ENS 54483: Difference between revisions

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| utype =  
| utype =  
| cfr = Agreement State
| cfr = Agreement State
| emergency class = Non Emergency
| emergency class = Non Emergency
| notification date = 01/17/2020 11:57
| notification date = 01/17/2020 11:57
| notification by = Cason Coan
| notification by = Cason Coan
| NRC officer = Howie Crouch</Td>
| NRC officer = Howie Crouch
| event date = 01/16/2020 14:45 CST
| event date = 01/16/2020 14:45 CST
| last update date = 01/17/2020
| last update date = 01/17/2020
| title = <Td>Alabama Agreement State Report - Patient Received Greater Dose than Prescribed
| title = Alabama Agreement State Report - Patient Received Greater Dose than Prescribed
| event text =
| event text = The following information was received from the state of Alabama via facsimile:
The following information was received from the state of Alabama via facsimile:
On January 16, 2020 at approximately 1445 CST, [the radiation safety officer (RSO)] of Alabama licensee East Alabama Medical Center notified the Alabama Office of Radiation Control [the Agency] that a patient apparently received more dose than prescribed during a treatment via HDR [high dose rate] afterloader on or around Thursday, 1/9/2020. [The RSO] stated that he noted the matter yesterday (1/15/20 at around 1530); he stated that the physician associated with the patient's case confirmed [the RSO's] concerns about the patient's dose. [The RSO] reported that the patient apparently received dose in 1 fraction that was to be administered over 2-3 fractions. The Agency has no further information on this matter as of the date of submission of this memo.
Of note, East Alabama Medical Center is authorized to possess and use an Elekta Flexitron model 136149A02 HDR medical irradiator under Alabama license 105, with a maximum of 12 Ci of Ir-192.
"On January 16, 2020 at approximately 1445 CST, [the radiation safety officer (RSO)] of Alabama licensee East Alabama Medical Center notified the Alabama Office of Radiation Control [the Agency] that a patient apparently received more dose than prescribed during a treatment via HDR [high dose rate] afterloader on or around Thursday, 1/9/2020. [The RSO] stated that he noted the matter yesterday (1/15/20 at around 1530); he stated that the physician associated with the patient's case confirmed [the RSO's] concerns about the patient's dose. [The RSO] reported that the patient apparently received dose in 1 fraction that was to be administered over 2-3 fractions. The Agency has no further information on this matter as of the date of submission of this memo.
Alabama Event 20-01
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.
"Of note, East Alabama Medical Center is authorized to possess and use an Elekta Flexitron model 136149A02 HDR medical irradiator under Alabama license 105, with a maximum of 12 Ci of Ir-192."
Alabama Event 20-01
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.</td>
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2020/20200128en.html#en54483
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2020/20200128en.html#en54483
}}
}}


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Latest revision as of 11:58, 15 January 2021

ENS 54483 +/-
Where
Alabama Radiation Control
Opelika, Alabama (NRC Region 1)
License number: 105
Organization: Alabama Radiation Control
Reporting
Agreement State
Time - Person (Reporting Time:+15.2 h0.633 days <br />0.0905 weeks <br />0.0208 months <br />)
Opened: Cason Coan
11:57 Jan 17, 2020
NRC Officer: Howie Crouch
Last Updated: Jan 17, 2020
54483 - NRC Website
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