Event Notification Report for April 17, 2020
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/16/2020 - 04/17/2020
EVENT NUMBERS
54673
Agreement State
Event Number: 54673
Rep Org: ARIZONA DEPT OF HEALTH SERVICES
Licensee: SAINT JOSEPH'S HOSPITAL AND MEDICAL CENTER
Region: 4
City: PHOENIX State: AZ
County:
License #: 07-024
Agreement: Y
Docket:
NRC Notified By: BRIAN GORETZKI
HQ OPS Officer: BRIAN LIN
Licensee: SAINT JOSEPH'S HOSPITAL AND MEDICAL CENTER
Region: 4
City: PHOENIX State: AZ
County:
License #: 07-024
Agreement: Y
Docket:
NRC Notified By: BRIAN GORETZKI
HQ OPS Officer: BRIAN LIN
Notification Date: 04/18/2020
Notification Time: 12:20 [ET]
Event Date: 04/17/2020
Event Time: 18:00 [MST]
Last Update Date: 04/18/2020
Notification Time: 12:20 [ET]
Event Date: 04/17/2020
Event Time: 18:00 [MST]
Last Update Date: 04/18/2020
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
JEFFREY JOSEY (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
JEFFREY JOSEY (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - POSSIBLE MEDICAL EVENT
The following was received from the state of Arizona via email:
"On April 17, 2020, at approximately 1800 [MDT], the Department [Arizona Department of Health Services] received notification from the licensee of a possible medical event involving Yttrium-90 radiolabeled glass microspheres (Therasphere). The dose on the written directive was 150 Gy and the pre-treatment measurement was approximately 4.6 GBq. Following the delivery, the nuclear medicine technologist took readings of the waste containers and got an average of 4.58 mR/hr (highest of 11.8 mR/hr) from the first jar and an average of 1.39 mR/hr (highest of 2.6 mR/hr) from the second jar. The licensee is investigating the irregular waste readings and attempting to calculate the actual dose to the patient.
"The Department has requested additional information and continues to investigate the event."
Arizona Event No. 20-009
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 Arizona via email:
"On April 17, 2020, at approximately 1800 [MDT], the Department [Arizona Department of Health Services] received notification from the licensee of a possible medical event involving Yttrium-90 radiolabeled glass microspheres (Therasphere). The dose on the written directive was 150 Gy and the pre-treatment measurement was approximately 4.6 GBq. Following the delivery, the nuclear medicine technologist took readings of the waste containers and got an average of 4.58 mR/hr (highest of 11.8 mR/hr) from the first jar and an average of 1.39 mR/hr (highest of 2.6 mR/hr) from the second jar. The licensee is investigating the irregular waste readings and attempting to calculate the actual dose to the patient.
"The Department has requested additional information and continues to investigate the event."
Arizona Event No. 20-009
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.