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Event Notification Report for July 24, 2006

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
07/23/2006 - 07/24/2006

EVENT NUMBERS
4272442736

Power Reactor
Event Number: 42724
Facility: BRUNSWICK
Region: 2     State: NC
Unit: [] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: MARK SCHALL
HQ OPS Officer: BILL GOTT
Notification Date: 07/25/2006
Notification Time: 00:37 [ET]
Event Date: 07/24/2006
Event Time: 17:00 [EDT]
Last Update Date: 07/25/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
JAY HENSON (R2)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 100 Power Operation
Event Text
LOSS AND RESTORATION OF SPDS SYSTEM

"On 7/24/06, Brunswick Unit 2 experienced a loss of Safety Parameter Display System (SPDS) capability for 12 hours and 54 minutes. Operations was informed of the loss [and restoration] of SPDS at 1700 7/24/06.

"Unit 2 remained at 100 percent power, steady state operation, throughout the time that SPDS was inoperable.

"The cause of the SPDS failure is under investigation.

"Note that all other emergency assessment equipment was operable during the time Unit 2 was without SPDS."

SPDS was restored at 1330, 7/24/06.

The licensee notified the NRC Resident Inspector.


General Information or Other
Event Number: 42736
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: CHILDREN'S MEMORIAL MEDICAL CENTER
Region: 3
City: CHICAGO   State: IL
County:
License #: IL-01165-01
Agreement: Y
Docket:
NRC Notified By: JOE KLINGER
HQ OPS Officer: MIKE RIPLEY
Notification Date: 07/27/2006
Notification Time: 18:45 [ET]
Event Date: 07/24/2006
Event Time: 00:00 [CDT]
Last Update Date: 07/27/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
ROGER LANKSBURY (R3)
EDWIN HACKETT (NMSS)
GREG MORELL (EMAIL) (NMSS)
Event Text
ILLINOIS AGREEMENT STATE REPORT - MEDICAL EVENT

The State provided the following information via email:

"On July 26, the RSO at a broad-scope medical facility contacted the agency to report a possible medical event involving I-131. He stated that on July 24, a 5 microCurie Na-I thyroid uptake diagnostic study was ordered by an endocrinologist at the facility; however, instead of 5 microCuries, the doctor ordered a 2 millicurie dose. The nuclear technologist did not question the request and the dose was drawn and administered to the 16-year old male patient. When the authorized user listed on the license came in to do the imaging on July 25, he noted the error. It appears the authorized user was not directly involved in ordering the study. The licensee estimated the whole body dose as 1.89 Rem and the dose to the thyroid of 4,140 Rem based on 59.2% uptake. Using the same assumptions, the intended dose for 5 microCurie I-131 would be 10.4 Rem. The licensee anticipates some depletion of thyroid function as a result of this administration of 2 millicuries. The RSO continues to investigate the matter and more information will be provided."

Illinois Item Number: IL-060036