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List of results

• PNO-III-94-005, on 940118,Region III Received Two Ltrs & 940113,from Licensee Reporting Misadministration of Na I-131 Which Patient May Have Received Dosage 48% Greater than Prescribed  + (03002665)
• PNO-III-93-011, on 930226,therapeutic Misadministration Which Occurred 920212 Was Identified During Audit of Therapeutic Medical Procedures.Patient Received 32 Percent Overdose of Rads for Cancer Treatment.Special Insp Will Be Done  + (03002669)
• PNO-III-88-063, on 880711,licensee Reported Female Patient Received Therapeutic Dose of Radiation About 18% Over That Prescribed.No Adverse Reactions Expected.Patient Physician Will Be Informed  + (03002685)
• PNO-III-86-137, on 861119,licensee Reported That Patient Administered 20 Mci I-131 Instead of 20 Mci Tc-99m Mdp.Insp Scheduled for Early Next Wk to Review Circumstances of Misadministration  + (03002685)
• PNO-III-85-051, on 850619,patient Received 14,000 Rads to Chest Area Instead of 5,000 Rads During Treatment w/120 Mci Ir-192 for Lung Cancer.Caused by Dose Miscalculation.Patient Released W/No Observable Ill Effects  + (03002725)
• PNO-III-92-034, on 920609,licensee Reported That Patients Postrate Gland Received Approx 42% of Intended Radiation Dose & Tissues Surrounding Prostate Received Greater than Anticipated Radiation Dose on 920529  + (03002725)
• PNO-III-88-004, on 880120,package Containing Two Vials of Liquid P-32 Disappeared After Purchasing Dept Staff Member Placed Package in Hosp Purchasing & Receiving Area.Region III Investigating Incident.Licensee Will Submit Loss Rept  + (03002745)
• PNO-III-98-019, on 980219,brachytherapy Treatment of Patient Using Vaginal Cs-137 Implant Was Terminated Prematurely. Nurse Found Applicator on Floor Beside Patient Bed.Device Apparently Removed by Patient  + (03002745)
• PNO-III-89-056, on 890824,licensee Reported That Research Lab Closed Pending Decontamination.Licensee Contractor to Audit Radiation Safety Program,Including Surveys of 50 of Univ Research Labs  + (03002764)
• PNO-III-93-058, on 931006,licensee Was Not Able to Locate Medical Treatment Device,Called Eye Applicator,Containing Sealed Source of 20 Mci of Sr-90.Licensee Plans to Interview Security & Housekeeping Staffs in Effort to Locate Source  + (03002764)
• PNO-IV-90-043, on 901207,diagnostic Dose of I-131 & Tc-99m Administered to Pregnant Patient for Thyroid Uptake & Scan. Licensee Completing Dose Assessment for Fetus & Will Rept Results to Region IV by 901210  + (03002872)
• PNO-IV-93-022, licensee Reported Administered Diagnostic Dose of NaI-131 to Female Patient Who Had Been Scheduled for Tc-99m Bone Scan.Patient Was Administered Ipecac to Induce Vomiting.Region IV Was Notified of Occurrence on 930727  + (03002893)
• ML18204A369  + (03002902)
• ML18204A365  + (03002902)
• PNO-IV-98-014, on 980403,licensee RSO Provided Telephonic Notification to NRC Headquarters Operation Ctr of Discovery of Damaged Exit Sign.Worker Immediately Left Area When Discovery Made & Contacted Rso.Region IV Informed NMSS  + (03002902)
• PNO-IV-97-036, on 970616,licensee Began Brachytherapy Procedure to Treat Patient for Cervical Cancer.Licensee Calculated That Patient May Have Received Max Dose of 400-500 Millirads to Skin  + (03002912)
• PNO-IV-97-057, on 971017,radiation Safety Officer Inquired Re Reportability of Brachytherapy Incident at Facility in Oct 1997.Patient Removed Source Prior to Scheduled Completion of Treatment  + (03002921)
• PNO-IV-96-071, on 961219,Region IV Walnut Creek Field Ofc Was Notified of Misadministration Involving Administration of I-131.Uptake Measurement Needed to Assist Authorized User in Determining Dosage Required to Treat Patient  + (03002935)
• PNO-I-91-014, on 910214-18,therapeutic Misadministration Occurred w/I-125.Physicist Noticed Error Occurred on 910218 & Retrieved Patient Data for Review.Review of Data Confirmed Error.Appropriate Actions Taken  + (03002959)
• PNO-I-98-031, on 980721,RSO Notified Region I That Two I-125 Seeds Unaccounted for Following Permanent Seed Implant Into Patient Prostate Gland.Region I Staff Will Followup on Licensee Evaluations & Corrective Action  + (03002976)
• PNO-V-95-025B, on 950203,misadminstration Involving Manual Brachytherapy Treatement Using iradium-192 Occurred. State of Washington Will Be Informed  + (03003003)
• IR 05000628/2008008  + (03003137)
• PNO-II-90-003, on 900107,radioactive Trash Containing Approx 1 Mci I-131 Removed from Patient Room & Incinerated on 900108.Ash Samples Obtained on 900109 Indicated No Detectable Activity.State of CA Informed  + (03003230)
• ML18218A110  + (03003231)
• ML18215A402  + (03003231)
• PNO-IV-88-010, on 880204,therapy Misadministration of P-32 Discovered.Physician Prescribed 4.0 Mci P-32 for Treatment of Polycythemia Vera (Excess Blood Platelets).Caused by Technologist Error.No Adverse Patient Effects Expected  + (03003233)

• ML18199A601  + (03003249)
• ML18199A590  + (03003249)
• PNO-IV-88-056, on 880708,licensee Discovered That Cs-137 Brachytherapy Sealed Source Removed from Patient Undergoing Gynecological Treatment to Be 30 Mg Instead of Intended 20 Mg.Caused by Personnel Error  + (03003249)

• PNO-IV-96-055, on 961010,licensee Reported Loss of 130 Uci Am-241 Source.Determined Packard Scintillation Counter Was Transferred to Scrap Dealer in Feb 1996.Licensee Contacted Scrap Dealer for Info Re Final Disposition  + (03003255)
• PNO-IV-84-008, on 840530,licensee Was Informed by Dosimetry Vendor That TLD Badge from One of Their Radiotherapists Had Reading of 20.61 Rems on Whole Body TLD Badge for Month of April 1984  + (03003255)
• PNO-IV-93-026, on 930924,patient Experienced Reduced Implant Time,From 25 H to 18 H,Through Patient Intervention. Patient May Have Experienced Exposure to Hands/Body by Removing Source.Rso Not Informed Until 930927  + (03003255)
• IR 05000401/2005030  + (03003332)
• PNO-II-99-003, on 990128,medical Misadministration Occurred. Eight Mci of I-131 Were Prescribed & 9.8 Were Actually Administered Resulting in 22% More Activity Administered than Planned.Nrc Will Conduct Insp to Review Event  + (03003351)
• PNO-IV-97-029, on 970518,patient Removed 2 of 17 Ribbons Containing Ir-192 Seeds from Vaginal Treatment Site & Placed Them on Her Chest.Patient Intervention Observed by Assistant RSO on Closed Circuit Television.State of Wa Informed  + (03003368)
• ML20149L518  + (03003368)
• Press Release-I-21-009, NRC Issues Confirmatory Action Letter to West Virginia Hospital  + (03003370)
• ML18211A213  + (03003375)
• ML18211A223  + (03003384)
• PNO-II-98-044, on 980901,female Patient Was Administered 9.2 Mci of Sodium Iodide I-131 for Treatment of Thyroiditis.On 981005,subject Patient Informed Licensee That She Was Pregnant.Licensee Notified Referring Physician of Event  + (03003390)
• PNO-III-86-145, on 861021,patient Given 1,530 Uci I-131 & Whole Body Scan Instead of 50-60 Uci I-131.Caused by Technician Misunderstanding Requisition.Region Will Inspect Hosp Prescription Procedure  + (03003425)
• PNO-III-89-020, on 890317,licensee Reported Loss of 33 Mci Cs-137 Brachytherapy Source.Loss Discovered During Physical Inventory on Same Date.To Date,Source Not Found.Licensee Still Plans to Survey Homes of Key Staff Members  + (03003426)
• PNO-III-97-051, on 970529,licensee Discovered That Caps Left on Two Ovoids of Vaginal Treatment Device During Brachytherapy Treatment to Patient Vaginal Surface, Resulting in 30% Underdose.Licensee Notified Physician  + (03003429)
• PNO-III-99-035, on 990707,licensee Notified NRC of Misadministration,Involving Implanting Leaking I-125 Seed Into Patient.Licensee Believes That One of Seeds Had Been Cut Through During Implantation Into Patient  + (03003453)
• IR 05000156/1997001  + (03003456)
• PNO-III-97-039, on 970501,licensee Discovered Patient Being Treated for Thyroid Disorder Received Underdosage of I-131. Case Being Reviewed for Appropriate Medical Followup by Licensee  + (03003463)
• PNO-III-97-074, on 970908,licensee Reported Misadministration Occurred During Brachytherapy Treatment of Patient W/ Cervical Cancer.Licensee Investigating Cause of Misadministration.State of Wi Will Be Notified  + (03003465)
• PNO-III-90-019, on 900316,licensee Reported That Patient Received Therapeutic Radiation Dose to Portion of Lung Not Planned for Treatment.No Adverse Effects Expected.State Notified  + (03003465)
• PNO-III-90-008, on 900208,licensee Reported That 42-yr Old Female Patient Undergoing Treatment for Vaginal Cancer Received Dose of Radiation 27% Higher than That Prescribed. NRC Medical Consultant Contracted to Determine Effects  + (03003465)
• ML18212A238  + (03003509)
• ML18212A156  + (03003509)
• ML18212A154  + (03003509)
• PNO-V-90-002, on 900107,earthquake of 4.7 on Richter Scale Occurred 40 Miles Northwest of Fairbanks,Al.Region V Notified by FEMA on 900107.No Damage Reported  + (03001179)