Event Notification Report for April 23, 2002
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/22/2002 - 04/23/2002
EVENT NUMBERS
38879
General Information or Other
Event Number: 38879
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: RIVERSIDE METHODIST HOSPITAL
Region: 3
City: COLUMBUS State: OH
County:
License #: 02120-250070
Agreement: Y
Docket:
NRC Notified By: MARK LIGHT
HQ OPS Officer: RICH LAURA
Licensee: RIVERSIDE METHODIST HOSPITAL
Region: 3
City: COLUMBUS State: OH
County:
License #: 02120-250070
Agreement: Y
Docket:
NRC Notified By: MARK LIGHT
HQ OPS Officer: RICH LAURA
Notification Date: 04/26/2002
Notification Time: 13:06 [ET]
Event Date: 04/23/2002
Event Time: 00:00 [EDT]
Last Update Date: 04/26/2002
Notification Time: 13:06 [ET]
Event Date: 04/23/2002
Event Time: 00:00 [EDT]
Last Update Date: 04/26/2002
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JOHN JACOBSON (R3)
DOUGLAS BROADDUS (NMSS)
JOHN JACOBSON (R3)
DOUGLAS BROADDUS (NMSS)
AGREEMENT STATE REPORT OF A MEDICAL MISADMINISTRATION
A medical misadministration occurred on April 23, 2002 that resulted in the patient receiving a 36% overdose (i.e., 10.9 gray vice 8 gray) during brachytherapy to treat coronary vessels. The isotope being used for the treatment is IR-192. The error was discovered on April 25, 2002 when the hospital was setting up to treat another patient. Specifically, a wrong decay table was used in the calculations. No adverse effect on the patient was anticipated. The patient has been notified.
The State reported that RIII (K. NULL) has been notified.
A medical misadministration occurred on April 23, 2002 that resulted in the patient receiving a 36% overdose (i.e., 10.9 gray vice 8 gray) during brachytherapy to treat coronary vessels. The isotope being used for the treatment is IR-192. The error was discovered on April 25, 2002 when the hospital was setting up to treat another patient. Specifically, a wrong decay table was used in the calculations. No adverse effect on the patient was anticipated. The patient has been notified.
The State reported that RIII (K. NULL) has been notified.