United States Nuclear Regulatory Commission - Protecting People and the Environment

Event Notification Report for November 23, 2012

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
11/21/2012 - 11/23/2012

** EVENT NUMBERS **


48509 48529

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Agreement State Event Number: 48509
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: FLORIDA HOSPITAL, TAMPA
Region: 1
City: TAMPA State: FL
County:
License #: 0549-3
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: PETE SNYDER
Notification Date: 11/15/2012
Notification Time: 13:27 [ET]
Event Date: 11/09/2012
Event Time: [EST]
Last Update Date: 11/15/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
TODD JACKSON (R1DO)
FSME EVENT RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - PATIENT RECEIVED WRONG TREATMENT PLAN

The following report was received from the State of Florida via facsimile:

"On November 9, 2012, two patients with a different treatment plan (HDR Brachytherapy) were scheduled on the same day, patient 2 received patient 1 treatment plan. [The] error [was] found during mid treatment and stopped. Oncologist and patient informed, treatment continued under original plan, expect no adverse effects to patient Primary care physician has not been informed as of 13 November 2012, 0800 hours. A private company Radio Physics Associates (TRP-73) performs procedures involving HDR at this hospital. Investigation assigned to [State of Florida Bureau of Radiation Control] Tampa Office. No further action will be taken on this incident.

"Isotope involved: Ir-192; Activity: 8.3 Ci"

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.

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Power Reactor Event Number: 48529
Facility: HATCH
Region: 2 State: GA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: JIM ANDERSON
HQ OPS Officer: HOWIE CROUCH
Notification Date: 11/21/2012
Notification Time: 13:01 [ET]
Event Date: 11/21/2012
Event Time: 10:36 [EST]
Last Update Date: 11/21/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
DAVID AYRES (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
2 N Y 100 Power Operation 100 Power Operation

Event Text

OFFSITE NOTIFICATION DUE TO CHLORINE LEAK

"A chlorine leak was discovered in an area near the Unit 2 cooling towers. The leak has been isolated; the amount leaked is under investigation. Sodium bisulfite has been used to neutralize the [leaked] chlorine. The Georgia Environmental Protection Division and U.S. Coast Guard have been notified."

The licensee has notified the NRC Resident Inspector.

Page Last Reviewed/Updated Friday, November 23, 2012
Friday, November 23, 2012