Event Notification Report for June 28, 2006
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/27/2006 - 06/28/2006
Hospital
Event Number: 42683
Rep Org: ST JOSEPH HEALTH CENTER
Licensee: ST JOSEPH HEALTH CENTER
Region: 3
City: St Charles State: MO
County:
License #: 24-15159-01
Agreement: N
Docket:
NRC Notified By: MARTHA WELDON
HQ OPS Officer: JOHN KNOKE
Licensee: ST JOSEPH HEALTH CENTER
Region: 3
City: St Charles State: MO
County:
License #: 24-15159-01
Agreement: N
Docket:
NRC Notified By: MARTHA WELDON
HQ OPS Officer: JOHN KNOKE
Notification Date: 07/03/2006
Notification Time: 15:32 [ET]
Event Date: 06/28/2006
Event Time: 13:30 [CDT]
Last Update Date: 07/03/2006
Notification Time: 15:32 [ET]
Event Date: 06/28/2006
Event Time: 13:30 [CDT]
Last Update Date: 07/03/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
KENNETH RIEMER (R3)
SCOTT MOORE (NMSS)
KENNETH RIEMER (R3)
SCOTT MOORE (NMSS)
MEDICAL MISADMINISTRATION FOR THYROID TREATMENT
A female patient went to the St Joseph Health Center for medical treatment on her thyroid. The treatment prescribed for this patient was 15 microCuries I-131 uptake, and 5 milliCuries I-131 therapy. The technician did not follow procedure and administered only the 5 milliCuries I-131 therapy dose. The 15 microCuries I-131 uptake dose was not administered.
The licensee talked to the patient and her physician about the misadministration and the doctor said he will evaluate the patient to see if any more thyroid treatments are required. This misadministration did not physically harm the patient. The RSO was notified and will be following up with a written report.
A female patient went to the St Joseph Health Center for medical treatment on her thyroid. The treatment prescribed for this patient was 15 microCuries I-131 uptake, and 5 milliCuries I-131 therapy. The technician did not follow procedure and administered only the 5 milliCuries I-131 therapy dose. The 15 microCuries I-131 uptake dose was not administered.
The licensee talked to the patient and her physician about the misadministration and the doctor said he will evaluate the patient to see if any more thyroid treatments are required. This misadministration did not physically harm the patient. The RSO was notified and will be following up with a written report.
Power Reactor
Event Number: 42672
Facility: WATERFORD
Region: 4 State: LA
Unit: [3] [] []
RX Type: [3] CE
NRC Notified By: OSCAR PIPKINS
HQ OPS Officer: MIKE RIPLEY
Region: 4 State: LA
Unit: [3] [] []
RX Type: [3] CE
NRC Notified By: OSCAR PIPKINS
HQ OPS Officer: MIKE RIPLEY
Notification Date: 06/28/2006
Notification Time: 20:11 [ET]
Event Date: 06/28/2006
Event Time: 14:15 [CDT]
Last Update Date: 06/28/2006
Notification Time: 20:11 [ET]
Event Date: 06/28/2006
Event Time: 14:15 [CDT]
Last Update Date: 06/28/2006
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):
GREG PICK (R4)
GREG PICK (R4)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 3 | N | Y | 100 | Power Operation | 100 | Power Operation |
LOSS AND SUBSEQUENT RESTORATION OF ELECTRICAL POWER TO THE EMERGENCY OPERATIONS FACILITY
"On June 28, 2006 at approximately 1415 [CDT], power was lost to the Waterford 3 SES Emergency Operations Facility (EOF) when a tree fell onto the power line feeding the EOF. Power was automatically restored to the EOF from the EOF backup diesel generator. Several minutes later, power was lost to the EOF again when the EOF backup diesel tripped. [Normal] power was restored to the facility at approximately 1550, and the EOF is operable. The backup EOF facility was available during this event. The NRC Senior Resident has been notified."
"On June 28, 2006 at approximately 1415 [CDT], power was lost to the Waterford 3 SES Emergency Operations Facility (EOF) when a tree fell onto the power line feeding the EOF. Power was automatically restored to the EOF from the EOF backup diesel generator. Several minutes later, power was lost to the EOF again when the EOF backup diesel tripped. [Normal] power was restored to the facility at approximately 1550, and the EOF is operable. The backup EOF facility was available during this event. The NRC Senior Resident has been notified."
Hospital
Event Number: 42859
Rep Org: MEDICAL PHYSICS CONSULTANTS
Licensee: WEST BRANCH REGIONAL MEDICAL CENT.
Region: 3
City: WEST BRANCH State: MI
County:
License #: 21-18892-01
Agreement: N
Docket:
NRC Notified By: MICHELLE KRITZMAN
HQ OPS Officer: JOHN MacKINNON
Licensee: WEST BRANCH REGIONAL MEDICAL CENT.
Region: 3
City: WEST BRANCH State: MI
County:
License #: 21-18892-01
Agreement: N
Docket:
NRC Notified By: MICHELLE KRITZMAN
HQ OPS Officer: JOHN MacKINNON
Notification Date: 09/25/2006
Notification Time: 13:25 [ET]
Event Date: 06/28/2006
Event Time: 13:20 [EDT]
Last Update Date: 09/25/2006
Notification Time: 13:25 [ET]
Event Date: 06/28/2006
Event Time: 13:20 [EDT]
Last Update Date: 09/25/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
SONIA BURGESS (R3)
GREG MORELL (NMSS)
SONIA BURGESS (R3)
GREG MORELL (NMSS)
INCORRECT INITIAL PRESCRIBED DOSE
On 6/23/06, a physician prescribed a dose of 10 microcuries of iodine-131 for a patient with Graves' disease. The physician meant to have written the prescribed dose to be 10 millicuries. On 06/28/06, the dose was placed in a calibrator and measured at 10 millicuries with the physician present. After the dose was calibrated at 10 millicuries the physician signed, but forgot to date it, for the patient to receive the 10 millicurie dose. The patient received the 10 millicurie dose.
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.
On 6/23/06, a physician prescribed a dose of 10 microcuries of iodine-131 for a patient with Graves' disease. The physician meant to have written the prescribed dose to be 10 millicuries. On 06/28/06, the dose was placed in a calibrator and measured at 10 millicuries with the physician present. After the dose was calibrated at 10 millicuries the physician signed, but forgot to date it, for the patient to receive the 10 millicurie dose. The patient received the 10 millicurie dose.
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.