Event Notification Report for January 19, 2023
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
01/18/2023 - 01/19/2023
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Hospital
Event Number: 56318
Rep Org: Hartford Hospital
Licensee: Hartford Hospital
Region: 1
City: Hartford State: CT
County:
License #: 06-00253-04
Agreement: N
Docket:
NRC Notified By: Sandra Phillips
HQ OPS Officer: Kerby Scales
Licensee: Hartford Hospital
Region: 1
City: Hartford State: CT
County:
License #: 06-00253-04
Agreement: N
Docket:
NRC Notified By: Sandra Phillips
HQ OPS Officer: Kerby Scales
Notification Date: 01/20/2023
Notification Time: 09:18 [ET]
Event Date: 01/19/2023
Event Time: 10:00 [EST]
Last Update Date: 02/01/2023
Notification Time: 09:18 [ET]
Event Date: 01/19/2023
Event Time: 10:00 [EST]
Last Update Date: 02/01/2023
Emergency Class: Non Emergency
10 CFR Section:
35.3045(a)(1) - Dose <> Prescribed Dosage
10 CFR Section:
35.3045(a)(1) - Dose <> Prescribed Dosage
Person (Organization):
Ambrosini, Josephine (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Ambrosini, Josephine (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
EN Revision Imported Date: 2/2/2023
EN Revision Text: POTENTIAL MEDICAL EVENT
The following is a summary of information provided by the licensee via email and phone:
A patient, accompanied by her daughter who is the patient's preferred translator, was receiving the first of four Lutathera infusions. The physician, registered nurse, nuclear medicine personnel and radiological safety team members were present for the infusion. The Lutathera infusion was performed per protocol without any issue. Post infusion it was determined through the patient's daughter that the patient had had a lanreotide injection last week on 1/12/23. Per protocol Lutathera is to be given four weeks after a lanreotide/octreotide injection has been administered.
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.
* * * RETRACTION ON 2/1/23 AT 1040 EST FROM SANDRA PHILLIPS TO ADAM KOZIOL * * *
The following information was provided by the licensee via telephone:
Further review from hospital staff in coordination with NRC Medical Health Team determined this is not a medical event.
Notified R1DO (Lally) and NMSS (email).
EN Revision Text: POTENTIAL MEDICAL EVENT
The following is a summary of information provided by the licensee via email and phone:
A patient, accompanied by her daughter who is the patient's preferred translator, was receiving the first of four Lutathera infusions. The physician, registered nurse, nuclear medicine personnel and radiological safety team members were present for the infusion. The Lutathera infusion was performed per protocol without any issue. Post infusion it was determined through the patient's daughter that the patient had had a lanreotide injection last week on 1/12/23. Per protocol Lutathera is to be given four weeks after a lanreotide/octreotide injection has been administered.
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.
* * * RETRACTION ON 2/1/23 AT 1040 EST FROM SANDRA PHILLIPS TO ADAM KOZIOL * * *
The following information was provided by the licensee via telephone:
Further review from hospital staff in coordination with NRC Medical Health Team determined this is not a medical event.
Notified R1DO (Lally) and NMSS (email).
Power Reactor
Event Number: 56316
Facility: McGuire
Region: 2 State: NC
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: Drew Lyerly
HQ OPS Officer: Adam Koziol
Region: 2 State: NC
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: Drew Lyerly
HQ OPS Officer: Adam Koziol
Notification Date: 01/19/2023
Notification Time: 13:20 [ET]
Event Date: 01/19/2023
Event Time: 10:00 [EST]
Last Update Date: 01/19/2023
Notification Time: 13:20 [ET]
Event Date: 01/19/2023
Event Time: 10:00 [EST]
Last Update Date: 01/19/2023
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(2)(xi) - Offsite Notification
10 CFR Section:
50.72(b)(2)(xi) - Offsite Notification
Person (Organization):
Miller, Mark (R2DO)
Felts, Russell (NRR EO)
Whited, Jeffrey (IR)
Miller, Mark (R2DO)
Felts, Russell (NRR EO)
Whited, Jeffrey (IR)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
OFFSITE NOTIFICATION - EMERGENCY SIRENS ACTIVATED DURING TEST
The following information was provided by the licensee via email:
"On 01/19/23 at approximately 1000 EST, the emergency sirens in Catawba County, Gaston County, Iredell County, Lincoln County, and Mecklenburg County were inadvertently activated by an offsite agency during a planned silent test. The sirens are in the McGuire Emergency Planning Zone (EPZ). Duke Energy notified the state and all counties within the EPZ. Mecklenburg County has issued a press release.
"This is a four-hour notification, non-emergency for a notification of other government agency. This event is reportable in accordance with 10 CFR 50.72(b)(2)(xi).
"The NRC Resident Inspector has been notified."
The following information was provided by the licensee via email:
"On 01/19/23 at approximately 1000 EST, the emergency sirens in Catawba County, Gaston County, Iredell County, Lincoln County, and Mecklenburg County were inadvertently activated by an offsite agency during a planned silent test. The sirens are in the McGuire Emergency Planning Zone (EPZ). Duke Energy notified the state and all counties within the EPZ. Mecklenburg County has issued a press release.
"This is a four-hour notification, non-emergency for a notification of other government agency. This event is reportable in accordance with 10 CFR 50.72(b)(2)(xi).
"The NRC Resident Inspector has been notified."