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Event Notification Report for January 01, 2020

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
12/31/2019 - 1/1/2020

** EVENT NUMBERS **


54455 54456

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Agreement State Event Number: 54455
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: UF HEALTH SHANDS CANCER HOSPITAL
Region: 1
City: GAINESVILLE   State: FL
County:
License #: 0031-3
Agreement: Y
Docket:
NRC Notified By: DAVID PIESKI
HQ OPS Officer: BRIAN LIN
Notification Date: 12/23/2019
Notification Time: 13:49 [ET]
Event Date: 12/20/2019
Event Time: 00:00 [EST]
Last Update Date: 12/23/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN CHERUBINI (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - PATIENT UNDERDOSE

The following is a synopsis of an email from the state of Florida:

On December 20th, 2019, a patient was prescribed and administered a yttrium-90 treatment. The patient received 25 percent of the prescribed dose as reported by the Radiation Safety Officer (RSO) to the Florida Bureau of Radiation Control on December 23. Further details, including actual prescription amounts, are awaiting a submitted report by the hospital's Interventional Radiology Department.

FL Incident Number: FL19-154

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.

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Agreement State Event Number: 54456
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: INTERNATIONAL PAPER COMPANY
Region: 4
City: ORANGE   State: TX
County:
License #: L06932
Agreement: Y
Docket:
NRC Notified By: KAREN BLANCHARD
HQ OPS Officer: BETHANY CECERE
Notification Date: 12/23/2019
Notification Time: 14:19 [ET]
Event Date: 12/20/2019
Event Time: 00:00 [CST]
Last Update Date: 12/23/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES DRAKE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - THREE GAUGE SHUTTERS INOPERABLE

The following was received via email from the state of Texas:

"On December 23, 2019, the licensee notified the Agency [Texas Department of State Health Services] that late, after hours, on December 20, 2019, it had discovered during routine gauge inspections that the shutters on three (3) of their Berthold Model LB 7440 gauges were inoperable. The shutters are in the open position which is the normal operating position for the gauges. Two of the gauges contain 100 milliCuries of cesium-137 each and the third contains 10 milliCuries of cesium-137. Due to their location, there is no increased risk of exposure to any persons. The licensee is in the process of scheduling repairs. An investigation into this event is ongoing. More information will be provided as it is obtained in accordance with SA-300."

TX Incident # 9729


Page Last Reviewed/Updated Wednesday, January 01, 2020
Wednesday, January 01, 2020