ENS 55006: Difference between revisions
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| utype = | | utype = | ||
| cfr = Agreement State | | cfr = Agreement State | ||
| emergency class = | | emergency class = Non Emergency | ||
| notification date = 11/24/2020 12:20 | | notification date = 11/24/2020 12:20 | ||
| notification by = Daniel J. Samson | | notification by = Daniel J. Samson | ||
| Line 16: | Line 16: | ||
| event date = 11/23/2020 00:00 EDT | | event date = 11/23/2020 00:00 EDT | ||
| last update date = 11/24/2020 | | last update date = 11/24/2020 | ||
| title = | | title = Dosed Incorrect Organ | ||
| event text = The following information was received from the state of New York via fax: | | event text = The following information was received from the state of New York via fax: | ||
A medical licensee reported on 11/23/2020 that a Y90 microsphere procedure performed on Friday 11/20/2020 was later discovered to have had the catheter connected to the gallbladder instead of the liver as prescribed in the written directive. More information will be forthcoming but preliminary information shows that the microspheres were Sirtex SIR-Spheres. | |||
New York Incident Number: NYDOH-20-07. | New York Incident Number: NYDOH-20-07. | ||
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. | 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. | ||
Latest revision as of 12:09, 15 January 2021
| Where | |
|---|---|
| Not Provided New York (NRC Region 1) | |
| License number: | Not Provided |
| Organization: | New York State Dept. Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+32.33 h1.347 days <br />0.192 weeks <br />0.0443 months <br />) | |
| Opened: | Daniel J. Samson 12:20 Nov 24, 2020 |
| NRC Officer: | Solomon Sahle |
| Last Updated: | Nov 24, 2020 |
| 55006 - NRC Website | |