ENS 49237: Difference between revisions
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| event date = 08/01/2013 CDT | | event date = 08/01/2013 CDT | ||
| last update date = 08/05/2013 | | last update date = 08/05/2013 | ||
| title = Agreement State Report - Wrong Fractional Dose Administered | | title = Agreement State Report - Wrong Fractional Dose Administered to Patient | ||
| event text = The licensee reported the administration of a 700 cGy fractional dose instead of the 500 cGy prescribed fractional dose to a patient during GYN treatment on 8/1/13. The 700 cGy fraction was prepared for another patient. The isotope involved was Ir-192. | | event text = The licensee reported the administration of a 700 cGy fractional dose instead of the 500 cGy prescribed fractional dose to a patient during GYN treatment on 8/1/13. The 700 cGy fraction was prepared for another patient. The isotope involved was Ir-192. | ||
The fraction was the second of a three fraction total dose of 1500 cGy. The final fraction will be adjusted so that the total dose to the patient is 1500 cGy. The prescribing physician had been informed. The patient will be informed of the adjustment prior to administration of the final fraction on 8/8/13. | The fraction was the second of a three fraction total dose of 1500 cGy. The final fraction will be adjusted so that the total dose to the patient is 1500 cGy. The prescribing physician had been informed. The patient will be informed of the adjustment prior to administration of the final fraction on 8/8/13. |
Revision as of 21:00, 1 March 2018
Where | |
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Iowa Health - Des Moines Des Moines, Iowa (NRC Region 3) | |
License number: | 0310-1-77-Hdr |
Organization: | Iowa Department Of Public Health |
Reporting | |
Agreement State | |
Time - Person (Reporting Time:+104.23 h4.343 days <br />0.62 weeks <br />0.143 months <br />) | |
Opened: | Leo Wardrobe 13:14 Aug 5, 2013 |
NRC Officer: | Pete Snyder |
Last Updated: | Aug 5, 2013 |
49237 - NRC Website | |