ENS Event | |
|---|---|
04:00 Mar 26, 2009 | |
| Title | Agreement State Report - Medical Event Involving an Underdose Due to Technician Error |
| Event Description | The following information was received via fax:
Event Report ID No: PA090015 License No: PA-0082 Licensee: Mercy Fitzgerald Hospital Event date and time: March 26, 2009/time unknown Event location: Mercy Fitzgerald Hospital Lansdowne & Baily Rds., Darby, PA Event type: Medical Event Notifications: A letter dated April 9, 2009 was sent to DEP Event description: Under dose for a Sr-90 eye applicator City, State: Darby, PA Description: PA DEP Bureau of Radiation Protection was notified in writing, dated April 9, 2009, by the Radiation Safety Officer for Mercy Fitzgerald Hospital. An ADCL calibrated Sr-90 ophthalmic applicator was used on a patient for an external eye application for the treatment of pterygium. The guard ring needed to be removed before treatment and was not, hence only delivered 5% of the prescribed dose to the patient. The State has an inspection scheduled and will continue to keep NRC informed of the status of our investigation. 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. |
| Where | |
|---|---|
| Mercy Fitzgerald Hospital Darby, Pennsylvania (NRC Region 1) | |
| License number: | PA-0082 |
| Organization: | Pa Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+1865 h77.708 days <br />11.101 weeks <br />2.555 months <br />) | |
| Opened: | David J. Allard 21:00 Jun 11, 2009 |
| NRC Officer: | Steve Sandin |
| Last Updated: | Jun 11, 2009 |
| 45125 - NRC Website | |
Mercy Fitzgerald Hospital with Agreement State | |
WEEKMONTHYEARENS 451252009-03-26T04:00:00026 March 2009 04:00:00
[Table view]Agreement State Agreement State Report - Medical Event Involving an Underdose Due to Technician Error 2009-03-26T04:00:00 | |