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Event Notification Report for February 19, 2016

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
02/18/2016 - 02/19/2016

EVENT NUMBERS
51746

Agreement State
Event Number: 51746
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: UF HEALTH SHANDS CANCER HOSPITAL
Region: 1
City: GAINESVILLE   State: FL
County:
License #: 3157-1
Agreement: Y
Docket:
NRC Notified By: KELLIE ANDERSON
HQ OPS Officer: STEVEN VITTO
Notification Date: 02/19/2016
Notification Time: 17:06 [ET]
Event Date: 02/19/2016
Event Time: 00:00 [EST]
Last Update Date: 02/19/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
GLENN DENTEL (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
Event Text
AGREEMENT STATE REPORT - MEDICAL UNDERDOSE

The following was received via email:

"On February 19th, 2016, a patient was prescribed and administered a 1.87 GBq Yttrium-90 [Thera-Sphere] treatment. The patient only received 0.28 GBq. [There are] no details as to the cause of the misadministration. [The Radiation Safety Officer] will provide a detailed report next week."

Florida Incident # FL16-033

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.