Event Notification Report for December 14, 2017
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
12/13/2017 - 12/14/2017
Agreement State
Event Number: 53120
Rep Org: ARIZONA RADIATION REGULATORY AGENCY
Licensee: UNIVERSITY MEDICAL CENTER CORPORATION
Region: 4
City: TUCSON State: AZ
County:
License #: AZ 10-044
Agreement: Y
Docket:
NRC Notified By: BRIAN D. GORETZKI
HQ OPS Officer: JEFF HERRERA
Licensee: UNIVERSITY MEDICAL CENTER CORPORATION
Region: 4
City: TUCSON State: AZ
County:
License #: AZ 10-044
Agreement: Y
Docket:
NRC Notified By: BRIAN D. GORETZKI
HQ OPS Officer: JEFF HERRERA
Notification Date: 12/15/2017
Notification Time: 15:40 [ET]
Event Date: 12/14/2017
Event Time: 14:00 [MST]
Last Update Date: 12/15/2017
Notification Time: 15:40 [ET]
Event Date: 12/14/2017
Event Time: 14:00 [MST]
Last Update Date: 12/15/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
RICK DEESE (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
RICK DEESE (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
AGREEMENT STATE REPORT - PATIENT UNDERDOSE
The following report was received from the Arizona Radiation Regulatory Agency via email:
"On December 13, 2017, at approximately [1345 CST], the Agency [Arizona Radiation Regulatory Agency] received notification from the licensee of a possible medical event involving Yttrium-90. The patient received approximately 60 percent of the prescribed dose. The Agency has requested additional information and continues to investigate the event."
Arizona First Notice: 17-017
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 report was received from the Arizona Radiation Regulatory Agency via email:
"On December 13, 2017, at approximately [1345 CST], the Agency [Arizona Radiation Regulatory Agency] received notification from the licensee of a possible medical event involving Yttrium-90. The patient received approximately 60 percent of the prescribed dose. The Agency has requested additional information and continues to investigate the event."
Arizona First Notice: 17-017
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.
Agreement State
Event Number: 54635
Rep Org: COLORADO DEPT OF HEALTH
Licensee: ST. CATHERINE OF SIENA
Region: 4
City: DENVER State: CO
County:
License #: GL002332
Agreement: Y
Docket:
NRC Notified By: KATHRYN MOTE
HQ OPS Officer: OSSY FONT
Licensee: ST. CATHERINE OF SIENA
Region: 4
City: DENVER State: CO
County:
License #: GL002332
Agreement: Y
Docket:
NRC Notified By: KATHRYN MOTE
HQ OPS Officer: OSSY FONT
Notification Date: 04/03/2020
Notification Time: 11:25 [ET]
Event Date: 12/14/2017
Event Time: 00:00 [MDT]
Last Update Date: 04/03/2020
Notification Time: 11:25 [ET]
Event Date: 12/14/2017
Event Time: 00:00 [MDT]
Last Update Date: 04/03/2020
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS
The following summary was received from the state of Colorado via email:
The licensee had two tritium exit signs, containing 6.2 Ci each, removed and replaced with non-radioactive signs.
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
The following summary was received from the state of Colorado via email:
The licensee had two tritium exit signs, containing 6.2 Ci each, removed and replaced with non-radioactive signs.
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf