ENS 47763: Difference between revisions

v t e ENS Event
04:00 Mar 20, 2012
Title	Agreement State Report - Underdose During Liver Disease Treatment
Event Description	Event type: A medical event (ME) involving the administration of Yittrium-90 SIR-Spheres which is reportable under 10 CFR 35.3045(a)(1)(i). Notifications: On March 21,2012, the Department's [Pennsylvania Department of Environmental Protection, Bureau of Radiation Protection] Southeast Regional Office received notification via a phone call about this ME. Event Description: The patient was being treated for disease of the liver and received 77% of the intended dose. CAUSE OF THE EVENT: Currently under investigation and unknown at this time. ACTIONS: No harm to the patient is expected. The treating physician notified the patient. The Department [Pennsylvania Department of Environmental Protection, Bureau of Radiation Protection] plans to do a reactive inspection. PA Event Report ID: PA120009. 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. * * RETRACTION FROM JOSEPH MELNIC TO VINCE KLCO ON 3/26/12 AT 0937 EDT VIA FAX * * * Notifications: On March 21, 2012, the Department's Southeast Regional Office received notification via a phone call about this ME. After the HOO notification was made the Department was informed that the measurement for actual dose delivered was repeated two times, both indicating the administration was within acceptable limits. Event Description: The patient was being treated for disease of the liver and was initially thought to have received 77% of the intended dose, however after additional measurements were made the dosage delivered was determined to be 81.2% and 82.2%. ACTIONS: Medical Event is being retracted. Notified the R1DO (Newport) and FSME EO (McIntosh).

ENS 47763 +/- *RETRACTED*
Where
University Of Pennsylvania Philadelphia, Pennsylvania (NRC Region 1)
License number:	PA-0131
Organization:	Pa Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+64.43 h2.685 days <br />0.384 weeks <br />0.0883 months <br />)
Opened:	David J. Allard 20:26 Mar 22, 2012
NRC Officer:	Pete Snyder
Last Updated:	Mar 26, 2012
47763 - NRC Website Loading map... {"minzoom":false,"maxzoom":false,"mappingservice":"leaflet","width":"350px","height":"250px","centre":false,"title":"","label":"","icon":"","lines":[],"polygons":[],"circles":[],"rectangles":[],"copycoords":false,"static":false,"zoom":6,"defzoom":14,"layers":["OpenStreetMap"],"image layers":[],"overlays":[],"resizable":false,"fullscreen":false,"scrollwheelzoom":true,"cluster":false,"clustermaxzoom":20,"clusterzoomonclick":true,"clustermaxradius":80,"clusterspiderfy":true,"geojson":"","clicktarget":"","imageLayers":[],"locations":[{"text":"\u003Cb\u003E\u003Cdiv class=\"mw-parser-output\"\u003E\u003Cp\u003E\u003Ca class=\"mw-selflink selflink\"\u003EENS 47763\u003C/a\u003E - \u003Ca href=\"/University_of_Pennsylvania\" title=\"University of Pennsylvania\"\u003EUniversity of Pennsylvania\u003C/a\u003E\n\u003C/p\u003E\u003C/div\u003E\u003C/b\u003E\u003Cdiv class=\"mw-parser-output\"\u003E\u003Cp\u003EAgreement State Report - Underdose During Liver Disease Treatment\n\u003C/p\u003E\u003C/div\u003E","title":"ENS 47763 - University of Pennsylvania\n","link":"","lat":39.952222222222225,"lon":-75.19323055555556,"icon":""}],"imageoverlays":null}
v • d • e

v t e Emergency Notification System
University of Pennsylvania with Agreement State
WEEKMONTHYEAR2024-04-17T04:00:00 [Table view]
[ENS list for University of Pennsylvania]

@@ Line 3: / Line 3: @@
 | facility = University Of Pennsylvania
 | Organization = Pa Bureau Of Radiation Protection
-| license number = Pa-0131
+| license number = PA-0131
 | region = 1
 | state = Pennsylvania

ENS 47763: Difference between revisions

Latest revision as of 19:17, 24 November 2018

Navigation menu

ENS 47763: Difference between revisions

Latest revision as of 19:17, 24 November 2018

Navigation menu

Search