Event Notification Report for July 27, 2001
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
07/26/2001 - 07/27/2001
** EVENT NUMBERS **
38174 38175
+------------------------------------------------------------------------------+
|Hospital |Event Number: 38174 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: WASHINGTON HOSPITAL CENTER |NOTIFICATION DATE: 07/26/2001|
|LICENSEE: WASHINGTON HOSPITAL CENTER |NOTIFICATION TIME: 14:11[EDT]|
| CITY: WASHINGTON REGION: 1 |EVENT DATE: 07/25/2001|
| COUNTY: STATE: DC |EVENT TIME: 17:00[EDT]|
|LICENSE#: 08-03604-03 AGREEMENT: N |LAST UPDATE DATE: 07/26/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |JOHN WHITE R1 |
| |FRED BROWN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JOHN GLENN | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|LADM 35.33(a) MED MISADMINISTRATION | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION REPORT INVOLVING ADMINISTERED DOSAGE > PRESCRIBED |
| DOSAGE |
| |
| At 1700EDT on 7/25/01 a patient undergoing treatment for hyperthyroidism |
| received a 25.7 millicurie dose of I-131 instead of the 20 millicuries |
| prescribed (28% greater than prescribed). The licensee attributes the error |
| to inattention to detail on the part of the technologist involved, i.e., the |
| prescribed dosage was specified on the form. Both the patient's mother and |
| the referring physician have been informed. Since the administered dosage |
| is within the normal range allowed for this treatment, no adverse effects |
| are anticipated. The licensee will determine appropriate corrective |
| actions. Call the NRC Operations Center for contact information. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 38175 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: TENNESSEE DIV OF RAD HEALTH |NOTIFICATION DATE: 07/26/2001|
|LICENSEE: AMERICAN ECOLOGY RECYCLE CENTER |NOTIFICATION TIME: 14:29[EDT]|
| CITY: OAK RIDGE REGION: 2 |EVENT DATE: 07/24/2001|
| COUNTY: STATE: TN |EVENT TIME: [EDT]|
|LICENSE#: R-01037 AGREEMENT: Y |LAST UPDATE DATE: 07/26/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MALCOLM WIDMANN R2 |
| |PATRICK HILAND R3 |
+------------------------------------------------+FRED BROWN NMSS |
| NRC NOTIFIED BY: DEBRA SHULTS via fax | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT INVOLVING MISSING SR-90 SOURCES |
| |
| "Event description: The licensee called the Division to report the loss of |
| 997 mCi of Sr-90 sealed sources. The licensee's records indicate there were |
| 14 individual sources received as brokered material from Stan A. Hauber |
| Consultants, Inc., New Lenox. IL. These sources were received at the |
| facility on June 26, 2000. Physical inventories have been performed and the |
| sources have not been located. It is unknown whether the sources were |
| encapsulated and sent for burial at a licensed disposal facility. This event |
| is reportable under SRPAR 1200-2-5-.140 (1)(a).1.(i)." |
| |
| TN Event Report ID No.: TN-01-137 |
+------------------------------------------------------------------------------+
Page Last Reviewed/Updated Thursday, March 25, 2021
Page Last Reviewed/Updated Thursday, March 25, 2021