ENS Event | |
|---|---|
21:10 Jan 16, 2004 | |
| Title | Agreement State Report Involving an Abnormal Occurrence (Ao) |
| Event Description | On 11/20/03 a 19 year old female patient received 140.1 millicuries I-131 for thyroid carcinoma as prescribed. At the time she was unaware and had completed the required forms indicating she was not pregnant. On 12/5, 12/8 and 12/11/03 quantitative tests confirmed that she was pregnant. The results were provided to her endocrinologist who recommended that a fetal dose calculation be performed. The hospital was notified and their consultant informed the endocrinologist that the fetus would have received 19.6 rads. The Endocrinologist sent the results to the Center for Human Genetics at University Hospital in Cleveland where as assessment was performed that the pregnancy could safely continue.
The Ohio Bureau of Radiation was informed on 1/16/04 and submitted the information to the NRC Region III office. NRC Region III (Lynch) recommended making a telephonic notification due to the incident meeting the criteria of an AO even though Ohio is not required to conform with the revised reporting requirements for a period of three years (October 2005) after the final rule is issued. Hillcrest Hospital has implemented pregnancy testing for child bearing age female patients receiving radiation therapy. |
| Where | |
|---|---|
| Hillcrest Hospital Mayfield Heights, Ohio (NRC Region 3) | |
| License number: | Oh02120180042 |
| Organization: | Ohio Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+132.32 h5.513 days <br />0.788 weeks <br />0.181 months <br />) | |
| Opened: | Mark Light 09:29 Jan 22, 2004 |
| NRC Officer: | Steve Sandin |
| Last Updated: | Jan 22, 2004 |
| 40464 - NRC Website | |
Hillcrest Hospital with Agreement State | |
WEEKMONTHYEARENS 404642004-01-16T21:10:00016 January 2004 21:10:00
[Table view]Agreement State Agreement State Report Involving an Abnormal Occurrence (Ao) 2004-01-16T21:10:00 | |