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Event Notification Report for March 19, 2008

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
03/18/2008 - 03/19/2008

** EVENT NUMBERS **


44061 44070

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General Information or Other Event Number: 44061
Rep Org: COLORADO DEPT OF HEALTH
Licensee: DENVER HEALTH MEDICAL CENTER
Region: 4
City: DENVER State: CO
County:
License #: 097-04
Agreement: Y
Docket:
NRC Notified By: PHILIP EGIDI
HQ OPS Officer: STEVE SANDIN
Notification Date: 03/13/2008
Notification Time: 17:05 [ET]
Event Date: 02/29/2008
Event Time: 11:00 [MDT]
Last Update Date: 03/13/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
TROY PRUETT (R4)
ANNA BRADFORD (FSME)

Event Text

AGREEMENT STATE REPORT INVOLVING A SPILL OF Tc-99m DURING ADMINISTRATION OF A DIAGNOSTIC DOSE

The following report was received via email:

"The Colorado Radiation Control Program (RAM Unit) received a call from the licensee on February 29, 2008 at approximately 13:15 that a small spill had occurred as part of a cardiac treadmill test. We [Colorado Rad Control Program] received written communication on February 29, 2008.

"The diagnostic dose prescribed for the patient was 31.4 mCi of Tc-99m (Cardiolite). The patient was walking on the treadmill. During the initial attempt of injection of the nuclide into the patient via the catheter, part of the dose (~2 mCi) spilled out at the juncture of the catheter and the needle into the patient resulting in a small spill onto the patient and down onto the treadmill. The test was stopped at that point and the patient was cleaned where the spill had occurred. There was no clothing contaminated. The attending staff was surveyed and none of the staff was contaminated.

"The area was monitored, ambient gamma exposure rates were about 50 uR/h, with the highest exposure rate on the impacted area of the treadmill reading ~3.5 mR/h. Readings returned to background within three feet of the spilled material. Due to the rough surface of the treadmill, remediation was not performed, rather the spill areas was covered with plastic sheeting and marked as a contaminated area. The treadmill was out of service until 3/3/08, which was longer than 10 half lives (they took advantage of the weekend). However, since the device was out of service for longer than 24 hours, this is reportable under Colorado Regulations Part 4.52.2.2, which are equivalent to NRC 10 CFR 30.50 (b)(1). The licensee has followed up with retraining of the nuclear medicine technician by reviewing the procedures for checking the IV tubing and making sure the proper connections are intact."

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Power Reactor Event Number: 44070
Facility: SUSQUEHANNA
Region: 1 State: PA
Unit: [1] [ ] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: RICH KLINEFELTER
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/17/2008
Notification Time: 11:50 [ET]
Event Date: 03/17/2008
Event Time: 11:50 [EDT]
Last Update Date: 03/18/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
NEIL PERRY (R1)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Refueling 0 Refueling

Event Text

SAFETY PARAMETER DISPLAY SYSTEM (SPDS) AND EMERGENCY RESPONSE DATA SYSTEM (ERDS) UNAVAILABLE DUE TO PLANNED MAINTENANCE

"At approximately 1200 hours, on 03/17/2008, the Unit 1 SPDS and ERDS system will be removed from service to connect a temporary power supply to support a planned maintenance outage on the PICSY [Plant Indication Computer System] computer normal power supply. The installation of temporary power is expected to have a duration greater than 8 hours, but less than 24. During this time, control room hardwire indications will be available. An update will be provided when SPDS/ERDS becomes available.

"Since the Unit 1 SPDS/ERDS computer system will be unavailable for greater than 8 hours, this is considered a Loss of Emergency Assessment Capability and reportable under 10CFR50.72(b)(3)(xiii)."

The licensee has notified the NRC Resident Inspector.

* * * UPDATE FROM RICH KLINEFELTER TO HOWIE CROUCH @ 1222 HRS. EDT ON 03/18/08 * * *

"This is a follow-up courtesy notification to EN# 44070. Unit 1 ERDS has been restored as PICSY is now on temporary power. Restoration to normal power is expected to occur on 3/21/08. SPDS remains out of service due to other planned outage activities."

The licensee has notified the NRC Resident Inspector. Notified R1DO (Perry).

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