ENS Event | |
|---|---|
05:00 Dec 11, 2014 | |
| Title | Unintended Dose to Fetus |
| Event Description | On December 11, 2014, a patient was receiving a thyroid ablation treatment containing 97 mCi of I-131. A pregnancy test performed prior to the treatment was negative. On December 29, 2014, the patient reported to the medical center that it had been determined that she was pregnant on the day of the treatment, and that the gestational age of the fetus was determined to be 4 weeks at the time of the thyroid ablation treatment.
The US ARMY Fort Bragg Radiation Safety Officer was notified of this event on January 5, 2015 by the authorizing physician of the exposure to the fetus via email. The calculated dose to the uterus was 20.43 Rad. The expected impact to the fetus was determined to be either miscarriage or no effect. The medical center is performing a root cause analysis to determine any potential corrective actions. The licensee will ensure the patient has been notified of the potential medical consequences to the fetus of this treatment.
The patient was informed by the medical staff on 12/31/14. The root cause investigation is on-going. Notified R1DO (Burritt) and NMSS Events Notification (email). |
| Where | |
|---|---|
| Womack Army Medical Center Ft Bragg, North Carolina (NRC Region 1) | |
| License number: | 32-04054-04 |
| Organization: | Us Army |
| Reporting | |
| 10 CFR 35.3047(a) | |
| Time - Person (Reporting Time:+678.57 h28.274 days <br />4.039 weeks <br />0.93 months <br />) | |
| Opened: | Kacey Mcgee 11:34 Jan 8, 2015 |
| NRC Officer: | Jeff Rotton |
| Last Updated: | Jan 12, 2015 |
| 50723 - NRC Website | |
Womack Army Medical Center with 10 CFR 35.3047(a) | |
WEEKMONTHYEARENS 507232014-12-11T05:00:00011 December 2014 05:00:00
[Table view]10 CFR 35.3047(a) Unintended Dose to Fetus 2014-12-11T05:00:00 | |