Medical Events

Question 1

define a “medical event”

Answer 1

when a dose that differs from the prescribed dose by more than .05 Sv or 5 rem

Question 2

what is considered a medical event to an organ or tissue?

Answer 2

.5 Sv or 50 rem

Question 3

what is considered a medical event to a shallow dose equivalent of skin?

Answer 3

.5 Sv or 50 rem

Question 4

what are ways in which medical events can happen? (7)

Answer 4

1. total dose differing from prescribed dose by 20% or more
2. fractionated dose differing from prescribed dose for a single fraction by 50% or more
3. administration of wrong radioactive drug
4. administration of radioactive drug via wrong admin route
5. administration of dose to wrong person
6. dose administered by wrong mode of treatment
7. leaking sealed sources

Question 5

what is the course of action to take, if a medical event were to occur?

Answer 5

1. within 24 hrs report to patient and doctor
2. notify NRC operations center by phone by the next calendar day after the event was discovered
3. write a written report to NRC w/i 15 days after discovery of medical event

Question 6

the following are considered medical events –>

A. total dose differing from prescribed dose by ___% or more

B. fractionated dose differing from prescribed dose for a single fraction by ___% or more

Answer 6

A. 20%

B. 50%

Question 7

when reporting a medical event, the following must occur –>

1. within ___ hrs report to patient AND doctor
2. notify NRC operations center by phone by the next ____ ____ after the event was discovered
3. write a written report to NRC w/i ___ days after discovery of medical event

Answer 7

1. 24 hrs
2. calendar day
3. 15

Question 8

who is responsible for creating the written report to the NRC of the medical event that happened?

Answer 8

the RSO (Radiation Safety Officer)