ENS 46718: Difference between revisions
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| facility = University Of Arkansas For Medical Sciences | | facility = University Of Arkansas For Medical Sciences | ||
| Organization = Arkansas Department Of Health | | Organization = Arkansas Department Of Health | ||
| license number = | | license number = ARK-001-02110 | ||
| region = 4 | | region = 4 | ||
| state = Arkansas | | state = Arkansas | ||
| Line 16: | Line 16: | ||
| event date = 03/16/2011 CDT | | event date = 03/16/2011 CDT | ||
| last update date = 05/06/2011 | | last update date = 05/06/2011 | ||
| title = Agreement State Report - Yttrium-90 Microspsheres Administered Dose Less | | title = Agreement State Report - Yttrium-90 Microspsheres Administered Dose Less than Prescribed Dose | ||
| event text = The following was received from the State of Arkansas via email: | | event text = The following was received from the State of Arkansas via email: | ||
On March 16, 2011, a patient was scheduled for two administrations of Y-90 microspheres. The first dose administration was conducted without incident. As the second dose was being delivered, the syringe plunger was accidentally rotated so that the stopper inside the syringe was engaged momentarily causing a pause in administration. Due to the pause, the microspheres in the catheter at the time of the pause settled in the catheter and were not administered to the patient. | On March 16, 2011, a patient was scheduled for two administrations of Y-90 microspheres. The first dose administration was conducted without incident. As the second dose was being delivered, the syringe plunger was accidentally rotated so that the stopper inside the syringe was engaged momentarily causing a pause in administration. Due to the pause, the microspheres in the catheter at the time of the pause settled in the catheter and were not administered to the patient. | ||
Latest revision as of 19:20, 24 November 2018
| Where | |
|---|---|
| University Of Arkansas For Medical Sciences Little Rock, Arkansas (NRC Region 4) | |
| License number: | ARK-001-02110 |
| Organization: | Arkansas Department Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+395.05 h16.46 days <br />2.351 weeks <br />0.541 months <br />) | |
| Opened: | Steve Mack 16:03 Apr 1, 2011 |
| NRC Officer: | Dong Park |
| Last Updated: | May 6, 2011 |
| 46718 - NRC Website | |