ENS Event | |
|---|---|
05:00 Jun 11, 2021 | |
| Title | Medical Event - Possible Misadministration |
| Event Description | The following was submitted by Alabama Department of Radiation Control via email:
The licensee reported that a patient was treated with fraction 2 of 3 on Friday 6/11/2021 using a vaginal cylinder. Once the fraction was completed, the treatment team noted that the vaginal cylinder had been displaced about 6 cm, a shift of about 5 cm. Unknown when the cylinder shifted during treatment. Licensee estimated a dose difference of approximately 5.58 Gray. Alabama Event 21-19 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 | |
|---|---|
| University Of Alabama In Birmingham Birmingham, Alabama (NRC Region 1) | |
| License number: | 266 |
| Organization: | Alabama Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+150.97 h6.29 days <br />0.899 weeks <br />0.207 months <br />) | |
| Opened: | Cason Coan 11:58 Jun 17, 2021 |
| NRC Officer: | Jeffrey Whited |
| Last Updated: | Jun 17, 2021 |
| 55313 - NRC Website | |
University Of Alabama In Birmingham with Agreement State | |
WEEKMONTHYEARENS 553132021-06-11T05:00:00011 June 2021 05:00:00
[Table view]Agreement State Medical Event - Possible Misadministration 2021-06-11T05:00:00 | |