ENS 54704
From kanterella
ENS Event | |
|---|---|
04:00 May 11, 2020 | |
| Title | Agreement State Report - Patient Underdose |
| Event Description | The following is a summary of an email received from the state of Florida:
A patient underdose occurred during a Y-90 TheraSphere treatment at the licensee on 5/11/20. The patient was prescribed 2.48 GBq of Y-90, but only received 1.86 GBq (75% of the prescribed dose). The underdose was caused by the catheter being displaced during patient movement. Florida Incident Number: FL20-056 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 | |
|---|---|
| Mayo Clinic Jackonsville, Florida (NRC Region 1) | |
| License number: | 1812-3 |
| Organization: | Florida Bureau Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+29.83 h1.243 days <br />0.178 weeks <br />0.0409 months <br />) | |
| Opened: | David Pieski 09:50 May 12, 2020 |
| NRC Officer: | Andrew Waugh |
| Last Updated: | May 12, 2020 |
| 54704 - NRC Website | |
Florida Bureau of Radiation Control with Agreement State | |||||
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