PNO-III-98-033, on 980606,female Patient Prescribed to Receive 150 Mci I-131 in Two Sodium Iodide Capsules.One Capsule Administered on 980521.Second Capsule Discovered in Shipping Container on 980606
| ML20199E537 | |
| Person / Time | |
|---|---|
| Issue date: | 06/11/1998 |
| From: | Lickus R, Jeffery Lynch NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | |
| References | |
| PNO-III-98-033, PNO-III-98-33, NUDOCS 9901210009 | |
| Download: ML20199E537 (1) | |
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o June 11, 1998 PRELIMINARY NOTIFICATION OF EVENT OR UNUSUAL OCCURRENCE PNO-III-98-033 This preliminary notification constitutes EARLY notice of events of POSSIBLE safety or public interest significance. The information is as initially received without verification or evaluation, and is basically all that is known by Region III staff (Lisle, Illinois) on this date.
Facility Licensee Emergency Classification EDWARD HOSPITAL Notification of Unusual Event Edward Hospital Alert Naperville, Illinois Site Area Emergency License No: IL-01232-01 General Emergency X Not Applicable
Subject:
RADIOPHARMACEUTICAL MISADMINISTRATION (UNDERDOSE)
The Illinois Department of Nuclear Safety (IDNS) reported to NRC that a medical misadministration was identified at Edward Hospital, Naperville, IL on June 6, 1998. (EN 34380) An 18 year-old female patient was prescribed to receive 150 millicuries (5.6 GBq) of iodine-131 in two sodium iodide capsules. One of the two capsules was administered to the patient on May 21, 1998. On June 6, 1998, the licensee discovered the second capsule, still in the shipping container. It was determined that the administered dosage of iodine-131 was 51 millicuries (1.9 GBq) from the first capsule, less than the prescribed 150 millicurie (5.6 GBq) dosage.
'The supervising and referring physicians were notified of the misadministration. A 15-day written report is required to be sent to IDNS confirming that the patient was notified and describing what follow-up medical treatment is planned. The report is also to describe the licensee's investigation results and corrective actions.
The Region III State Agreements Officer is monitoring the State's investigation.
IDNS notified the NRC Office of State Programs of this misadministration on June 10, 1998. This information is current as of 11:00 a.m.
(CDT) on June 11, 1998.
Contact:
JIM LYNCH ROLAND LICKUS (630)829-9661 (630)829-9660 9901210009 990611<
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