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Event Notification Report for August 16, 2005

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
08/15/2005 - 08/16/2005

** EVENT NUMBERS **


41908 41915

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General Information or Other Event Number: 41908
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: PATRIOT ENGINEERING
Region: 3
City: DAYTON State: OH
County:
License #: OH31210580004
Agreement: Y
Docket:
NRC Notified By: STEPHEN JAMES
HQ OPS Officer: MIKE RIPLEY
Notification Date: 08/10/2005
Notification Time: 15:53 [ET]
Event Date: 08/01/2005
Event Time: 09:45 [EDT]
Last Update Date: 08/10/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ROGER LANKSBURY (R3)
JOHN HICKEY (NMSS)
TAS (EMAIL) ()

Event Text

OHIO AGREEMENT STATE REPORT - STOLEN AND RECOVERED NUCLEAR GAUGE

The State provided the following information via email:

"At approximately 9:45 AM on Monday, 8/1/05, a Humbolt Model 5001, S/N 4634 portable gauge [10 milliCuries Cs-137 and 40 milliCuries Am-241] was stolen from a company vehicle while parked at a fast food restaurant in Dayton, Ohio. The gauge was discovered missing when the employee returned to the vehicle. The gauge was discovered in a roadside ditch about one mile from the restaurant approximately 45 minutes later by a line crew from a local power company. The gauge was intact with no apparent damage. The licensee's RSO responded to the scene and took area measurements which indicated that the integrity of the source had not been compromised. The gauge was taken back to the licensee's offices, where it was leak tested. A police report was filed. The Ohio Department of Health is inspecting the licensee to determine if proper security measures had been followed prior to the theft."

Ohio Report No. OH050003

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Hospital Event Number: 41915
Rep Org: THOMAS JEFFERSON UNIVERSITY HOSP
Licensee: THOMAS JEFFERSON UNIVERSITY HOSP
Region: 1
City: PHILADELPHIA State: PA
County: PHILADELPHIA
License #: 37-955-7813
Agreement: N
Docket:
NRC Notified By: LARRY MARTINO
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 08/12/2005
Notification Time: 15:34 [ET]
Event Date: 08/12/2005
Event Time: 13:30 [EDT]
Last Update Date: 08/15/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2202(a)(1) - PERS OVEREXPOSURE/TEDE >= 25 REM
Person (Organization):
JOHN CARUSO (R1)
GEORGE PANGBURN (R1)
SCOTT FLANDERS (NMSS)

Event Text

PATIENT OVEREXPOSURE - I-131 CONTAMINATION FOUND UNDER THUMBNAIL

On 8/11/05 a patient was being treated with an I-131 (liquid) source for a hyperthyroid problem (148 milliCuries). Per procedure, the patient returned 24-hours later for a whole body count. A small (estimated 5 microCurie) I-131 fixed contamination site was found under the patient's right thumbnail. Initial estimates for the localized dose are 800 Rad. There was no other contamination nor did surveys show any contamination on individuals or equipment. The patient and doctor were notified. Decontamination is continuing.

The hospital is continuing to investigate the cause of the contamination.


* * * UPDATE ON 08/15/05 @ 1114 BY LARRY MARTINO TO CHAUNCEY GOULD * * *

The initial report was incorrect and the correct version is as follows:

THE NUCLEAR MEDICAL TECHNICIAN HAD AN OVEREXPOSURE - I-131 CONTAMINATION FOUND UNDER THUMBNAIL

On 8/11/05 a patient was being treated with an I-131 (liquid) source for a hyperthyroid problem . Per procedure, the patient returned 24-hours later for a whole body count. After completing this treatment, a small (estimated 5 microCurie) I-131 fixed contamination site was found under the nuclear medicine technician's right thumbnail. Initial estimates for the localized dose are 800 Rad. There was no other contamination nor did surveys show any contamination on individuals or equipment. The technician and treating physician were notified. Decontamination is continuing. This report was made under 10CFR20.2202(a)(1)(iii) a shallow-dose equivalent to the skin or extremities of 250 rads or more.

The hospital is continuing to investigate the cause of the contamination.

Notified Reg 1 RDO (Ray Lorson), RI (George Pangburn) and NMSS EO(Michele Burgess)

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