ENS 47396
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ENS Event | |
|---|---|
16:00 Oct 13, 2011 | |
| Title | Agreement State Report - Dose Misadministration |
| Event Description | The following information was received by facsimile:
NYS Incident 935 - On 10/31/2011 a NY radioactive materials licensee reported a diagnostic misadministration which occurred on 10/13/2011 and discovered on 10/28/2011. A patient undergoing diagnostic imaging of the thyroid using Iodine-123 was administered 4.21 mCi instead of the intended 400 uCi. The estimated dose to the patient's thyroid is 58 rem. This is a preliminary 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> notification report. The facility is performing an investigation and root cause analysis. Telephone communications with the facility [and the State of New York] are ongoing. The facility is required to submit a written report within 15 days. New York Event: NY-11-25 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 | |
|---|---|
| Unknown Unknown, New York (NRC Region 1) | |
| Organization: | New York State Dept. Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+451.18 h18.799 days <br />2.686 weeks <br />0.618 months <br />) | |
| Opened: | Robert Snyder 11:11 Nov 1, 2011 |
| NRC Officer: | Vince Klco |
| Last Updated: | Nov 1, 2011 |
| 47396 - NRC Website | |
Unknown with Agreement State | |
WEEKMONTHYEARENS 561482022-10-05T04:00:0005 October 2022 04:00:00
[Table view]Agreement State Two Abandoned Sources ENS 556972022-01-07T05:00:0007 January 2022 05:00:00 Agreement State Found Moisture Density Guage ENS 544262019-12-06T06:00:0006 December 2019 06:00:00 Agreement State Agreement State Report - Density Gauge Found at Scrap Yard ENS 529712017-09-08T18:53:0008 September 2017 18:53:00 Agreement State Agreement State Report - Orphan Source Discovery ENS 529292017-08-24T04:00:00024 August 2017 04:00:00 Agreement State Agreement State Report - Damaged Packaging - Source Intact ENS 528322017-06-28T04:00:00028 June 2017 04:00:00 Agreement State Agreement State Report - Orphaned Cs-137 Source Recovered ENS 525592017-02-16T21:00:00016 February 2017 21:00:00 Agreement State Agreement State Report - Cpn Instrotek Notified California of Missing Cpn Nuclear Gauge Location ENS 524672016-12-29T05:00:00029 December 2016 05:00:00 Agreement State Agreement State Report - Apparent Uncontained Radiation Source Detected ENS 520892016-07-12T04:00:00012 July 2016 04:00:00 Agreement State Agreement State Report - Fixed Gauge Found at Metal Recycling Faculty ENS 520882016-07-11T04:00:00011 July 2016 04:00:00 Agreement State Agreement State Report - Fixed Gauge Found at Metal Recycling Faculty ENS 518762016-04-21T05:00:00021 April 2016 05:00:00 Agreement State Agreement State Report - Radiation Level on Package Greater than Limits ENS 518662016-04-11T07:00:00011 April 2016 07:00:00 Agreement State Agreement State Report - Ra-226 Source Found in Garbage Truck ENS 517532016-02-22T05:00:00022 February 2016 05:00:00 Agreement State Agreement State Report - Unplanned Contamination at Metal Recycling Facility ENS 513842015-09-08T05:00:0008 September 2015 05:00:00 Agreement State Agreement State Report - Orphan Ra-226 Source ENS 513272015-08-15T04:00:00015 August 2015 04:00:00 Agreement State Agreement State Report - Orphan Source Found in a Garbage Truck ENS 513222015-08-11T05:00:00011 August 2015 05:00:00 Agreement State Agreement State Report - Orphaned Source Discovered / Possible Overexposure Involved ENS 513152015-07-13T13:45:00013 July 2015 13:45:00 Agreement State Agreement State Report - Ndc Gauge Recovered from Landfill ENS 511962015-06-01T06:00:0001 June 2015 06:00:00 Agreement State Colorado Agreement State Report - Radium-226 Discovered at Scrap Yard ENS 509862015-04-15T19:15:00015 April 2015 19:15:00 Agreement State Agreement State Report - Source Discovered at a Transfer Station ENS 511012015-04-14T05:00:00014 April 2015 05:00:00 Agreement State Agreement State Report - Cs-137 Found in Waste Entering a Landfill ENS 509722015-04-10T04:00:00010 April 2015 04:00:00 Agreement State Agreement State Report - Radium-226 Source Found in Load of Scrap Metal ENS 502282014-06-23T07:00:00023 June 2014 07:00:00 Agreement State Agreement State Report - Damaged Fixed Gauge Found in Scrap Metal Shipment ENS 499642014-03-26T04:00:00026 March 2014 04:00:00 Agreement State Agreement State Report - Y-90 Sir-Spheres Treatment Dose Less than Prescribed ENS 498432014-02-07T06:00:0007 February 2014 06:00:00 Agreement State Agreement State Report - Unknown Radioactive Material Discovered in Garbage Truck at Landfill ENS 495132013-10-31T05:00:00031 October 2013 05:00:00 Agreement State Orphan Sealed Source Recovered at a Scrap Yard ENS 491462013-06-24T18:30:00024 June 2013 18:30:00 Agreement State Agreement State Report - Scrap Metal Shipment Found to Contain Unidentified Radioactive Material ENS 490352013-04-24T06:00:00024 April 2013 06:00:00 Agreement State Agreement State Report - Found Radium 226 Source ENS 487992013-03-01T05:00:0001 March 2013 05:00:00 Agreement State Agreement State Report - Shipment Containing Cesium-137 Found ENS 487532013-02-14T08:00:00014 February 2013 08:00:00 Agreement State Agreement State Report - Discovery of Gas Chromatograph in Building Attic ENS 488152013-02-14T04:00:00014 February 2013 04:00:00 Agreement State Blackout Button Found in Load of Scrap Metal ENS 487282013-01-28T05:00:00028 January 2013 05:00:00 Agreement State Agreement State Report - Smoke Detectors Found at Scrap Metal Recycling Facility ENS 491182012-11-19T07:00:00019 November 2012 07:00:00 Agreement State Agreement State Report - Illegal Transfer of a Device Containing Americium-241 ENS 479632012-05-25T05:00:00025 May 2012 05:00:00 Agreement State Agreement State Report - Uranium Source Found at Metal Check Recycling Facility ENS 477922012-03-28T20:35:00028 March 2012 20:35:00 Agreement State Agreement State Report - a Moisture Density Gauge Was Found in Building ENS 476132012-01-19T05:00:00019 January 2012 05:00:00 Agreement State Agreement State Report - Radium-226 Sources Discovered at Waste Transfer Station ENS 475592011-12-28T07:00:00028 December 2011 07:00:00 Agreement State Agreement State Report - Two Nuclear Gauges Found at Metal Recycling Facility ENS 473972011-10-28T17:00:00028 October 2011 17:00:00 Agreement State Agreement State Report - Orphaned Source Discovered at a Scrap Metal Facility ENS 473962011-10-13T16:00:00013 October 2011 16:00:00 Agreement State Agreement State Report - Dose Misadministration ENS 462132010-08-03T06:00:0003 August 2010 06:00:00 Agreement State Agreement State Report - Radioactive Material Found in Scrap Shipment ENS 461472010-08-02T05:00:0002 August 2010 05:00:00 Agreement State Agreement State Report Involving a Source Found in a Load of Scrap ENS 460612010-06-24T16:00:00024 June 2010 16:00:00 Agreement State Agreement State Report Involving a Found Ra-226 Source ENS 459542010-05-21T04:00:00021 May 2010 04:00:00 Agreement State Agreement State Report - Lost Source Found in Scrap Metal ENS 458192010-04-07T05:00:0007 April 2010 05:00:00 Agreement State Agreement State - Depleted Uranium Found in Scrap Metal ENS 458022010-03-29T06:00:00029 March 2010 06:00:00 Agreement State Agreement State Report - Found Portable Density Gauge ENS 456102010-01-04T06:00:0004 January 2010 06:00:00 Agreement State Agreement State - Moisture Density Gauge Found in Scrap Metal ENS 446902008-11-22T19:00:00022 November 2008 19:00:00 Agreement State Agreement State Report - Radium Vials Discovered in Home ENS 444642008-08-08T07:00:0008 August 2008 07:00:00 Agreement State Agreement State Report Involving a Lost or Stolen Tritium Exit Sign ENS 440582008-03-12T18:30:00012 March 2008 18:30:00 Agreement State Agreement State - Unidentified Radioactive Material Received at Metal Recycling Facility ENS 438112007-11-28T01:11:00028 November 2007 01:11:00 Agreement State Agreement State Report - Naturally Occurring Radioactive Material Found at a School ENS 436812007-09-28T17:00:00028 September 2007 17:00:00 Agreement State Wisconsin Agreement State Report - Ndc Gauge Found in Scrap Yard ENS 436202007-09-06T15:30:0006 September 2007 15:30:00 Agreement State Agreement State Report - California - Strontium 90 Source of Unknown Origin Found ENS 435452007-08-02T04:00:0002 August 2007 04:00:00 Agreement State Ten Tritium Exit Signs Stolen from Construction Site ENS 434432007-06-19T04:00:00019 June 2007 04:00:00 Agreement State Agreement State Report Involving Higher than Prescribed Dose Delivered ENS 432372007-03-12T19:00:00012 March 2007 19:00:00 Agreement State Agreement State Report - Lost/Stolen Exit Signs ENS 432132007-02-20T13:30:00020 February 2007 13:30:00 Agreement State Agreement State Report - Abandoned Industrial Gauge Found in Scrap Yard ENS 431202007-01-24T20:00:00024 January 2007 20:00:00 Agreement State Agreement State Report from Washington - Radiation Monitors at a Recycling Facility Detected Radioactivity Coming from an Incoming Load of Scrap Metal ENS 427272006-07-21T05:00:00021 July 2006 05:00:00 Agreement State Agreement State Report - Radioactive Material Identified in Arc Furnace Ash ENS 427092006-07-15T05:00:00015 July 2006 05:00:00 Agreement State Louisiana Agreement State Report of Radioactive Source Found at Old Texaco Site ENS 419492005-08-26T05:00:00026 August 2005 05:00:00 Agreement State Agreement State - Tritium Exit Signs Found in Recyclables ENS 419302005-08-15T04:00:00015 August 2005 04:00:00 Agreement State Agreement State Report - Source of Unknown Origin Found in Railcar ENS 409302004-08-05T05:00:0005 August 2004 05:00:00 Agreement State Agreement State - Recovered Device Containing Radioactive Material ENS 408512004-06-30T22:30:00030 June 2004 22:30:00 Agreement State Agreement State Report from the New York City Bureau of Rad Health ENS 402392003-10-10T04:00:00010 October 2003 04:00:00 Agreement State Agreement State Report Involving Discovery of Nuclear Gauge in Scrapyard ENS 401542003-09-09T07:00:0009 September 2003 07:00:00 Agreement State Agreement State Report Involving a Recovered Source 2022-10-05T04:00:00 | |
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