ENS 52880: Difference between revisions
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StriderTol (talk | contribs) (Created page by program invented by Mark Hawes) |
StriderTol (talk | contribs) (Created page by program invented by StriderTol) |
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| event date = 07/25/2017 EDT | | event date = 07/25/2017 EDT | ||
| last update date = 08/01/2017 | | last update date = 08/01/2017 | ||
| title = Agreement State Report - Misadministration Due | | title = Agreement State Report - Misadministration Due to Problem with a Delivery Catheter | ||
| event text = The following report was received from the Tennessee Department of Environmental Conservation Division of Radiological Health via email: | | event text = The following report was received from the Tennessee Department of Environmental Conservation Division of Radiological Health via email: | ||
[A] Yttrium-90 TheraSpheres patient procedure misadministration [occurred] due to [a] 'kinked' delivery catheter. [Approximately] 60 Gray [was] administered of [the] prescribed 120 Gray. [Two] manufacturer representatives were in attendance throughout procedure, 'proctoring' the physician. According to both proctors, the case was performed per manufacturer instructions, but unfortunately, the kinked catheter prohibited the complete dose from being administered. | [A] Yttrium-90 TheraSpheres patient procedure misadministration [occurred] due to [a] 'kinked' delivery catheter. [Approximately] 60 Gray [was] administered of [the] prescribed 120 Gray. [Two] manufacturer representatives were in attendance throughout procedure, 'proctoring' the physician. According to both proctors, the case was performed per manufacturer instructions, but unfortunately, the kinked catheter prohibited the complete dose from being administered. | ||
Latest revision as of 21:42, 1 March 2018
| Where | |
|---|---|
| Fort Sanders Regional Medical Center Knoxville, Tennessee (NRC Region 1) | |
| License number: | R-47003 |
| Organization: | Tennessee Div Of Rad Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+174.47 h7.27 days <br />1.039 weeks <br />0.239 months <br />) | |
| Opened: | Andrew Holcomb 10:28 Aug 1, 2017 |
| NRC Officer: | Jeff Herrera |
| Last Updated: | Aug 1, 2017 |
| 52880 - NRC Website | |