Event Notification Report for September 16, 2020
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
09/15/2020 - 09/16/2020
Agreement State
Event Number: 54912
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: Eurofins TestAmerica
Region: 3
City: North Canton State: OH
County:
License #: GL
Agreement: Y
Docket:
NRC Notified By: Michael Snee
HQ OPS Officer: Jeffrey Whited
Licensee: Eurofins TestAmerica
Region: 3
City: North Canton State: OH
County:
License #: GL
Agreement: Y
Docket:
NRC Notified By: Michael Snee
HQ OPS Officer: Jeffrey Whited
Notification Date: 09/25/2020
Notification Time: 13:59 [ET]
Event Date: 09/16/2020
Event Time: 00:00 [EDT]
Last Update Date: 09/25/2020
Notification Time: 13:59 [ET]
Event Date: 09/16/2020
Event Time: 00:00 [EDT]
Last Update Date: 09/25/2020
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
JAMNES CAMERON (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
JAMNES CAMERON (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - LEAKING SOURCE
The following is a summary of the email received from the State of Ohio:
The licensee discovered that one of their Electron Capture Detectors (Model: G2397A; S/N: U23974; Source: Ni-63 0.015 Ci) was leaking during a routine leak test. The source has been transferred for disposal.
Item Number: OH200008
The following is a summary of the email received from the State of Ohio:
The licensee discovered that one of their Electron Capture Detectors (Model: G2397A; S/N: U23974; Source: Ni-63 0.015 Ci) was leaking during a routine leak test. The source has been transferred for disposal.
Item Number: OH200008
Agreement State
Event Number: 54903
Rep Org: UTAH DIVISION OF RADIATION CONTROL
Licensee: St. Mark's Hospital
Region: 4
City: Salt Lake City State: UT
County:
License #: UT 1800253
Agreement: Y
Docket:
NRC Notified By: Phil Goble
HQ OPS Officer: Thomas Herrity
Licensee: St. Mark's Hospital
Region: 4
City: Salt Lake City State: UT
County:
License #: UT 1800253
Agreement: Y
Docket:
NRC Notified By: Phil Goble
HQ OPS Officer: Thomas Herrity
Notification Date: 09/16/2020
Notification Time: 18:00 [ET]
Event Date: 09/16/2020
Event Time: 13:00 [MDT]
Last Update Date: 09/16/2020
Notification Time: 18:00 [ET]
Event Date: 09/16/2020
Event Time: 13:00 [MDT]
Last Update Date: 09/16/2020
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
CALE YOUNG (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
CALE YOUNG (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - INCORRECT RADIONUCLIDE ADMINISTERED TO A PATIENT
The following was received from the state of Utah, Division of Waste Management and Radiation Control, via email:
"At approximately 1300 (MDT), on September 16, 2020, a Nuclear Medicine Technician injected 9.5 mCi of Tc-99 Sestamibi into the wrong patient. The prescribed radiopharmaceutical to be administered was Tc-99m MAA. The dose of Tc-99 Sestamibi was intended for a patient scheduled earlier in the day that did not show up for their appointment. The Nuclear Medicine Technician failed to swap out the Tc-99 Sestamibi for Tc-99m MAA for the 1300 MDT patient."
State Event Report No.: Will be provided in a follow up report.
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 Utah, Division of Waste Management and Radiation Control, via email:
"At approximately 1300 (MDT), on September 16, 2020, a Nuclear Medicine Technician injected 9.5 mCi of Tc-99 Sestamibi into the wrong patient. The prescribed radiopharmaceutical to be administered was Tc-99m MAA. The dose of Tc-99 Sestamibi was intended for a patient scheduled earlier in the day that did not show up for their appointment. The Nuclear Medicine Technician failed to swap out the Tc-99 Sestamibi for Tc-99m MAA for the 1300 MDT patient."
State Event Report No.: Will be provided in a follow up report.
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: 54904
Rep Org: ARIZONA DEPT OF HEALTH SERVICES
Licensee: Geotek Operations Limited
Region: 4
City: Phoenix State: AZ
County:
License #: 07-495
Agreement: Y
Docket:
NRC Notified By: Brian Goretzki
HQ OPS Officer: Thomas Herrity
Licensee: Geotek Operations Limited
Region: 4
City: Phoenix State: AZ
County:
License #: 07-495
Agreement: Y
Docket:
NRC Notified By: Brian Goretzki
HQ OPS Officer: Thomas Herrity
Notification Date: 09/16/2020
Notification Time: 18:48 [ET]
Event Date: 09/16/2020
Event Time: 00:00 [MST]
Last Update Date: 09/16/2020
Notification Time: 18:48 [ET]
Event Date: 09/16/2020
Event Time: 00:00 [MST]
Last Update Date: 09/16/2020
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
CALE YOUNG (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
CALE YOUNG (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - CONSTRUCTION GAUGE RUN OVER BY CONSTRUCTION VAN
The following was received from the Arizona Department of Health Services (The Department) via email:
"The Department received notification from the licensee that a construction vehicle ran over a portable gauge. The gauge is a Troxler 3430, Serial Number 21871, containing approximately 8 milliCuries of Cesium-137 and 40 milliCuries of Americium-241:Beryllium. The Department has requested additional information and continues to investigate the event."
Arizona Event No. 20-018.
The following was received from the Arizona Department of Health Services (The Department) via email:
"The Department received notification from the licensee that a construction vehicle ran over a portable gauge. The gauge is a Troxler 3430, Serial Number 21871, containing approximately 8 milliCuries of Cesium-137 and 40 milliCuries of Americium-241:Beryllium. The Department has requested additional information and continues to investigate the event."
Arizona Event No. 20-018.