ENS Event | |
|---|---|
04:00 Aug 2, 2018 | |
| Title | Agreement State Report - Patient Overexposure |
| Event Description | The following information was received via E-mail:
The licensee reported to the [Ohio] Department [of Health] on 8/3/2018 that a potential medical event had occurred due to a delay in a surgical procedure. The delay was caused by the insurance company rescinding approval to remove a breast tumor until three medical opinions were obtained. The licensee implanted a 472 microCi I-125 seed [radioactive seed localization] (RSL) in the tumor on 5/29/2018 after receiving approval from the insurance company. The surgery was scheduled for 6/4/2018. The expected dose to the patient was 12.65 Rem to the tissue and 1.52 Rem EDE [Effective Dose Equivalent]. The surgery was delayed until approval from the insurance company was obtained, and was performed on 8/2/2018. The delay resulted in a tissue dose of 99.45 Rem and EDE of 11.93 Rem. A follow-up will be conducted with the routine inspection in September. Ohio State Report: OH180006 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 | |
|---|---|
| Kettering Medical Center Kettering, Ohio (NRC Region 3) | |
| License number: | 02120580021 |
| Organization: | Ohio Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+156.77 h6.532 days <br />0.933 weeks <br />0.215 months <br />) | |
| Opened: | Michael J Rubadue 16:46 Aug 8, 2018 |
| NRC Officer: | Brian Lin |
| Last Updated: | Aug 8, 2018 |
| 53539 - NRC Website | |
Kettering Medical Center with Agreement State | |
WEEKMONTHYEARENS 535392018-08-02T04:00:0002 August 2018 04:00:00
[Table view]Agreement State Agreement State Report - Patient Overexposure 2018-08-02T04:00:00 | |