ENS Event | |
|---|---|
04:00 Aug 26, 2024 | |
| Title | Agreement State - Medical Underdose |
| Event Description | The following is a summary of information provided by the Georgia Radioactive Materials Program (the Program) via email:
The radiation safety officer (RSO) at Piedmont Athens Regional Medical Center notified the Program on August 26, 2024, that an incident occurred with Y-90 underdose. The catheter line became kinked during the procedure and the dose given was more than 20 percent below the planned dose. The RSO will send an official written report to the Program within 15 days. Georgia Incident Number: 86 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.
The following information was provided by the Georgia Radioactive Materials Program (the Program) via email: The Program received the official written report from the licensee radiation safety officer (RSO) on September 12, 2024. The RSO stated that one dosage was successfully delivered. The second dosage was not fully delivered due to a kink in the catheter. Prescribed dosage: 15.68 mCi and 16.76 mCi Y-90 microspheres Administered dosage: 5.39 mCi and 16.87 mCi Y-90 microspheres Notified R1DO (Werkheiser), NMSS Events Notification (email). |
| Where | |
|---|---|
| Piedmont Athens Regional Med Center Athens, Georgia (NRC Region 1) | |
| License number: | GA 4-1 |
| Organization: | Georgia Radioactive Material Pgm |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+35.2 h1.467 days <br />0.21 weeks <br />0.0482 months <br />) | |
| Opened: | Kaamilya Najeeullah 15:12 Aug 27, 2024 |
| NRC Officer: | Robert A. Thompson |
| Last Updated: | Sep 17, 2024 |
| 57293 - NRC Website | |
Piedmont Athens Regional Med Center with Agreement State | |
WEEKMONTHYEARENS 572932024-08-26T04:00:00026 August 2024 04:00:00
[Table view]Agreement State Agreement State - Medical Underdose 2024-08-26T04:00:00 | |