Event Notification Report for May 18, 2014
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
05/17/2014 - 05/18/2014
EVENT NUMBERS
50121
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Non-Agreement State
Event Number: 50121
Rep Org: BECKLEY APPALACHIAN REGIONAL HEALTH
Licensee: BECKLEY APPALACHIAN REGIONAL HEALTH
Region: 1
City: BECKLEY State: WV
County:
License #: 47-17725-02
Agreement: N
Docket:
NRC Notified By: JENNIFER BAILEY
HQ OPS Officer: STEVE SANDIN
Licensee: BECKLEY APPALACHIAN REGIONAL HEALTH
Region: 1
City: BECKLEY State: WV
County:
License #: 47-17725-02
Agreement: N
Docket:
NRC Notified By: JENNIFER BAILEY
HQ OPS Officer: STEVE SANDIN
Notification Date: 05/19/2014
Notification Time: 16:25 [ET]
Event Date: 05/18/2014
Event Time: 10:30 [EDT]
Last Update Date: 05/21/2014
Notification Time: 16:25 [ET]
Event Date: 05/18/2014
Event Time: 10:30 [EDT]
Last Update Date: 05/21/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
HAROLD GRAY (R1DO)
FSME EVENTS RESOURCE (EMAI)
HAROLD GRAY (R1DO)
FSME EVENTS RESOURCE (EMAI)
WRONG FORM OF RADIOACTIVE ISOTOPE ADMINISTERED FOR CARDIAC STRESS TEST
A patient received a dose of MDP (25 mCi Tc-99m) which is used for bone scans vice cardiolite (31 mCi Tc-99m) for a cardiac stress test. The wrong dose was administered due to technician error. Both the prescribing physician and patient have been informed. No adverse health effects are anticipated. The licensee has corrective actions under review.
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.
* * * RETRACTION FROM JENNIFER BAILEY TO DONG PARK AT 1012 EDT ON 5/21/2014 * * *
"Retraction of Event # 50121 [is requested] for Beckley Appalachian Regional Healthcare, License # 47-17725-02. The event reported did not exceed 5 rem as specified in section 35.3045 (a) (1)."
Notified the R1DO (Gray) and FSME Events Resource via email.
A patient received a dose of MDP (25 mCi Tc-99m) which is used for bone scans vice cardiolite (31 mCi Tc-99m) for a cardiac stress test. The wrong dose was administered due to technician error. Both the prescribing physician and patient have been informed. No adverse health effects are anticipated. The licensee has corrective actions under review.
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.
* * * RETRACTION FROM JENNIFER BAILEY TO DONG PARK AT 1012 EDT ON 5/21/2014 * * *
"Retraction of Event # 50121 [is requested] for Beckley Appalachian Regional Healthcare, License # 47-17725-02. The event reported did not exceed 5 rem as specified in section 35.3045 (a) (1)."
Notified the R1DO (Gray) and FSME Events Resource via email.