Event Notification Report for April 01, 2011
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/31/2011 - 04/01/2011
Agreement State
Event Number: 46719
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: UNIVERSITY OF MIAMI
Region: 1
City: MIAMI State: FL
County:
License #: 33136
Agreement: Y
Docket:
NRC Notified By: CHARLES ADAMS
HQ OPS Officer: DONG HWA PARK
Licensee: UNIVERSITY OF MIAMI
Region: 1
City: MIAMI State: FL
County:
License #: 33136
Agreement: Y
Docket:
NRC Notified By: CHARLES ADAMS
HQ OPS Officer: DONG HWA PARK
Notification Date: 04/01/2011
Notification Time: 16:24 [ET]
Event Date: 04/01/2011
Event Time: 00:00 [EDT]
Last Update Date: 04/01/2011
Notification Time: 16:24 [ET]
Event Date: 04/01/2011
Event Time: 00:00 [EDT]
Last Update Date: 04/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
RAY POWELL (R1DO)
PAUL MICHALAK (FSME)
RAY POWELL (R1DO)
PAUL MICHALAK (FSME)
AGREEMENT STATE REPORT - I-131 ADMINISTERED DOSE LESS THAN PRESCRIBED DOSE
The following was received from the State of Florida via email:
"A patient was scheduled to receive a 150 mCi dose of I-131 for thyroid cancer therapy treatment on 3/31/11. The dose was two 75 mCi capsules. Only one pill was taken. The other pill was discovered sticking on the bottom of the vial on 4/1/11 (capsules are sticky and the label around the vial prevented direct observation of the capsule from the side). Patient was under dosed by 50%. The tech failed to ensure that both pills were taken. The physician has been notified and he will notify the patient. The patient will be redosed to bring the dose up to prescription. The dosing procedure will be changed to require the tech to verify that the vial is empty. Licensee will submit a written report. Any further action on this incident is referred to Radioactive Materials. This office will take no further action on this incident."
Florida Incident Number: FL 11-028
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.
The following was received from the State of Florida via email:
"A patient was scheduled to receive a 150 mCi dose of I-131 for thyroid cancer therapy treatment on 3/31/11. The dose was two 75 mCi capsules. Only one pill was taken. The other pill was discovered sticking on the bottom of the vial on 4/1/11 (capsules are sticky and the label around the vial prevented direct observation of the capsule from the side). Patient was under dosed by 50%. The tech failed to ensure that both pills were taken. The physician has been notified and he will notify the patient. The patient will be redosed to bring the dose up to prescription. The dosing procedure will be changed to require the tech to verify that the vial is empty. Licensee will submit a written report. Any further action on this incident is referred to Radioactive Materials. This office will take no further action on this incident."
Florida Incident Number: FL 11-028
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.
Power Reactor
Event Number: 46717
Facility: HATCH
Region: 2 State: GA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: FRANK GORLEY
HQ OPS Officer: HOWIE CROUCH
Region: 2 State: GA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: FRANK GORLEY
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/01/2011
Notification Time: 06:12 [ET]
Event Date: 04/01/2011
Event Time: 04:04 [EDT]
Last Update Date: 04/01/2011
Notification Time: 06:12 [ET]
Event Date: 04/01/2011
Event Time: 04:04 [EDT]
Last Update Date: 04/01/2011
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):
MARVIN SYKES (R2DO)
MARVIN SYKES (R2DO)
| 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 | Refueling | 0 | Refueling |
AREA TELEPHONE OUTAGE AFFECTS EMERGENCY NOTIFICATION SYSTEM PHONE
"Baxley phone lines were discovered out of service. [This affects the] 366 and 367 [prefix] exchange. Upon further investigation, [it was] determined that Emergency Notification System phone in the Main Control Room was out of service."
According to the licensee, and AT&T circuit in the Baxley Central Office was disabled, possibly due to a fiber cable cut.
The licensee will be notifying the NRC Resident Inspector.
"Baxley phone lines were discovered out of service. [This affects the] 366 and 367 [prefix] exchange. Upon further investigation, [it was] determined that Emergency Notification System phone in the Main Control Room was out of service."
According to the licensee, and AT&T circuit in the Baxley Central Office was disabled, possibly due to a fiber cable cut.
The licensee will be notifying the NRC Resident Inspector.