Event Notification Report for April 12, 2001
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/11/2001 - 04/12/2001
EVENT NUMBERS
37915
General Information or Other
Event Number: 37915
Rep Org: ARKANSAS DEPT OF HEALTH
Licensee: ST. JOSEPH REGIONAL HEALTH CENTER
Region: 4
City: HOT SPRINGS State: AR
County: GARLAND
License #: ARK342BP0402
Agreement: Y
Docket:
NRC Notified By: CATHEY BRADLEY
HQ OPS Officer: JOHN MacKINNON
Licensee: ST. JOSEPH REGIONAL HEALTH CENTER
Region: 4
City: HOT SPRINGS State: AR
County: GARLAND
License #: ARK342BP0402
Agreement: Y
Docket:
NRC Notified By: CATHEY BRADLEY
HQ OPS Officer: JOHN MacKINNON
Notification Date: 04/12/2001
Notification Time: 16:55 [ET]
Event Date: 04/12/2001
Event Time: 15:32 [CDT]
Last Update Date: 04/12/2001
Notification Time: 16:55 [ET]
Event Date: 04/12/2001
Event Time: 15:32 [CDT]
Last Update Date: 04/12/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
MARK SHAFFER (R4)
BRIAN SMITH (NMSS)
MARK SHAFFER (R4)
BRIAN SMITH (NMSS)
AGREEMENT STATE REPORT OF A MEDICAL MISADMINISTRATION
At 1532 CT on 04/12/01, Saint Joseph Regional Health Center located in Hot Springs, Arkansas, notified the Arkansas Department of Health of the following Medical Misadministration:
Since March 7, 2001, a patient at Saint Joseph Regional Health Center received a total of 24 treatments, 2 grays each, for a total dose of 48 grays to the back of his left hand instead of to his left knuckle. The applicator needles were 5 centimeters shorter than the applicator (stopping shorter than where they were supposed to stop). The source used for the radiation treatments was Iridium-192. State of Arkansas licensee number for the licensee is ARK-342-BP-04-02. State of Arkansas will send personnel out to investigate this incident.
At 1532 CT on 04/12/01, Saint Joseph Regional Health Center located in Hot Springs, Arkansas, notified the Arkansas Department of Health of the following Medical Misadministration:
Since March 7, 2001, a patient at Saint Joseph Regional Health Center received a total of 24 treatments, 2 grays each, for a total dose of 48 grays to the back of his left hand instead of to his left knuckle. The applicator needles were 5 centimeters shorter than the applicator (stopping shorter than where they were supposed to stop). The source used for the radiation treatments was Iridium-192. State of Arkansas licensee number for the licensee is ARK-342-BP-04-02. State of Arkansas will send personnel out to investigate this incident.