ENS Event | |
|---|---|
04:00 Apr 17, 2018 | |
| Title | Written Directive for Ra-223 Administration Incorrect |
| Event Description | A quarterly review conducted on 4/17/18, identified that the written directive for administration of Ra-223 was incorrect. The written directive stated that the Ra-223 should be administered orally, but should have stated that it was to be administered intravenously (IV). The review determined that there was no impact to any patients as a result of the error in the written directive. The review identified one case where the written directive was used. However, the technician administered the Ra-223 to the patient via IV and not orally.
The corrective actions taken by the licensee were to correct the written directive, and review the directive with the technician to understand why the technician did not consult with the physician when there was an error in the directive. The licensee notified the NRC R3 Office (Warren). 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 | |
|---|---|
| Providence Hospital Southfield, Michigan (NRC Region 3) | |
| License number: | 21-280203 |
| Organization: | Providence Hospital |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+33.23 h1.385 days <br />0.198 weeks <br />0.0455 months <br />) | |
| Opened: | Michelle Kritzman 13:14 Apr 18, 2018 |
| NRC Officer: | Jeff Herrera |
| Last Updated: | Apr 18, 2018 |
| 53343 - NRC Website | |
Providence Hospital with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 533432018-04-17T04:00:00017 April 2018 04:00:00
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