ENS 46553

v t e ENS Event
14:40 Jan 19, 2011
Title	Dose to Non-Radiation Worker During Medical Treatment
Event Description	The licensee reported an event that occurred while using a HDR Afterloader brachytherapy device for prostate treatment with a 8.3 curie Ir-192 source. Following setup of the HDR Afterloader, the medical staff exited the treatment room and commenced the prostate irradiation. 1.8 minutes after the start of the treatment, the anesthesiologist technician was observed exiting the treatment room. The staff physicist completed the patient treatment and then conducted a review of the circumstances of the event. The anesthesiologist technician was unaware that the treatment was beginning and was crouched down and not visible when the rest of the staff left the treatment room. The technician was not wearing dosimetry (and not required to) so his exposure was estimated based on recreation of the event. His calculated exposure is believed to be approximately 5.6 millirem. The licensee is still evaluating corrective actions.

ENS 46553 +/-
Where
Botsford Cancer Center Farmington Hills, Michigan (NRC Region 3)
License number:	21-08892-01
Organization:	Botsford Cancer Center
Reporting

Other Unspec Reqmnt
Time - Person (Reporting Time:+2.75 h0.115 days <br />0.0164 weeks <br />0.00377 months <br />)
Opened:	Margaret Syrian 17:25 Jan 19, 2011
NRC Officer:	Bill Huffman
Last Updated:	Jan 19, 2011
46553 - NRC Website
v • d • e

v t e Emergency Notification System
Botsford Cancer Center with Other Unspec Reqmnt
WEEKMONTHYEAR2011-01-19T14:40:00 [Table view]
[ENS list for Botsford Cancer Center]

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