ENS 44950

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v t e ENS Event
05:00 Mar 16, 2009
Title	Loss of 30 Millicuries of Technicium-99M
Event Description	A loss of permitted material by VA Tennessee Valley Healthcare System at Nashville, Tennessee, occurred on March 16, 2009. The loss involved a unit dosage of 30 millicuries of Technicium-99m, in the form of a liquid radiopharmaceutical used for cardiac stress tests. Efforts were undertaken to find the lost dosage but were unsuccessful. As corrective action, the permittee (VA Tennessee Valley Healthcare System) has performed an in-service on the security of radioactive materials with its nuclear medicine technologists. The in-service emphasized that radioactive materials must be controlled through direct supervision/attention or be locked in a secure area at all times. VA Tennessee Valley Healthcare System Permit No. 41-00104-04 THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source

ENS 44950 +/-
Where
Va Tennessee Valley Healthcare Little Rock, Arkansas (NRC Region 4)
License number:	03-23853-01VA
Organization:	Department Of Veterans Affairs
Reporting

10 CFR 20.2201(a)(1)(ii)
Time - Person (Reporting Time:+392.92 h16.372 days <br />2.339 weeks <br />0.538 months <br />)
Opened:	Thomas Huston 13:55 Apr 1, 2009
NRC Officer:	John Knoke
Last Updated:	Apr 1, 2009
44950 - NRC Website
v • d • e

v t e Emergency Notification System
Va Tennessee Valley Healthcare with 10 CFR 20.2201(a)(1)(ii)
WEEKMONTHYEAR2009-03-16T05:00:00 [Table view]
[ENS list for Va Tennessee Valley Healthcare]

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ENS Notification