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| Entered date | Event description | |
|---|---|---|
| ENS 46617 | 15 February 2011 19:22:00 | This is a preliminary report. Details will be provided at a later date. During a general chart review, the licensee discovered that two pediatric patients were administered doses of P-32 albumin that appear to be in excess of 100% of the prescribed doses. The first event occurred approximately four months ago. The second event occurred approximately two months ago. These events may have each provided 1000 Rads excess dose to target tissue. The events may or may not involve a dispensing error. The doses were administered to tissue surrounding extremity joints of the two pediatric patients. Physicians do not expect any patient impact or unfavorable outcome from these misadministration. 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 45123 | 11 June 2009 14:45:00 | The following was received via E-mail: As we (the Texas Department of Health) understand it, a gauge, Ronan Eng. Co., Model SA-1 with 3Ci of Cs-137, has a broken handle and the shutter will not close. The serial number (S/N) is M7844 and I see that the source model could be 3M or QSA (AEA) so that will (be) determined later. It said that the external exposure rate is a nominal 1.5mR/hr and the gauge is 40' high on a vessel which is in process so no vessel entry is anticipated. They hope to keep operating until their next scheduled outage on July 15. |