ENS Event | |
|---|---|
04:00 Sep 20, 2005 | |
| Title | Agreement State Report - Medical Underexposure |
| Event Description | On Thursday morning, 9/20/05, a technologist gave a cancer patient receiving Iodine-131 therapy only one capsule of a prescribed 2-capsule dose. Consequently, only 93 milliCuries of an ordered 150 milliCuries was delivered to the patient. The referring endocrinologist was notified and determined that his patient had received adequate amount for the patient's therapy.
On Thursday afternoon, the licensee's Manager of Nuclear Medicine telephoned the Department and reported that the technologist involved in the event had also been responsible for a previous misadministration and had been fired. The capsule that was not administered was found in the lead container while preparing for a subsequent procedure on another patient. Georgia report number: GA-2005-29 |
| Where | |
|---|---|
| Southern Regional Medical Center Riverdale, Georgia (NRC Region 1) | |
| License number: | GA 1039-1 |
| Organization: | Georgia Radioactive Material Pgm |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+339.5 h14.146 days <br />2.021 weeks <br />0.465 months <br />) | |
| Opened: | Lauren Palmer 07:30 Oct 4, 2005 |
| NRC Officer: | Mark Abramovitz |
| Last Updated: | Oct 4, 2005 |
| 42036 - NRC Website | |
Southern Regional Medical Center with Agreement State | |
WEEKMONTHYEARENS 420362005-09-20T04:00:00020 September 2005 04:00:00
[Table view]Agreement State Agreement State Report - Medical Underexposure ENS 410002004-07-01T04:00:0001 July 2004 04:00:00 Agreement State Georgia Agreement State Report - Medical Event 2005-09-20T04:00:00 | |