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The RSO performed a quarterly audit on 9/2The RSO performed a quarterly audit on 9/2/08 and discovered that a misadministration greater than 20% of prescribed dose and greater than 50 Rem to the lung tissue occurred on 6/2/08. The prescribed dose was 1.0 ml of P-32 chromic phosphate into two separate syringe applications. </br>The technician prepared the first P-32 dose into syringe "A" and recorded into the written record after calibrated assay as 1.3 ml and performed the same procedure for the second dose which was recorded into the written record as 1.0 ml into syringe "B". The first dose in syringe "A" exceeded the allowable dose. Both syringe applications were given to the patient into separate lung tube injections. </br>The prescribing physician and authorized user have been notified. It is not known if the patient has been notified. </br>* * * RETRACTION AT 1545 EDT ON 9/5/08 FROM OYTOMARI TO SANDIN * * *</br>Based on further review of this event by the licensee, it was determined that the total dose to the lung was less than 50 Rem. As a result, the event does not meet reportability criteria under 10CFR35.3045. The licensee has reviewed its conclusion with NRC Region 4 inspectors (Whitten and Munoz).</br>R4DO (Jones) and FSME (Turtil) have been notified.nes) and FSME (Turtil) have been notified.  +
10:00:00, 2 June 2008  +
44,461  +
14:01:00, 3 September 2008  +
10:00:00, 2 June 2008  +
The RSO performed a quarterly audit on 9/2The RSO performed a quarterly audit on 9/2/08 and discovered that a misadministration greater than 20% of prescribed dose and greater than 50 Rem to the lung tissue occurred on 6/2/08. The prescribed dose was 1.0 ml of P-32 chromic phosphate into two separate syringe applications. </br>The technician prepared the first P-32 dose into syringe "A" and recorded into the written record after calibrated assay as 1.3 ml and performed the same procedure for the second dose which was recorded into the written record as 1.0 ml into syringe "B". The first dose in syringe "A" exceeded the allowable dose. Both syringe applications were given to the patient into separate lung tube injections. </br>The prescribing physician and authorized user have been notified. It is not known if the patient has been notified. </br>* * * RETRACTION AT 1545 EDT ON 9/5/08 FROM OYTOMARI TO SANDIN * * *</br>Based on further review of this event by the licensee, it was determined that the total dose to the lung was less than 50 Rem. As a result, the event does not meet reportability criteria under 10CFR35.3045. The licensee has reviewed its conclusion with NRC Region 4 inspectors (Whitten and Munoz).</br>R4DO (Jones) and FSME (Turtil) have been notified.nes) and FSME (Turtil) have been notified.  +
Has query"Has query" is a predefined property that represents meta information (in form of a <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Subobject">subobject</a>) about individual queries and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
00:00:00, 5 September 2008  +
53-16533-02  +
Modification date"Modification date" is a predefined property that corresponds to the date of the last modification of a subject and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
02:13:41, 2 March 2018  +
14:01:00, 3 September 2008  +
93.168 d (2,236.02 hours, 13.31 weeks, 3.063 months)  +
true  +
10:00:00, 2 June 2008  +
Potential Misadministration Greater than 20% of Prescribed Dose  +
URL"URL" is a <a href="/Special:Types/URL" title="Special:Types/URL">type</a> and predefined property provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a> to represent URI/URL values.