Event Notification Report for August 02, 2002
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
08/01/2002 - 08/02/2002
General Information or Other
Event Number: 39113
Rep Org: COLORADO DEPT OF HEALTH
Licensee: CENTURA HEALTH PENRONSE ST. FRANCIS HOSPITAL
Region: 4
City: COLORADO SPRINGS State: CO
County:
License #: 197-02
Agreement: Y
Docket:
NRC Notified By: TIMOTHY BONZER
HQ OPS Officer: STEVE SANDIN
Licensee: CENTURA HEALTH PENRONSE ST. FRANCIS HOSPITAL
Region: 4
City: COLORADO SPRINGS State: CO
County:
License #: 197-02
Agreement: Y
Docket:
NRC Notified By: TIMOTHY BONZER
HQ OPS Officer: STEVE SANDIN
Notification Date: 08/06/2002
Notification Time: 13:30 [ET]
Event Date: 08/02/2002
Event Time: 00:00 [MDT]
Last Update Date: 08/06/2002
Notification Time: 13:30 [ET]
Event Date: 08/02/2002
Event Time: 00:00 [MDT]
Last Update Date: 08/06/2002
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
CHUCK CAIN (R4)
JOHN HICKEY (NMSS)
CHUCK CAIN (R4)
JOHN HICKEY (NMSS)
AGREEMENT STATE REPORT INVOLVING A MEDICAL MISADMINISTRATION
"I received a call from Gerald White, of Colorado Associates in Medical Physics (CAMP) late on Friday August 2, 2002. He called to report a medical administration that occurred at Centura Health Penrose St. Francis Hospital in Colorado Springs (RML 197-02) earlier that day concerning a high dose rate afterloader (HDR) treatment.
"Apparently, an incorrect catheter length was entered into the software for the HDR unit, resulting in the patient receiving zero therapy dose. Since the source left the housing, there was an exposure to the patient.
"The physician is determining the path forward with respect to treatment. We are awaiting more information from CAMP. I sent them an e-mail yesterday evening (8/5/02) requesting more Information."
Colorado Department of Public Health and Environment, Laboratory and Radiation Services Division, Report Number M03-01.
"I received a call from Gerald White, of Colorado Associates in Medical Physics (CAMP) late on Friday August 2, 2002. He called to report a medical administration that occurred at Centura Health Penrose St. Francis Hospital in Colorado Springs (RML 197-02) earlier that day concerning a high dose rate afterloader (HDR) treatment.
"Apparently, an incorrect catheter length was entered into the software for the HDR unit, resulting in the patient receiving zero therapy dose. Since the source left the housing, there was an exposure to the patient.
"The physician is determining the path forward with respect to treatment. We are awaiting more information from CAMP. I sent them an e-mail yesterday evening (8/5/02) requesting more Information."
Colorado Department of Public Health and Environment, Laboratory and Radiation Services Division, Report Number M03-01.
Power Reactor
Event Number: 39107
Facility: NINE MILE POINT
Region: 1 State: NY
Unit: [] [2] []
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: BOISMENU
HQ OPS Officer: CHAUNCEY GOULD
Region: 1 State: NY
Unit: [] [2] []
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: BOISMENU
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 08/02/2002
Notification Time: 19:23 [ET]
Event Date: 08/02/2002
Event Time: 15:00 [EDT]
Last Update Date: 08/02/2002
Notification Time: 19:23 [ET]
Event Date: 08/02/2002
Event Time: 15:00 [EDT]
Last Update Date: 08/02/2002
Emergency Class: NON EMERGENCY
10 CFR Section:
26.73 - FITNESS FOR DUTY
10 CFR Section:
26.73 - FITNESS FOR DUTY
Person (Organization):
J. BRADLEY FEWELL (R1)
J. BRADLEY FEWELL (R1)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
UNOPENED CAN OF BEER WAS DISCOVERED IN A REFRIGERATOR IN THE PROTECTED AREA
An individual stated he inadvertently brought a can of beer to work along with 3 cans of sodas thinking it was also a can of soda. The 3 cans of soda were also in a blue color can as the beer. The individual's unescorted access was suspended, and a for cause test was requested, which resulted in negative results for alcohol as well as drugs. The individual was neither a supervisor nor licensed operator.
The NRC Resident Inspector was notified.
An individual stated he inadvertently brought a can of beer to work along with 3 cans of sodas thinking it was also a can of soda. The 3 cans of soda were also in a blue color can as the beer. The individual's unescorted access was suspended, and a for cause test was requested, which resulted in negative results for alcohol as well as drugs. The individual was neither a supervisor nor licensed operator.
The NRC Resident Inspector was notified.
Power Reactor
Event Number: 39104
Facility: COOK
Region: 3 State: MI
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: RICHARD HACKMAN
HQ OPS Officer: FANGIE JONES
Region: 3 State: MI
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: RICHARD HACKMAN
HQ OPS Officer: FANGIE JONES
Notification Date: 08/02/2002
Notification Time: 10:08 [ET]
Event Date: 08/02/2002
Event Time: 08:30 [EDT]
Last Update Date: 08/02/2002
Notification Time: 10:08 [ET]
Event Date: 08/02/2002
Event Time: 08:30 [EDT]
Last Update Date: 08/02/2002
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
BRUCE BURGESS (R3)
BRUCE BURGESS (R3)
| 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 | N | 0 | Hot Standby | 0 | Hot Standby |
EOF PHONE SYSTEM LOST
"Normal power was lost at the EOF due to a storm during the early morning hours. The EOF phone system switched over to battery backup power and eventually drained the batteries. The Shift Manager was notified at 0830. A portable diesel generator is being brought to the EOF to repower the facility. If the EOF requires staffing at this time, portable lighting and cell phones could be used. AEP is working on restoring the normal power supply to the Buchannan Office and EOF as well."
The licensee notified the NRC Resident Inspector.
"Normal power was lost at the EOF due to a storm during the early morning hours. The EOF phone system switched over to battery backup power and eventually drained the batteries. The Shift Manager was notified at 0830. A portable diesel generator is being brought to the EOF to repower the facility. If the EOF requires staffing at this time, portable lighting and cell phones could be used. AEP is working on restoring the normal power supply to the Buchannan Office and EOF as well."
The licensee notified the NRC Resident Inspector.