Event Notification Report for June 14, 2001
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/13/2001 - 06/14/2001
General Information or Other
Event Number: 38072
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: R. D. PLANT CONTRACTING
Region: 4
City: MURFREESBORO State: AR
County:
License #: ARK756BP0405
Agreement: Y
Docket:
NRC Notified By: DAVID SNELLINGS
HQ OPS Officer: FANGIE JONES
Licensee: R. D. PLANT CONTRACTING
Region: 4
City: MURFREESBORO State: AR
County:
License #: ARK756BP0405
Agreement: Y
Docket:
NRC Notified By: DAVID SNELLINGS
HQ OPS Officer: FANGIE JONES
Notification Date: 06/14/2001
Notification Time: 16:09 [ET]
Event Date: 06/14/2001
Event Time: 10:00 [CDT]
Last Update Date: 06/18/2001
Notification Time: 16:09 [ET]
Event Date: 06/14/2001
Event Time: 10:00 [CDT]
Last Update Date: 06/18/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JOHN PELLET (R4)
JOHN HICKEY (NMSS)
JOHN PELLET (R4)
JOHN HICKEY (NMSS)
AGREEMENT STATE REPORT - MISSING TROXLER SURFACE DENSITY GAUGE
The licensee notified the State of Arkansas about 10:00 AM CDT today 6/14/01, that a Troxler Model 4640B surface density gauge, containing 8 mCi of Cs-137, was missing from the back of his truck. The gauge was known to be chained and locked in the back of the truck last night (6/13/01) around 7:00 PM CDT. The chain and lock are still in the truck, undamaged. The Howard County Sheriff's Department and Hope Arkansas Police have been notified of the missing gauge. There will be a press release sent to state police, surrounding states and local authorities. NRC Region 4 (Vivian Campbell) has been notified.
* * * UPDATE ON 6/18/01 @1514 BY BRADLEY TO GOULD * * *
The licensee reported to the State (6/18/01 @ 0740) that the gauge had been returned early this morning intact and not damaged.
The Reg 4 RDO(Loveless) and the NMSS EO(Fred Brown)
The licensee notified the State of Arkansas about 10:00 AM CDT today 6/14/01, that a Troxler Model 4640B surface density gauge, containing 8 mCi of Cs-137, was missing from the back of his truck. The gauge was known to be chained and locked in the back of the truck last night (6/13/01) around 7:00 PM CDT. The chain and lock are still in the truck, undamaged. The Howard County Sheriff's Department and Hope Arkansas Police have been notified of the missing gauge. There will be a press release sent to state police, surrounding states and local authorities. NRC Region 4 (Vivian Campbell) has been notified.
* * * UPDATE ON 6/18/01 @1514 BY BRADLEY TO GOULD * * *
The licensee reported to the State (6/18/01 @ 0740) that the gauge had been returned early this morning intact and not damaged.
The Reg 4 RDO(Loveless) and the NMSS EO(Fred Brown)
General Information or Other
Event Number: 38076
Rep Org: ILLINOIS DEPT OF NUCLEAR SAFETY
Licensee: EVANSTON NORTHWESTERN HOSPITAL
Region: 3
City: CHICAGO State: IL
County:
License #: IL1248-02
Agreement: Y
Docket:
NRC Notified By: MCCANDLESS
HQ OPS Officer: CHAUNCEY GOULD
Licensee: EVANSTON NORTHWESTERN HOSPITAL
Region: 3
City: CHICAGO State: IL
County:
License #: IL1248-02
Agreement: Y
Docket:
NRC Notified By: MCCANDLESS
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 06/18/2001
Notification Time: 11:37 [ET]
Event Date: 06/14/2001
Event Time: 11:30 [CDT]
Last Update Date: 06/18/2001
Notification Time: 11:37 [ET]
Event Date: 06/14/2001
Event Time: 11:30 [CDT]
Last Update Date: 06/18/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
MONTE PHILLIPS (R3)
JOHN HICKEY (NMSS)
MONTE PHILLIPS (R3)
JOHN HICKEY (NMSS)
ILLINOIS LICENSEE REPORTED TO THE STATE THAT THEY HAD A MEDICAL MISADMINISTRATION
The Evanston Northwestern Hospital reported that they had a medical misadministration(while performing an IVB event) when they were unprepared with the second syringe after the primary syringe ran out of water. This resulted in an increase in treatment time by 23% (prescribed treatment time was 206 seconds and actual time was 253.4 seconds). The isotope used was Sr-90 with an activity of 1.2 GBq.
The following fax was received after the initial telephone report:
"[Northwestern Hospital] called [the Illinois Department of Nuclear Safety] at 11:33 to report that they had an IVB event this morning using the Novoste device. Apparently they ran out of water in the primary syringe and were not prepared with a secondary syringe to replace it. This caused an increase in the treatment time by 23%. The prescribed treatment time was 3 minutes and 26 seconds. [Northwestern Hospital] was unclear if the sources moved during the syringe change-out procedure. He is not on-site but he will call with additional details once he returns to the hospital. The isotope involved is Sr-90 with an activity of 1.2 GBq."
The Evanston Northwestern Hospital reported that they had a medical misadministration(while performing an IVB event) when they were unprepared with the second syringe after the primary syringe ran out of water. This resulted in an increase in treatment time by 23% (prescribed treatment time was 206 seconds and actual time was 253.4 seconds). The isotope used was Sr-90 with an activity of 1.2 GBq.
The following fax was received after the initial telephone report:
"[Northwestern Hospital] called [the Illinois Department of Nuclear Safety] at 11:33 to report that they had an IVB event this morning using the Novoste device. Apparently they ran out of water in the primary syringe and were not prepared with a secondary syringe to replace it. This caused an increase in the treatment time by 23%. The prescribed treatment time was 3 minutes and 26 seconds. [Northwestern Hospital] was unclear if the sources moved during the syringe change-out procedure. He is not on-site but he will call with additional details once he returns to the hospital. The isotope involved is Sr-90 with an activity of 1.2 GBq."