ENS 50692: Difference between revisions

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| event date = 12/16/2014 18:00 PST
| event date = 12/16/2014 18:00 PST
| last update date = 12/18/2014
| last update date = 12/18/2014
| title = Prescribed Dose Changed By Unauthorized User
| title = Prescribed Dose Changed by Unauthorized User
| event text = On 16 December 2014, at 1800 [PST], a patient was prescribed to receive 8-12 mCi of I-123 MIBG [metaiodobenzylguanidine].  The dose was delivered late to the Nuclear Medicine clinic and fell below the prescribed dosage range.  The Nuclear Medicine OIC [Officer-in-Charge] changed the prescribed dosage from 8-12 mCi to 7-12 mCi, and the patient was subsequently dosed with 7.81 mCi.  The procedure was successful and did not result in any medical/health impact or further need to repeat the study.  [The Nuclear Medicine OIC] is currently not an authorized user (AU) on USAF Radioactive Material Permit No. CA-07840-03/07 AFP; therefore, he does not have the authority to adjust the prescribed dosage range.  It is worth noting that [the Nuclear Medicine OIC] meets all the requirements to be an AU, and a request to add him was included with our pending permit renewal application provided to the Radioisotope Committee Secretariat (RICS) (USAF Licensee).
| event text = On 16 December 2014, at 1800 [PST], a patient was prescribed to receive 8-12 mCi of I-123 MIBG [metaiodobenzylguanidine].  The dose was delivered late to the Nuclear Medicine clinic and fell below the prescribed dosage range.  The Nuclear Medicine OIC [Officer-in-Charge] changed the prescribed dosage from 8-12 mCi to 7-12 mCi, and the patient was subsequently dosed with 7.81 mCi.  The procedure was successful and did not result in any medical/health impact or further need to repeat the study.  [The Nuclear Medicine OIC] is currently not an authorized user (AU) on USAF Radioactive Material Permit No. CA-07840-03/07 AFP; therefore, he does not have the authority to adjust the prescribed dosage range.  It is worth noting that [the Nuclear Medicine OIC] meets all the requirements to be an AU, and a request to add him was included with our pending permit renewal application provided to the Radioisotope Committee Secretariat (RICS) (USAF Licensee).
Location: Travis AFB, David Grant USAF Medical Center
Location: Travis AFB, David Grant USAF Medical Center

Latest revision as of 20:48, 1 March 2018

ENS 50692 +/-
Where
Air Force Medical Support Agency
Travis Afb, California (NRC Region 4)
License number: 42-23539-01/A
Organization: Air Force Medical Support Agency
Reporting
10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+34.95 h1.456 days <br />0.208 weeks <br />0.0479 months <br />)
Opened: Daniel Shaw
12:57 Dec 18, 2014
NRC Officer: Dong Park
Last Updated: Dec 18, 2014
50692 - NRC Website