ENS Event | |
|---|---|
05:00 Jul 17, 2008 | |
| Title | Agreement State Report- Medical Overexposure Event |
| Event Description | The following information was received via fax:
On July 17, 2008 the PA DEP SERO [Pennsylvania Department of Environmental Protection Southeast Regional Office] was notified of a medical event at Lehigh Valley Hospital. Two patients were scheduled for different I-131 therapy doses and the doses got switched. The first patient was prescribed 20 mCi but was administered 75 mCi. The event took place on July 17, 2008. Both the patient and the physician were informed. The patient was given a blocking agent of 130mg SSKI approximately 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> after uptake of the I-131. Next day measurements indicated 2 mCi uptake to the thyroid and 10 mCi whole body retention. A procedure modification has been put into place to prevent this from occurring again. Also a Notice of Violation was sent to the hospital. Event Report ID No: PA080021 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 | |
|---|---|
| Lehigh Valley Hospital Allentown, Pennsylvania (NRC Region 1) | |
| License number: | PA-0232 |
| Organization: | Pa Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+13384.02 h557.668 days <br />79.667 weeks <br />18.333 months <br />) | |
| Opened: | David Allard 22:01 Jan 25, 2010 |
| NRC Officer: | Joe O'Hara |
| Last Updated: | Jan 25, 2010 |
| 45656 - NRC Website | |
Lehigh Valley Hospital with Agreement State | |
WEEKMONTHYEARENS 452412009-07-29T04:00:00029 July 2009 04:00:00
[Table view]Agreement State Agreement State Report - Improper Treatment ENS 456562008-07-17T05:00:00017 July 2008 05:00:00 Agreement State Agreement State Report- Medical Overexposure Event 2009-07-29T04:00:00 | |