ENS 54745: Difference between revisions
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{{ENS notification | {{ENS notification | ||
| event number = 54745 | | event number = 54745 | ||
| facility = | | facility = | ||
| Organization = Arizona Dept Of Health Services | | Organization = Arizona Dept Of Health Services | ||
| license number = 07-448 | | license number = 07-448 | ||
| Line 10: | Line 10: | ||
| utype = | | utype = | ||
| cfr = Agreement State | | cfr = Agreement State | ||
| emergency class = | | emergency class = Non Emergency | ||
| notification date = 06/13/2020 20:08 | | notification date = 06/13/2020 20:08 | ||
| notification by = Brian Goretzki | | notification by = Brian Goretzki | ||
| Line 18: | Line 18: | ||
| title = Agreement State Report - Medical Event | | title = Agreement State Report - Medical Event | ||
| event text = The following was received from the Arizona Department of Health Services (the Department) via email: | | event text = The following was received from the Arizona Department of Health Services (the Department) via email: | ||
On June 12, 2020, the Department received notification from the licensee of a possible medical event involving an I-125 eye plaque. A patient was implanted with an eye plaque on June 4, with a prescribed dose of 85 Gy. On June 8, the patient had a stroke and was admitted to St. Joseph's Medical Center. Once the patient was able to be transported, they were transported back to the Mayo Clinic Hospital on June 9. It was then determined that the patient was not strong enough to endure the procedure for removing the eye plaque. The eye plaque was finally removed on June 11 and the final dose to the tumor was 123.5 Gy or 145.3 percent of the prescription. | On June 12, 2020, the Department received notification from the licensee of a possible medical event involving an I-125 eye plaque. A patient was implanted with an eye plaque on June 4, with a prescribed dose of 85 Gy. On June 8, the patient had a stroke and was admitted to St. Joseph's Medical Center. Once the patient was able to be transported, they were transported back to the Mayo Clinic Hospital on June 9. It was then determined that the patient was not strong enough to endure the procedure for removing the eye plaque. The eye plaque was finally removed on June 11 and the final dose to the tumor was 123.5 Gy or 145.3 percent of the prescription. | ||
The Department has requested additional information and continues to investigate the event. | The Department has requested additional information and continues to investigate the event. | ||
Arizona Incident 20-010 | Arizona Incident 20-010 | ||
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. | 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. | ||
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2020/20200623en.html#en54745 | | URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2020/20200623en.html#en54745 | ||
}} | }} | ||
{{ENS-Nav}} | {{ENS-Nav}} | ||
Latest revision as of 12:34, 15 January 2021
| Where | |
|---|---|
| Arizona Dept Of Health Services Phoenix, Arizona (NRC Region 4) | |
| License number: | 07-448 |
| Organization: | Arizona Dept Of Health Services |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+37.13 h1.547 days <br />0.221 weeks <br />0.0509 months <br />) | |
| Opened: | Brian Goretzki 20:08 Jun 13, 2020 |
| NRC Officer: | Jeffrey Whited |
| Last Updated: | Jun 13, 2020 |
| 54745 - NRC Website | |