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Event Notification Report for November 11, 2014

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
11/10/2014 - 11/11/2014

EVENT NUMBERS
50603

!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Non-Agreement State
Event Number: 50603
Rep Org: PARKVIEW HEALTH
Licensee: PARKVIEW HEALTH
Region: 3
City: FORT WAYNE   State: IN
County:
License #: 13-01284-02
Agreement: N
Docket:
NRC Notified By: YUENIAN ZHANG
HQ OPS Officer: DONG HWA PARK
Notification Date: 11/11/2014
Notification Time: 16:25 [ET]
Event Date: 11/11/2014
Event Time: 00:00 [EST]
Last Update Date: 11/21/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(3) - DOSE TO OTHER SITE > SPECIFIED LIMITS
Person (Organization):
DAVID HILLS (R3DO)
FSME EVENTS RESOURCE (EMAI)
NMSS EVENTS RESOURCE (EMAI)
Event Text
GYNECOLOGICAL BRACHYTHERAPY TREATMENT TO LARGER AREA THAN PRESCRIBED AREA

A patient was prescribed four 550 cGy gynecologic brachytherapy treatments totaling 2200 cGy. The third treatment prescribed a treatment area of 5 cm instead of the actual treated area of 7 cm. The patient was released after the outpatient treatment. The hospital in attempting to notify the physician of the incident.

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 YUENIAN ZHANG TO HOWIE CROUCH AT 0929 EST ON 11/21/14 * * *

Based on the results of an onsite inspection from NRC Region 3 Inspectors (Craffey and Lambert), it was determined that this event did not meet the regulatory report threshold and is being retracted by the licensee.

Notified R3DO (Peterson) and NMSS Events Notification (email).