ENS 54395

v t e ENS Event
05:00 Nov 14, 2019
Title	Tennessee Agreement State Report - Medical Event That Resulted in Skin Injury
Event Description	The following information was received from the state of Tennessee via email: Patient treated with Lutathera (Lu-177 dotatate) on November 14, 2019. It was determined during her infusion that the Foley catheter was leaking. After the leak was identified, proper decontamination procedures were performed. The patient was instructed upon discharge that there was a chance for potential skin injury. Licensee reported that the estimated skin dose was 7 Gray (Gy). On November 18, 2019, the patient informed her provider that there was skin irritation in the peri-gluteal and peri-labia areas. It was determined that this was skin injury consistent with radiation injury. A follow-up report will be submitted upon receipt of a written report from the licensee. Tennessee Event Report ID No.: TN-19-161 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.

ENS 54395 +/-
Where
Vanderbilt University Nashville, Tennessee (NRC Region 1)
License number:	R-19266
Organization:	Tennessee Div Of Rad Health
Reporting

Agreement State
Time - Person (Reporting Time:+148.47 h6.186 days <br />0.884 weeks <br />0.203 months <br />)
Opened:	Andrew Holcomb 09:28 Nov 20, 2019
NRC Officer:	Howie Crouch
Last Updated:	Nov 20, 2019
54395 - NRC Website
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Vanderbilt University with Agreement State
WEEKMONTHYEAR2019-11-14T05:00:00 [Table view]
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