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Event Notification Report for July 11, 2018

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
7/10/2018 - 7/11/2018

** EVENT NUMBERS **


53482 53483 53500

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Agreement State Event Number: 53482
Rep Org: KANSAS DEPT OF HEALTH & ENVIRONMENT
Licensee: VIA CHRISTI REGIONAL MEDICAL CENTER
Region: 4
City: WICHITA   State: KS
County:
License #: 18-C753-01
Agreement: Y
Docket:
NRC Notified By: JAMES HARRIS
HQ OPS Officer: BETHANY CECERE
Notification Date: 07/02/2018
Notification Time: 11:27 [ET]
Event Date: 01/15/2016
Event Time: 00:00 [CDT]
Last Update Date: 07/02/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GEOFFREY MILLER (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - UNPLANNED CONTAMINATION

The following information was received from the State of Kansas via email:

"The licensee had an incident with an I-131 patient that resulted in the Iodine Patient room being badly contaminated along with the patient's bed and some other room furniture. The room is secured and removed from service. When the licensee has their Weekday management staff meeting on Monday, they develop a plan to complete the room decontamination and return it to service. The room is removed from clinical service at 2100 today (15 Jan 16).

"The contamination is contained within the room and there is no risk to Hospital staff or members of the public. No unintended dose to the patient, staff or other personnel. The patient was on a Foley catheter with the urine bag in a roll able pig. She got out of bed and walked around the room and "dragged" the pig. The hose connection inside the pig was damaged and urine spilled inside the pig and some was spilled on the floor. No one was contaminated - skin or clothing ... just the floor. The easily removable contamination / urine is cleaned up and will leave the room to decay for a half-life. That will make clean-up easier and also will reduce dose to those who are involved in the detailed cleanup.

"The licensee will notify the department when the room is returned to service.

"6/28/2018 - Patient administered 159.8 milliCuries Iodine-131 on 1/13/2016.
"The patient placed on a catheter because they were incontinent, had early Alzheimer's, and was not able to comply with instruction.

"The patient catheter with urine bag was placed in a 'rollable pig' which was dragged around the room when the patient walked around the room. The hose connection was damaged about the second day and urine spilled in the pig and onto the floor covering, bedding, linens, and absorbent chucks.

"The patient was released with an estimated 28 milliCuries Iodine-131 remaining on 1/15/2016.
"The initial room survey indicated high contamination levels. The decision was made to allow the contamination to decay over the weekend to allow for lower exposure to personnel performing the decontamination, and determine the contamination levels, location and a plan to decontaminate the room.
"The contamination was determined to be confined to the bed (mattress), linens, absorbent chucks and plastic sheeting. Minor contamination was found on the floor under the plastic sheeting.

"The contaminated items were removed from the room and held for 10 half-lives decay.
"The floor was surveyed and contaminated spots were decontaminated. The room was returned to clinical service Monday morning 1/18/2016. The time out of service was approximately 60 hours.

"6/29/2018 - Integrated Material Performance Evaluation Program (IMPEP) review identified the event had not been reported to the NRC as required."

Kansas Item Number: KS160001

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Agreement State Event Number: 53483
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: ARKEMA, INC.
Region: 1
City: CALVERT CITY   State: KY
County:
License #: 201-308-56
Agreement: Y
Docket:
NRC Notified By: AJ BHATTACHARYYA
HQ OPS Officer: STEVEN VITTO
Notification Date: 07/02/2018
Notification Time: 15:30 [ET]
Event Date: 06/28/2018
Event Time: 00:00 [CDT]
Last Update Date: 07/02/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY POWELL (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - STUCK SHUTTERS

The following was received from the Commonwealth of Kentucky via fax:

"On 6/28/18 while conducting a 6-month physical inventory and shutter check (on-off mechanism) the licensee, ARKEMA, Inc., discovered the shutters malfunctioned on two separate fixed gauging devices, namely:

"1) TN Technologies fixed gauging device model 5208 Serial No. MB 4251 containing 8 Ci Cs-137. The licensee has attempted to contact Thermo Scientific to repair the shutter. The root cause of the failure of the on/off mechanism was due to corrosion and dust due to the gauging device's environment. This licensee produces industrial chemicals and the gauging device is operated in a corrosive environment. This event was reported to the [Kentucky Radiation Health Branch] KY RHB as required by regulation on 6/29/18.

"2) Ronan Engineering fixed gauging device model SA-1 Serial Number M8107, containing 5 Ci Cs-137. The licensee has contacted Ronan Engineering and repairs will be conducted during the week starting on 7/16/18. This licensee produces industrial chemicals and the gauging device is operated in a corrosive environment. The event was reported to KY RHB as required by regulation on 6/29/18.

"No accidental overexposures have been reported due to the malfunction."

Kentucky Event Report ID No.: KY180002

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Power Reactor Event Number: 53500
Facility: DUANE ARNOLD
Region: 3     State: IA
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: DOUGLAS PETERSON
HQ OPS Officer: VINCE KLCO
Notification Date: 07/11/2018
Notification Time: 03:58 [ET]
Event Date: 07/11/2018
Event Time: 00:00 [CDT]
Last Update Date: 07/11/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
MARK JEFFERS (R3DO)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 97 Power Operation 97 Power Operation

Event Text

METEOROLOGICAL DATA UNAVAILABLE

"On July 11, 2018, as part of pre-planned maintenance, the site meteorological tower will be removed from service. The tower will be out of service for approximately 11 days. As a result, this is reportable under 10CFR 50.72 (b)(3)(xiii). During the time the data is not available from the meteorological tower; compensatory measures will be in place to obtain the data from the National Weather Service if necessary.

"The [NRC] Resident Inspector has been notified."


Page Last Reviewed/Updated Wednesday, July 11, 2018
Wednesday, July 11, 2018