Alert

Due to a lapse in appropriations, the NRC has ceased normal operations. However, excepted and exempted activities necessary to maintain critical health and safety functions—as well as essential progress on designated critical activities, including those specified in Executive Order 14300—will continue, consistent with the OMB-Approved NRC Lapse Plan.

Event Notification Report for October 16, 2018

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/15/2018 - 10/16/2018

** EVENT NUMBERS **

53649

53668

Agreement State	Event Number: 53649
Rep Org: NV DIV OF RAD HEALTH Licensee: RENOWN REGIONAL MEDICAL CENTER Region: 4 City: RENO State: NV County: License #: 16-12-0016-01 Agreement: Y Docket: NRC Notified By: FAYNE MARTINI HQ OPS Officer: DONG HWA PARK	Notification Date: 10/05/2018 Notification Time: 17:33 [ET] Event Date: 10/05/2018 Event Time: 00:00 [PDT] Last Update Date: 10/05/2018
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): THOMAS FARNHOLTZ (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - PATIENT UNDERDOSE

The following was received via email from the State of Nevada:

"This is an email to report a possible medical event. The licensee is Renown Regional Medical Center, the license number is 16-12-0016-01. Occurrence was 10/5/2018 and reported the same day by Renown's RSO. The administration of Y-90 was given, prescribed dose was 15.66mCi and the delivered dose was 9.86mCi. The reason for this was due to patient intervention, apparently the patient moved and pulled the IV [Intravenous therapy] out. A full report from Renown's RSO has not been received, just the initial 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.

Power Reactor	Event Number: 53668
Facility: COOPER Region: 4 State: NE Unit: [1] [] [] RX Type: [1] GE-4 NRC Notified By: JERRY BEBB HQ OPS Officer: THOMAS KENDZIA	Notification Date: 10/16/2018 Notification Time: 00:21 [ET] Event Date: 10/15/2018 Event Time: 00:00 [CDT] Last Update Date: 10/16/2018
Emergency Class: NON EMERGENCY 10 CFR Section: 26.719 - FITNESS FOR DUTY	Person (Organization): GREG PICK (R4DO) FFD GROUP (EMAIL)

Unit

SCRAM Code

RX Crit

Initial PWR

Initial RX Mode

Current PWR

Current RX Mode

Refueling

Event Text

FITNESS-FOR-DUTY TEST POSITIVE FOR LICENSED EMPLOYEE

"In accordance with 10 CFR 26.719(b)(2)(ii), this notification reports a licensed Reactor Operator tested positive for alcohol during a random fitness for duty test. The employee's access to the plant has been suspended.

"The NRC Senior Resident Inspector has been notified."

Page Last Reviewed/Updated Wednesday, March 24, 2021