ENS 54704: Difference between revisions
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{{ENS notification | {{ENS notification | ||
| event number = 54704 | | event number = 54704 | ||
| facility = | | facility = | ||
| Organization = Florida Bureau Of Radiation Control | | Organization = Florida Bureau Of Radiation Control | ||
| license number = 1812-3 | | license number = 1812-3 | ||
| Line 10: | Line 10: | ||
| utype = | | utype = | ||
| cfr = Agreement State | | cfr = Agreement State | ||
| emergency class = | | emergency class = Non Emergency | ||
| notification date = 05/12/2020 09:50 | | notification date = 05/12/2020 09:50 | ||
| notification by = David Pieski | | notification by = David Pieski | ||
| Line 16: | Line 16: | ||
| event date = 05/11/2020 00:00 EDT | | event date = 05/11/2020 00:00 EDT | ||
| last update date = 05/12/2020 | | last update date = 05/12/2020 | ||
| title = Agreement State Report - Patient Underdose | | title = Agreement State Report - Patient Underdose | ||
| event text = The following is a summary of an email received from the state of Florida: | | event text = The following is a summary of an email received from the state of Florida: | ||
A patient underdose occurred during a Y-90 TheraSphere treatment at the licensee on 5/11/20. The patient was prescribed 2.48 GBq of Y-90, but only received 1.86 GBq (75% of the prescribed dose). The underdose was caused by the catheter being displaced during patient movement. | A patient underdose occurred during a Y-90 TheraSphere treatment at the licensee on 5/11/20. The patient was prescribed 2.48 GBq of Y-90, but only received 1.86 GBq (75% of the prescribed dose). The underdose was caused by the catheter being displaced during patient movement. | ||
Florida Incident Number: FL20-056 | Florida Incident Number: FL20-056 | ||
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/ | | URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2020/20200521en.html#en54704 | ||
}} | }} | ||
{{ENS-Nav}} | {{ENS-Nav}} | ||
Latest revision as of 12:37, 15 January 2021
| Where | |
|---|---|
| Florida Bureau Of Radiation Control Jackonsville, Florida (NRC Region 1) | |
| License number: | 1812-3 |
| Organization: | Florida Bureau Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+29.83 h1.243 days <br />0.178 weeks <br />0.0409 months <br />) | |
| Opened: | David Pieski 09:50 May 12, 2020 |
| NRC Officer: | Andrew Waugh |
| Last Updated: | May 12, 2020 |
| 54704 - NRC Website | |