ENS 55051: Difference between revisions
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| event number = 55051 | | event number = 55051 | ||
| facility = Scott And White Memorial Hospital | | facility = Scott And White Memorial Hospital | ||
| Organization = | | Organization = Texas Dept Of State Health Services | ||
| license number = L 00331 | | license number = L 00331 | ||
| region = 4 | | region = 4 | ||
| Line 10: | Line 10: | ||
| utype = | | utype = | ||
| cfr = Agreement State | | cfr = Agreement State | ||
| emergency class = | | emergency class = Non Emergency | ||
| notification date = 12/30/2020 12:57 | | notification date = 12/30/2020 12:57 | ||
| notification by = Art Tucker | | notification by = Art Tucker | ||
| Line 16: | Line 16: | ||
| event date = 12/30/2020 00:00 CST | | event date = 12/30/2020 00:00 CST | ||
| last update date = 12/30/2020 | | last update date = 12/30/2020 | ||
| title = | | title = Underdose to Patient Undergoing Radiation Treatment | ||
| event text = The following information was received from the Texas Department of State Health Services (the Agency) via email: | | event text = The following information was received from the Texas Department of State Health Services (the Agency) via email: | ||
On December 30, 2020, the Agency was notified by the licensee's radiation safety officer (RSO) that a medical event had occurred at their facility. A patient was to receive a single fraction of 700 centigray from a high dose rate remote afterloader unit (HDR) but received a dose of 525 centigray. The patient was notified of the error and the RSO stated they were in the process of notifying the physician. The RSO stated that there would be no adverse effects to the patient from the error. The RSO was unsure of the manufacturer and model of the HDR unit and the activity of the iridium source that was used. Additional information was requested by the Agency. Additional information will be provided as it is received in accordance with SA-300. | |||
Texas Incident No.: 9819 | Texas Incident No.: 9819 | ||
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2021/20210107en.html#en55051 | | URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2021/20210107en.html#en55051 | ||
Latest revision as of 13:33, 15 January 2021
| Where | |
|---|---|
| Scott And White Memorial Hospital Temple, Texas (NRC Region 4) | |
| License number: | L 00331 |
| Organization: | Texas Dept Of State Health Services |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+6.95 h0.29 days <br />0.0414 weeks <br />0.00952 months <br />) | |
| Opened: | Art Tucker 12:57 Dec 30, 2020 |
| NRC Officer: | Howie Crouch |
| Last Updated: | Dec 30, 2020 |
| 55051 - NRC Website | |