Event Notification Report for January 16, 2020
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
01/15/2020 - 01/16/2020
EVENT NUMBERS
54483
Agreement State
Event Number: 54483
Rep Org: ALABAMA RADIATION CONTROL
Licensee: EAST ALABAMA MEDICAL CENTER
Region: 1
City: OPELIKA State: AL
County:
License #: 105
Agreement: Y
Docket:
NRC Notified By: CASON COAN
HQ OPS Officer: HOWIE CROUCH
Licensee: EAST ALABAMA MEDICAL CENTER
Region: 1
City: OPELIKA State: AL
County:
License #: 105
Agreement: Y
Docket:
NRC Notified By: CASON COAN
HQ OPS Officer: HOWIE CROUCH
Notification Date: 01/17/2020
Notification Time: 11:57 [ET]
Event Date: 01/16/2020
Event Time: 14:45 [CST]
Last Update Date: 01/17/2020
Notification Time: 11:57 [ET]
Event Date: 01/16/2020
Event Time: 14:45 [CST]
Last Update Date: 01/17/2020
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GLENN DENTEL (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
GLENN DENTEL (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ALABAMA AGREEMENT STATE REPORT - PATIENT RECEIVED GREATER DOSE THAN PRESCRIBED
The following information was received from the state of Alabama via facsimile:
"On January 16, 2020 at approximately 1445 CST, [the radiation safety officer (RSO)] of Alabama licensee East Alabama Medical Center notified the Alabama Office of Radiation Control [the Agency] that a patient apparently received more dose than prescribed during a treatment via HDR [high dose rate] afterloader on or around Thursday, 1/9/2020. [The RSO] stated that he noted the matter yesterday (1/15/20 at around 1530); he stated that the physician associated with the patient's case confirmed [the RSO's] concerns about the patient's dose. [The RSO] reported that the patient apparently received dose in 1 fraction that was to be administered over 2-3 fractions. The Agency has no further information on this matter as of the date of submission of this memo.
"Of note, East Alabama Medical Center is authorized to possess and use an Elekta Flexitron model 136149A02 HDR medical irradiator under Alabama license 105, with a maximum of 12 Ci of Ir-192."
Alabama Event 20-01
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 information was received from the state of Alabama via facsimile:
"On January 16, 2020 at approximately 1445 CST, [the radiation safety officer (RSO)] of Alabama licensee East Alabama Medical Center notified the Alabama Office of Radiation Control [the Agency] that a patient apparently received more dose than prescribed during a treatment via HDR [high dose rate] afterloader on or around Thursday, 1/9/2020. [The RSO] stated that he noted the matter yesterday (1/15/20 at around 1530); he stated that the physician associated with the patient's case confirmed [the RSO's] concerns about the patient's dose. [The RSO] reported that the patient apparently received dose in 1 fraction that was to be administered over 2-3 fractions. The Agency has no further information on this matter as of the date of submission of this memo.
"Of note, East Alabama Medical Center is authorized to possess and use an Elekta Flexitron model 136149A02 HDR medical irradiator under Alabama license 105, with a maximum of 12 Ci of Ir-192."
Alabama Event 20-01
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.