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Discusses encl 930326-0407 misadministration rept 30-02049/93-01.Appears that root cause of misadministration was failure of radiation oncologist to properly rotate ovoid insert while afterloading Cs-137 brachytherapy source.

Accession Number: ML20036B136

Date Released: Friday, October 25, 2024

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• ML20036B135 - Discusses encl 930326-0407 misadministration rept 30-02049/93-01.Appears that root cause of misadministration was failure of radiation oncologist to properly rotate ovoid insert while afterloading Cs-137 brachytherapy source. (2 page(s), 5/10/1993)
• ML20036B149 - Forwards insp rept 30-02049/93-01 on 930326-0407.Six apparent violations of NRC requirements identified. (3 page(s), 5/10/1993)
• ML20036B158 - Insp rept 30-02049/93-01 on 930326-0407.Six apparent violations identified.Major areas inspected:organization & mgt controls,training & instructions to workers,facilities & equipment & personnel radiation exposure monitoring. (65 page(s), 5/5/1993)