Event Notification Report for December 29, 2003
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
12/28/2003 - 12/29/2003
Power Reactor
Event Number: 40417
Facility: ARKANSAS NUCLEAR
Region: 4 State: AR
Unit: [1] [2] []
RX Type: [1] B&W-L-LP,[2] CE
NRC Notified By: KENN TATE
HQ OPS Officer: CHAUNCEY GOULD
Region: 4 State: AR
Unit: [1] [2] []
RX Type: [1] B&W-L-LP,[2] CE
NRC Notified By: KENN TATE
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 12/29/2003
Notification Time: 16:49 [ET]
Event Date: 12/29/2003
Event Time: 11:29 [CST]
Last Update Date: 12/29/2003
Notification Time: 16:49 [ET]
Event Date: 12/29/2003
Event Time: 11:29 [CST]
Last Update Date: 12/29/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
26.73 - FITNESS FOR DUTY
10 CFR Section:
26.73 - FITNESS FOR DUTY
Person (Organization):
Tom Farnholtz (R4)
Tom Farnholtz (R4)
| 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 | 18 | Power Operation | 18 | Power Operation |
POSITIVE TEST DURING A RANDOM FITNESS FOR DUTY SCREENING
Non - licensed, non-supervisory employee tested positive for presence of alcohol.
The NRC Resident Inspector was notified.
Non - licensed, non-supervisory employee tested positive for presence of alcohol.
The NRC Resident Inspector was notified.
Hospital
Event Number: 40465
Rep Org: US DEPT OF VETERAN AFFAIRS
Licensee: VA MED CENTER ANN ARBOR, MI
Region: 3
City: ANN ARBOR State: MI
County:
License #: 21-00159-01
Agreement: N
Docket:
NRC Notified By: JOSEPH WISSING
HQ OPS Officer: MIKE RIPLEY
Licensee: VA MED CENTER ANN ARBOR, MI
Region: 3
City: ANN ARBOR State: MI
County:
License #: 21-00159-01
Agreement: N
Docket:
NRC Notified By: JOSEPH WISSING
HQ OPS Officer: MIKE RIPLEY
Notification Date: 01/22/2004
Notification Time: 15:19 [ET]
Event Date: 12/29/2003
Event Time: 00:00 [EST]
Last Update Date: 01/22/2004
Notification Time: 15:19 [ET]
Event Date: 12/29/2003
Event Time: 00:00 [EST]
Last Update Date: 01/22/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(2) - DOSE > SPECIFIED EFF LIMITS
10 CFR Section:
35.3045(a)(2) - DOSE > SPECIFIED EFF LIMITS
Person (Organization):
ROGER LANKSBURY (R3)
TOM ESSIG (NMSS)
ROGER LANKSBURY (R3)
TOM ESSIG (NMSS)
POSSIBLE MEDICAL EVENT
"The possible medical event occurred at a medical broad-scope permittee authorized under the master materials license issued to the Department of Veterans Affairs, NRC License 03-23853-01VA. The permittee is VA Medical Center, Ann Arbor, Michigan (Permit # 21-00159-01).
"The possible medical event occurred on December 29, 2003. The possible medical event was discovered on January 21, 2004.
"The basis for the possible medical event is under 10 CFR 35.3045(a)(2)(i) and involved administration of a wrong radiopharmaceutical drug. Specifically, the written directive for a patient therapy procedure incorrectly listed Strontium 90 when in fact Strontium 89 was administered to the patient.
"Since the clinical intent was for the patient to receive Strontium 89, the possible medical event will not have any adverse impact on the patient.
"The permittee has implemented corrective actions to prevent a recurrence of the circumstances that resulted in the possible medical event. The Department of Veterans Affairs will evaluate the circumstances related to the possible medical event and submit a written report to NRC, Region III, within 15 days."
"The possible medical event occurred at a medical broad-scope permittee authorized under the master materials license issued to the Department of Veterans Affairs, NRC License 03-23853-01VA. The permittee is VA Medical Center, Ann Arbor, Michigan (Permit # 21-00159-01).
"The possible medical event occurred on December 29, 2003. The possible medical event was discovered on January 21, 2004.
"The basis for the possible medical event is under 10 CFR 35.3045(a)(2)(i) and involved administration of a wrong radiopharmaceutical drug. Specifically, the written directive for a patient therapy procedure incorrectly listed Strontium 90 when in fact Strontium 89 was administered to the patient.
"Since the clinical intent was for the patient to receive Strontium 89, the possible medical event will not have any adverse impact on the patient.
"The permittee has implemented corrective actions to prevent a recurrence of the circumstances that resulted in the possible medical event. The Department of Veterans Affairs will evaluate the circumstances related to the possible medical event and submit a written report to NRC, Region III, within 15 days."