ENS 45436: Difference between revisions
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| event date = 10/14/2009 17:00 EDT | | event date = 10/14/2009 17:00 EDT | ||
| last update date = 10/15/2009 | | last update date = 10/15/2009 | ||
| title = Patient Received Approximately 76% | | title = Patient Received Approximately 76% of the Prescribed Dose | ||
| event text = A three year old boy was undergoing a palliative treatment for a cancer related illness with I-131. The boy was prescribed 180.5 milliCuries of I-131 by his physician. During the treatment, a technician noticed that there were air bubbles in the intravenous tubing leading to the boy and stopped the treatment. Upon subsequent investigation, it was revealed that the patient only received 138 milliCuries of the prescribed 180.5 milliCuries of I-131, which is approximately 76% of the prescribed dose. The patient's physician has been notified, and is making a decision whether to inform the boy's parents. The licensee is investigating the cause of the incident. | | event text = A three year old boy was undergoing a palliative treatment for a cancer related illness with I-131. The boy was prescribed 180.5 milliCuries of I-131 by his physician. During the treatment, a technician noticed that there were air bubbles in the intravenous tubing leading to the boy and stopped the treatment. Upon subsequent investigation, it was revealed that the patient only received 138 milliCuries of the prescribed 180.5 milliCuries of I-131, which is approximately 76% of the prescribed dose. The patient's physician has been notified, and is making a decision whether to inform the boy's parents. The licensee is investigating the cause of the incident. | ||
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. | ||
Latest revision as of 21:10, 1 March 2018
| Where | |
|---|---|
| University Of Michigan Hospital Ann Arbor, Michigan (NRC Region 3) | |
| License number: | 21-00215-04 |
| Organization: | University Of Michigan Hospital |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+19.7 h0.821 days <br />0.117 weeks <br />0.027 months <br />) | |
| Opened: | Mark Driscoll 16:42 Oct 15, 2009 |
| NRC Officer: | Joe O'Hara |
| Last Updated: | Oct 15, 2009 |
| 45436 - NRC Website | |