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Event Notification Report for December 15, 2020

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
12/14/2020 - 12/15/2020

EVENT NUMBERS
5503755045
Power Reactor
Event Number: 55037
Facility: Palo Verde
Region: 4     State: AZ
Unit: [1] [2] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: Lorraine Weaver
HQ OPS Officer: Howie Crouch
Notification Date: 12/16/2020
Notification Time: 12:09 [ET]
Event Date: 12/15/2020
Event Time: 15:00 [MST]
Last Update Date: 12/16/2020
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
YOUNG, CALE (R4)
FFD GROUP, (EMAIL)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 100 Power Operation 100 Power Operation
2 N N 100 Power Operation 100 Power Operation
3 N N 100 Power Operation 100 Power Operation
Event Text
FITNESS FOR DUTY

A plant employee, after being selected for a random fitness-for-duty test, admitted to use of a controlled substance. The employee's unescorted access to the facility has been placed on hold pending an investigation.

The NRC Resident Inspector has been notified.


Non-Agreement State
Event Number: 55045
Rep Org: Avera McKennan Nuclear Medicine
Licensee: Avera McKennan Nuclear Medicine
Region: 4
City: Sioux Falls   State: SD
County:
License #: 40-16571-02
Agreement: N
Docket:
NRC Notified By: Michelle White
HQ OPS Officer: Andrew Waugh
Notification Date: 12/23/2020
Notification Time: 12:12 [ET]
Event Date: 12/15/2020
Event Time: 13:00 [MST]
Last Update Date: 12/23/2020
Emergency Class: Non Emergency
10 CFR Section:
35.3045(a)(1) - Dose <> Prescribed Dosage
Person (Organization):
JEREMY GROOM (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
PATIENT RECEIVED THE WRONG RADIONUCLIDE DURING TREATMENT

A patient was set to receive an I-123 scan and uptake procedure on 12/15/20. Due to an error in scheduling the patient incorrectly underwent an I-131 therapy procedure instead. The I-131 therapy procedure delivered 15.8 mCi to the patient's thyroid where an I-123 scan and uptake procedure would have only delivered microCuries to the patient's thyroid.

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.