range of 2 and 5 millicuries normally used by the licensee.
Region II'will inspect the licensee's facility next week. The State of North Carolina has been notified.
Th.s information is current as of 4:15 p.m. on September 29, 1999.
Contact:
H. Bermudez (404)S62-4734 l
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