Event Notification Report for May 04, 2018

AGREEMENT STATE REPORT - MISADMINISTRATION OF INCORRECT MEDICATION

"A lung scan was incorrectly performed at Wesley Medical Center in Wichita, Kansas last Friday, the 4th of May. It was reported [to the State] at approximately 1500 [CDT] on 5/7/2018. The DTPA [pentetic acid] dose was supposed to go through a nebulizer, and an MMA [methylmalonic acid] dose was supposed to be injected for perfusion, but they accidentally injected the DTPA instead. The patient was able to go through the scan as normal, but the end result is that 40 mCi of DTPA (what should have been the MMA dose, by [the State's] understanding) were injected instead of 4 mCi (what should have been the DTPA dose). The bladder dose was over 5 rads.

"A full report has been promised by the licensee tomorrow, which will be forwarded to [the NRC] and entered into NMED [Nuclear Material Events Database]."

It is unknown if the patient and the prescribing physician have been notified at the time of this 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.

UNANALYZED CONDITION ASSOCIATED WITH DAMAGING EFFECTS OF TORNADOS

"During performance of an extent of condition evaluation of protection for Technical Specification (TS) equipment from the damaging effects of tornados, River Bend Station identified non-conforming conditions in the plant design such that specific TS equipment is considered to not be adequately protected from tornado missiles. The reportable condition is postulated by tornado missiles entering the Diesel Generator Building through conduit and pipe penetrations. A tornado could generate multiple missiles capable of striking Division 1, Division 2, and Division 3 Diesel Generator support equipment rendering all Safety Related Diesel Generators inoperable.

"This condition is reportable per 10 CFR 50.72(b)(3)(ii)(B) for any event or condition that results in the nuclear power plant being in an unanalyzed condition that significantly degrades plant safety, and per 10 CFR 50.72(b)(3)(v) for any event or condition that at the time of discovery could have prevented the fulfillment of the safety function of structures or systems that are needed to (A) Shut down the reactor and maintain it in a safe shutdown condition, (B) Remove residual heat, or (D) Mitigate the consequences of an accident.

"This condition was identified as part of an on-going extent of condition review of potential tornado missile related site impacts.

"Enforcement discretion per Enforcement Guidance Memorandum EGM 15-002 has been implemented and required actions taken. Corrective actions will be documented in a follow-on licensee event report.

"The licensee has notified the NRC Resident Inspector."

AGREEMENT STATE REPORT - BOMB THREAT

The following information was obtained from the state of Texas via email:

"On May 4, 2018, the Agency [Texas Department of State Health Services] was notified by the licensee that on May 4, 2018, at 0927 hours [CDT], one of their managers had received a phone call from an individual who made a bomb threat against the licensee's offices in Beaumont, Texas. The licensee contacted local law enforcement (LLE) who then contacted the Federal Bureau of Investigation (FBI). LLE responded to the location within 7 minutes of the call to them and the FBI was at the location before the radiation safety officer (RSO) arrived at the office 12 minutes after the call was received. The fire department also responded. The building was evacuated and the FBI, LLE, bomb squad, Fire Marshall, and the RSO inspected the building and the areas around the building. No explosive device was found. The facility was released at 1029 hours [CDT]. Additional information will be provided as it is received in accordance with SA-300."

TX Incident #: 9568

CONCURRENT REPORT FOR AN OFFSITE NOTIFICATION MADE TO THE STATE OF TENNESSEE

"This is a concurrent report of a 24-hour report that was made to the state of Tennessee regarding a break in the main fire water loop due to construction activities. The fire loop is fed by city water. The fire water pipe break was isolated by closing isolation valves upstream of the break. A portion of the water and dirt from the excavation flowed into a nearby storm water drainage system. This drainage system has a storm gate which was closed prior to the event to contain the dirt and water. The dirt is still contained in the storm water system located within the protected area of NFS. The dirt is currently being removed from the storm water system. The storm gate will remain closed until the dirt removal activity has been completed.

Potential health and safety consequences to the workers, the public and the environment: "There are no actual safety consequences to workers, the public, or the environment. The potential consequence was a slightly elevated but less than the 10 CFR 20 Table 2 limits of contaminated liquid effluent from a construction accident.

"The licensee notified the NRC Resident Inspector."

Fire watches have been established for the areas affected by the fire loop break. No criticality controls were affected by this event.

OFFSITE NOTIFICATION

"At 1412 EDT, a portable chemical toilet was found tipped over. Approximately 1 gallon of contents spilled to gravel only. A notification to the Michigan Department of Environmental Quality and local health department is required, as well as a press release.

"This event is being reported pursuant to 10CFR50.72(b)(2)(xi)."

The licensee will notify the NRC Resident Inspector.