View source for 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

{{Adams
| number = ML20212G714
| issue date = 09/29/1999
| title = 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
| author name = Bermudez H
| author affiliation = NRC OFFICE OF INSPECTION &amp; ENFORCEMENT (IE REGION II)
| addressee name = 
| addressee affiliation = 
| docket = 03002631
| license number = 
| contact person = 
| document report number = PNO-II-99-038, NUDOCS 9909300092
| document type = PRELIMINARY NOTIFICATION OF EVENT OR OCCURRENCE (PNO,, TEXT-INSPECTION &amp; AUDIT &amp; I&amp;E CIRCULARS
| page count = 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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