ENS 55245: Difference between revisions

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| emergency class = Non Emergency
| emergency class = Non Emergency
| notification date = 05/10/2021 15:28
| notification date = 05/10/2021 15:28
| retracted = Yes
| notification by = Stan Bravenec
| notification by = Stan Bravenec
| NRC officer = Bethany Cecere
| NRC officer = Bethany Cecere
| event date = 05/10/2021 07:30 EST
| event date = 05/10/2021 07:30 EST
| last update date = 05/10/2021
| last update date = 05/20/2021
| title = Medical Event - Patient Underdose
| title = Medical Event - Patient Underdose
| event text = The following report was received via email from the VA National Health Physics Program (NHPP):
| event text = The following report was received via email from the VA National Health Physics Program (NHPP):
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NHPP will follow up with a written report in accordance with NRC requirements in 10 CFR 35.3045.
NHPP will follow up with a written report in accordance with NRC requirements in 10 CFR 35.3045.
NHPP notified [their] NRC Region III Project Manager, Bryan Parker.
NHPP notified [their] NRC Region III Project Manager, Bryan Parker.
* * * RETRACTION ON 5/20/21 AT 1835 EST FROM EDWIN M. LEIDHOLDT, JR. TO BETHANY CECERE * * *
The following retraction was received via email from the VA National Health Physics Program (NHPP):
A patient at VA Pittsburgh Healthcare System was administered a therapeutic dosage of iodine-131 sodium iodide on May 7, 2021.  On May 10, 2021, the facility reported to NHPP that a medical event had occurred.  We reported that to NRC Operations Center on May 10, 2021, pursuant to 10 CFR 35.3045.  The basis for the medical event was that the facility believed that only a little more than half of the prescribed dosage of 60 milliCuries had been administered to the patient.
Since that time, measurements were made of the material not administered to the patient.  These measurements indicate that about 82% of the prescribed activity was administered and therefore a medical event did not occur.  Therefore, we wish to retract the report of the medical event.
We have notified Bryan Parker of NRC Region III,  NRC project manager for the VA's Master Material License, of our plan to withdraw the event declaration.
Notified R3DO (Cameron) and NMSS Events (by email).
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.
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2021/20210517en.html#en55245
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2021/20210521en.html#en55245
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Latest revision as of 06:30, 21 May 2021

ENS 55245 +/- *RETRACTED*
Where
Va Pittsburgh Healthcare System
Little Rock, Arkansas (NRC Region 3)
License number: 03-23853-01VA
Organization: Va National Health Physics Program
Reporting
10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+2.97 h0.124 days <br />0.0177 weeks <br />0.00407 months <br />)
Opened: Stan Bravenec
15:28 May 10, 2021
NRC Officer: Bethany Cecere
Last Updated: May 20, 2021
55245 - NRC Website