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 To Patient
| 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

ENS 49237 +/-
Where
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