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Home NRC Library Document Collections Events, Reports Associated with Event Notification Reports 2022

Event Notification Report for April 21, 2022

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
04/20/2022 - 04/21/2022

EVENT NUMBERS
55841 55842 55848
Fuel Cycle Facility
Event Number: 55841
Facility: Nuclear Fuel Services Inc.
RX Type: Uranium Fuel Fabrication
Comments: Heu Conversion & Scrap Recovery
Naval Reactor Fuel Cycle
Leu Scrap Recovery
Region: 2
City: Erwin   State: TN
County: Unicoi
License #: SNM-124
Docket: 07000143
NRC Notified By: Tom Holly
HQ OPS Officer: Lloyd Desotell
Notification Date: 04/13/2022
Notification Time: 14:58 [ET]
Event Date: 04/12/2022
Event Time: 00:00 [EDT]
Last Update Date: 04/13/2022
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
NMSS_EVENTS_NOTIFICATION (EMAIL)
Miller, Mark (R2DO)
Fuels Group, - (EMAIL)
FFD Group, (EMAIL)
Event Text
EN Revision Imported Date: 4/15/2022

EN Revision Text: FITNESS FOR DUTY

The following information was provided by the licensee via email:

Two contract employees admitted to being involved in the use, sale, or possession of a controlled substance. The employee's access to the plant has been terminated.

The NRC Resident Inspector has been notified.


Agreement State
Event Number: 55842
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: Northwestern Memorial Hospital
Region: 3
City: Chicago   State: IL
County:
License #: IL-01037-02
Agreement: Y
Docket:
NRC Notified By: Robin Muzzalupo
HQ OPS Officer: Mike Stafford
Notification Date: 04/13/2022
Notification Time: 13:10 [ET]
Event Date: 04/11/2022
Event Time: 00:00 [CDT]
Last Update Date: 04/13/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
McCraw, Aaron (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
EN Revision Imported Date: 4/15/2022

EN Revision Text: AGREEMENT STATE REPORT - PATIENT RECEIVED DOSE LESS THAN PRESCRIBED

The following information was provided by the Illinois Emergency Management Agency (the Agency) via email:

"The Radiation Safety Officer for Northwestern Memorial HealthCare, contacted the Agency on 4/12/2022 to advise of a Y-90 microsphere administration in which the patient received only 70 percent of the prescribed dose. Of note, the [authorized user] noticed sluggish flow during the first flush of saline through the device, possibly due to a kink in the micro catheter as it exits the base catheter. No contamination or other issues were identified. No adverse patient impacts are expected. The [authorized user] was satisfied that the dose was adequate as delivered and will assess with MRI in 1 month as per protocol. The Agency will dispatch inspectors to review procedures and determine a root cause."

Item Number: IL220012

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: 55848
Facility: Callaway
Region: 4     State: MO
Unit: [1] [] []
RX Type: [1] W-4-LP
NRC Notified By: John Lauf
HQ OPS Officer: Jeffrey Whited
Notification Date: 04/19/2022
Notification Time: 18:02 [ET]
Event Date: 04/19/2022
Event Time: 10:30 [CDT]
Last Update Date: 04/19/2022
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
Proulx, David (R4DO)
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 0 Defueled 0 Defueled
Event Text
FITNESS-FOR-DUTY REPORT - FAILED FITNESS-FOR-DUTY TEST

The following information was provided by the licensee via email:
A contract employee supervisor had a confirmed positive for illegal drugs during a random fitness-for-duty test. The employee's access to the plant has been terminated.

The licensee notified the NRC Resident Inspector.