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.