ML19281B279

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Forwards IE Circular 79-06,Failure to Use Syringe & Bottle Shields in Nuclear Medicine, & List of Licensees
ML19281B279
Person / Time
Issue date: 04/19/1979
From:
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
References
NUDOCS 7905040199
Download: ML19281B279 (9)


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W ALNUT CREEK. C ALIFORNI A 94596 April 19,1979 NOTE TO:

ALL THOSE ON IE CIRCULAR DISTRIBUTION LIST FROM:

IE, REGI0ft V

SUBJECT:

IE CIRCULAR N0. 79 FAILURE TO USE SYRINGE AND BOTTLE SHIELDS If1 NUCLEAR MEDICIf4E The attached IE Circular No. 79-Ohwas issued this date to the attached list of licensees.

Region V has made distribution to the Accessions Unit for the PDR, NSIC and Central Files.

Enclosures:

1.

Transmittal Ltr.

2.

IE Circular No. 79-06 3.

List of licensees 7905010lW

, Y-

, IE Circular No. 79-06 bas been issued to the following licensees on 4/19/79:

License flo. 02-06186-01 License flo. 04-00421-05 Veterans Administration Hospital Veterans Administration Hospital South Sixth Avenue Chairman, Isotope Committee Tucson, AZ 85723 42nd Avenue and C.lement Street San Francisco, CA 94121 License flo. 02-10072-01 License flo. 04-00689-07 Veterans Administration Hospital Veterans Administration Hospital 7th Street and Indian School Rd.

Radioisotope Department Phoenix, AZ 85012 5901 East Seventh Street Long Beach, CA 90801 License No. 02-12726-01 License No. 04-00716-02 Veterans Administration Center Department of the flavy Prescott, AZ 86301 Naval Regional Medical Center Oakland, CA 94627 License flo. 02-13990-01 cense No. 04-00916-04 Department of Health Education and Welfare flaimod Phoenix Clinical Research SE 4121 N.16th Street Veterans Administration Hosptial Phoenix, AZ 85016 16111 Plummer Street Sepulveda, CA 91343 License flo. 02-16124-01 License No. 04-01369-02 o

ervi Department of the flavy

]

U. S. Naval Hospital Scottsdale, AZ 85252 San Diego, CA 92134 c nse No. 04-0M96-01 License No. 04-00181-04 Department of the Army Veterans Administration Hospital Letterman Army Medical Center Wadsworth Medical Center Presidio of San Francisco, CA 94129 Wilshire & Sawtelle Blvds.

Los Angeles, CA 90073 License flo. 04-01935-03 License flo. 04-12659-01 Veterans Administration Hospital Department of the flavy Laboratory Service flaval Regional Medical Center 2615 Clinton Avenue 7500 E. Carson Street Fresno, CA 93703 Long Beach, CA 90822 Licem o No. 04-02956-02 License flo. 04-12727-02 Veterans Administration Hospital Department of the Army Radioisotope Service Silas B. Hayes U. S Army Hospital 150 Muir Road Fort Ord, CA 93941 Martinez, CA 94553 License flo. 04-13495-06 License flo. 04-04291-01 Department of the flavy Department of Health Education and Welfare flaval Ocean Systems Center Public Service Hospital San Diego, CA 92152 15th Avenue and Lake Street San Francisco, CA 94118 License flo. 04-14869-01 License flo. 04-07840-01 Department of the flavy U.S. Naval Regional Medical Center Guam Department of the Air Force Fleet Post Office David Grant USAF Hospital (fiAC)

San Francisco, CA 96630 Travis AFB, CA 94535 License t'o. 04-15030-01 License flo. 04-07845-03 Veterans Administration Hospital 3350 La Jolla Mage Drive National Aeronautics and Space Administration San Diego, CA 92161 Ames Research Center Moffett Field, CA 94035 License flo. 04-15552-01 License flo. 04-08313-03 Department of the flavy Naval Health Research Center Department of the flavy Catalina Boulevard Naval Regional Medical Center San Diego, CA 92152 Camp Pendleton, CA 92055 cense No. 04-17358-01 License flo. 04-09450-62 Department of the Air Force Veterans Administration Hospital USAF Regional Hospital fiarch Livermore, CA 94550 March AFB, CA 92508 License No. 46-17107-01 License flo. 04-17862-01 Veterans Administration Jerry L. Pettis Memorial Veterans Hospital Veterans Administration Hospital 11201 Benton Street Vancover, WA 98661 Loma Linda, CA 92357 License flo. 27-15192-01 License flo. 50-13648-01 Veterans Administration Hospital Fairbanks Memorial Hospital Nuclear Medicine Department 1650 Cowles Street 1000 Locust Street Fairbanks, AK 99701 Reno, flV 89502 License No. 36-01395-01 License flo. 50-17686-01 Veterans Administration Hospital Bartlett Memorial Hospital fluclear Medicine Service Mile 3 Glacier Highway 3710 S.W. U.S. Veterans Hospital Juneau, AP, 99801 Portland, OR 92701 License No. 46-00990-01 License fio. 50-17838-01 Veterans Administration Hospital Providence Hospital Radioisotope Service 3200 Providence Drive 4435 Beacon Avenue, South Anchorage, AK 99504 Seattle, CA 98108 License flo. 46-02645-03 License No. 50-18244-01 Department of the Army Alaska Hospital & Medical Center Inc.

Madigan General Hospital Pouch 8-AH Tacoma, WA 98431 Anchorage, AK 99508 License No.46-05243-02 License flo. 53-00458-04 Department of the flavy Department of the Army Naval Regional Medical Center fluclear Trippler Army Medical Center Bremerton, WA 98314 Tripler U.S. Anny Hospital Oahu, HI 96819 License flo. 46-09750-02 License flo. 53-03506-01 Department of Health, Education and Welfare U.S. Public Health Service Hospital Hilu hospital P. O. Box 3145 Radiological Laboratory Seattle, WA 98114 1190 Waianuenue Avenue Hilo, HI 96720 License No. 46-15452-01 Veterans Administration Hospital N. 4815 Assembly Spokane, WA 99208 License No. 53-04935-01 License No. 53-15737-01 Philip J. U. Lee, M.D.

G. N. Wilcox Menorial Hospital 7. Health Center Suite 101 A Y Wong Building 3420 Kuhio Highway 1507 South King Street A.Y.W.

Lihue, HI 96765 Honolulu, HI 96814 License No. 53-05379-01 License No. 53-15984-01 Kaiser Foundation Hospital Werner G. Schroffner, M.D.

Department of Radiology Fronk Clinic (The) 1697 Ala Moana Boulevard 839 South Beretania Street Honolulu, HI 96815 Honolulu, HI 96814 License No. 53-07998-03 License No. 53-16421-01 Pathology Associates Medical Laboratory The Honolulu Medical Group Chemistry Department 550 South Beretania Street 4400 Kalanianaole Hinhway Honlulu, HI 96813 Honolulu, HI 96816 License No. 53-09585-01 License No. 53-16533-02 Winfred Y. Lee, M.D.

Queen's Medical Center Medical Speciality Clinic 1301 Punchbowl Street 1441 Kapiolani Boulevard Honolulu, HI 96813 Honolulu, HI 96814 License No. 53-11966-01 License No. 53-16929-01 St. Francis Hospital Castle Memorial Hospital Nuclear Medicine Department 640 Ulukahiki Street 2230 Liliha Street Kailua, HI 96734 Honolulu, HI 96817 License No. 53-13061-01 License No. 53-17797-01 James J. Ball, M.D., Inc.

Kuakini Medical Center 1319 Punahou Street, Suite 1190 347 North Kuakini Street Honolulu, HI 96826 Honolulu, HI 96817 License No. 53-13519-01 License No. 53-17839-01 Maui Memorial Hospital Wahiawa General Hospital Radioisotope Service 128 Lehua Street 221 Mahalani Street Wahiawa, HI 96787 Wailuku, HI 96793 License No. 53-18126-01 Straub Clinic and Hospital, Inc.

888 South King Street Honolulu, HI 96813 License No. 53-18280-01 Smithkline Clinical Laboratorie: Inc.

2828 Paa Street, #1140 Honolulu, HI 96816 License No. 56-18134-01 Guam Memorial Hospital Authority P. O. Box AX Agana, GU 96910 License No. 53-16991-OlMD Pacific Radiopharmacy 347 North Kuakini Street Honolulu, HI 5!817

IE Circular flo. 79-06 April 19,1979 Page 1 of 1 FAILURE TO USE SYRIflGE AtlD BOTTLE SilIELDS IflflVCLEAR MEDICIllE Description of Circumstances:

The !!aclear Regulatory Commission (flRC) is taking this opportunity to reinforce the importance of the use of radiation shields for syringes and bottles for nuclear medicine.

In many cases they are not always being used by persons preparing and administering doses of radiophar-maceuticals. This is a potentially unsafe practice as these shields reduce the radiation dose to the fingers and hands of persons handling the syringes and bottles and can result in unnecessary and undesirably high total dose to the fingers over a period of time.

Calculations and studies show that failure to use the protective shields can result in a radiation dose rate to fingers of hospital staff personnel on the order of 100 mrads to one rad per minute, or a projected lifetire dose to the fingers in some cases of about 4,000 to 100,000 rads.

Notice to Medical Licensees:

fledical licensees are required to have and use these protective shields.

This requirement is imposed by either a specific condition of the flRC license or by procedures which are incorporated into the license. As part of their routine audit program,flRC licensees authorized to use byproduct caterial pursuant to 10 CFR 35 should take the following actions:

Verify that protective shields are available and that nurses a.

and other medical personnel are using them, except in special circunstances, such as pediatric cases, when the use of syringe shields would compromise the patient's well-being.

b.

Inform the people involved in this type of work of the potentially high and serious radiation doses that can be received by the hands and fingers if the protective shields are not used.

The information contained in this Circular should be brought to the attention of all personnel who prepare and administer licensed radio-pharmaceuticals to patients.

flo written response to this Circular is required.

If you require additional information regarding this subject, please contact the Director of the appropriate flRC Regional Office.

wp* M o

IE Circular No. 79-06 Enclosure April 16,1979 Page 1 of 3 LISTING OF IE CIRCULARS ISSUED IN LAST TWELVE MONTHS Circular Subject Date Issued To llo.

of Isrue 78-01 Loss of Well Logging 4/5/78 All Holders of Source Well Logging Source Licenses 78-02 Proper Lubricating Oil 4/20/78 All Holders of for Terry Turbines Reactor OLs or cps 78-03 Packaging Greater Than 5/12/78 All Holders of Type A Quantities of Reactor OLs, cps, Low Specific Activity Fuel Cycle, Radioactive Material Priority I Material for Transport and Waste Disposal Licenses 78-04 Installation Error That 5/15/78 All Holders of Could Prevent Closing of Reactor OLs or Fire Doors cps 78-05 Inadvertent Safety Injection 5/23/78 All Holders of During Cooldown Reactor OLs or cps 78-06 Potential Common Mode 5/23/78 All Holders of Flooding of ECCS Equipment Reactor OLs or Rooms at BWR Facilities cps 78-07 Damaged Components of a 5/31/78 All Holders of Bergen-Paterson Series Reactor OLs or 25000 Hydraulic Test cps Stand 78-08 Environnental Qualification 5/31/78 All Holders of of Safety Related Equipment Reactor OLs or at Nuclear Power Plants cps 78-09 Arcing of General Electric 6/5/78 All Holders of Company size 2 Contactors cps

IE Circular No. 79-06 Enclosure April 16,1979 Page 2 of 3 LISTING OF IE CIRCULARS ISSUED IN LAST TWELVE MONTHS Circular Subject Date of Issued To No.

Issue 78-10 Control of Sealed 6/14/79 All Medical Sources Used in Licensees in Radiation Therapy Categories G and G1 78-11 Recirculation M-G 6/15/78 All Holders of Set Overspeed Stops BWR OLs or cps 78-12 HPCI Turbine Control 6/30/78 All u lders of o

Valve Lift Rod Bending BWR OLs or cps for plants with HPCI Terry Turbine 78-13 Inoperability of Multiple 7/10/78 All Holders of Service Water Pumps Reactor OLs and cps except for plants located in: AL, AK, CA, FL, GA, LA, MS, SC 78-14 HPCI Turbine Reversing 7/12/78 All Holders of BWR Chamber Hold Down Bolting OLs or cps for plants with a HPCI Terry Turbine excepting Duane Arnold and Monticello 78-15 Checkvalves Fail to 7/20/78 All Holders of Close In Vertical Reactor OLs or cps Position 78-16 Limitorque Valve 7/26/78 All Holders of Actuators Reactor OLs or cps 78-17 Inadequate Guard Training /

10/13/78 All Holders of Qualification and Falsified and applicants Training Records for Reactor OLs

IE Circular flo. 79-06 Enclosure April 16, 1979 Page 3 of 3 LISTIllG OF IE CIRCULARS ISSUED IN LAST TWELVE !!ONTHS Circular Subject Date of Issued To No.

Issue 78-18 UL Fire Test 11/6/78 All Holders of Reactor OLs or cps 78-19 Manual Override (Bypass) 12/28/78 All Holders of of Safety Actuation Signals cps 79-01 Administration of 1/12/79 All lledical Unauthorized Byproduct Licensees except Material to Humans Teletherapy Medical Licensees and each Radiopharraceutical Suppliers 79-02 Failure of 120 Volt Vital 2/16/79 All Holders of AC Power Supplies Reactor CLs and cps 79-03 Inadequate Guard Training-2/23/79 All Holders of Qualification and Falsified and applicants Training Records for Coecial Nuclear flateri a', Licenses in Safeguards Group I 79-04 Loose Locking Nut On 3/16/79 All Holders of Limitorque Valve Reactor Ols or cps Operators 79-05 Moisture Leakage in Stranded 3/20/79 All Holders of Wire Conductors Reactor OLs or cps 79-06 Failure to Use Syringe 4/19/79 All Medical and Bottle Shields in Licensees except Teletherapy Medical Licensees

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