Event Notification Report for April 11, 2023
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/10/2023 - 04/11/2023
EVENT NUMBERS
56526
56526
Agreement State
Event Number: 56526
Rep Org: PA Bureau of Radiation Protection
Licensee: Thomas Jefferson Univ. Hospital
Region: 1
City: Philadelphia State: PA
County:
License #: PA-0130
Agreement: Y
Docket:
NRC Notified By: John Chippo
HQ OPS Officer: Kerby Scales
Licensee: Thomas Jefferson Univ. Hospital
Region: 1
City: Philadelphia State: PA
County:
License #: PA-0130
Agreement: Y
Docket:
NRC Notified By: John Chippo
HQ OPS Officer: Kerby Scales
Notification Date: 05/19/2023
Notification Time: 12:03 [ET]
Event Date: 04/11/2023
Event Time: 00:00 [EDT]
Last Update Date: 05/19/2023
Notification Time: 12:03 [ET]
Event Date: 04/11/2023
Event Time: 00:00 [EDT]
Last Update Date: 05/19/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Defrancisco, Anne (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Defrancisco, Anne (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - MEDICAL EVENT (PATIENT UNDERDOSE)
The following information was received from the Pennsylvania Department of Radiation Protection via email:
"On March 28, 2023, a patient was treated with a permanent Cs-131 implant with a prescribed dose of 60 Gy. On April 11, 2023, the patient presented with a serious medical condition which necessitated the immediate removal of the implant. The seeds were all accounted for and placed into storage for decay to background. The actual dose delivered is calculated to be 37 Gy. The referring physician and the patient have been informed."
Event Report Identification Number: PA230015
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.
The following information was received from the Pennsylvania Department of Radiation Protection via email:
"On March 28, 2023, a patient was treated with a permanent Cs-131 implant with a prescribed dose of 60 Gy. On April 11, 2023, the patient presented with a serious medical condition which necessitated the immediate removal of the implant. The seeds were all accounted for and placed into storage for decay to background. The actual dose delivered is calculated to be 37 Gy. The referring physician and the patient have been informed."
Event Report Identification Number: PA230015
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.