ML20004C407
| ML20004C407 | |
| Person / Time | |
|---|---|
| Issue date: | 06/01/1981 |
| From: | Stello V NRC OFFICE OF INSPECTION & ENFORCEMENT (IE) |
| To: | Minor R GRANDVIEW HOSP. & MEDICAL CENTER, DAYTON, OH |
| Shared Package | |
| ML20004C408 | List: |
| References | |
| EA-81-048, EA-81-48, NUDOCS 8106040016 | |
| Download: ML20004C407 (2) | |
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' UNITED STATES NUCLEAR REGULATORY COMMISSION o
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License No. 34-06904-01 O
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3; ATTN:
Richard J. Minor
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Dayton, Ohio W im Gentlemen:
This refers to the' investigation conducted by Messrs. J. B. McCarten and D. G. Wiedeman of our staff on November 12-14, 1980, of activities at Grandview Hospital, Dayton, Ohio, authorized by NRC Byproduct-Material License No. 34-06904-01. The results of this investigation were discussed during an enforcement conference in the Region III office on April 14, 1981, between you and members of your staff and A. B. Davis, NRC Region III and others of the NRC staff.
Our investigation found that Grandview Hospital had, over a sevet month period,
_ performed two unauthorized nuclear medicine procedures on 187 different occasions.
It' was also noted that preliminary discussions were held by your staff members about the' time these nonroutine procedures were initiated.
Apparently no further action was taken to verify whether these nuclear medicine procedures were authorized.
While we are_not aware that any conditions adverse to public health and safety resulted from Grandview Hospital's noncompliance activities, we conclude that the continuance of such activities over an extended period of time demonstrated a serious lack of control of licensed activities.
Therefore, we propose to impose civil penalties in the cumulative amount of One Thousand Dollars for the_ items in the first alleged item of noncompliance set forth in Appendix A.
Additional items of ncncompliance were identified during the course of this investigation and are set forth in Appendix A.
While no civil penalties are assessed for these additional items, we are concerned that the control of licensed activities was not sufficient to preclude their recurrence.
Of particular concern is the failure to assure that only individuals who are designated as authorized users are permitted to use or supervise the use of licensed radioactive materials, although we recognize that the supervisor was qualified and the license was subsequently amended to include the supervisor's name.
We are also concerned about your failure to follow Item 9 of Appendix K of your application dated October 30, 1978, that requires that urine and vomitus from iodine-131 therapy patients be stored for radioactive decay to background levels before disposal into sanitary sewage.
This procedure must be followed unless and until you request an amendment to your license to have the procedure CERlIFIED MAIL RETURN RECEIPT REQUESTED 8106040 %
Grandview Hospital. deleted to take advantage of the exemption provided in 10 CFR 20.303(d).
You are required to respond to the Notice of Violation, and in preparing the response, you should follow the instructions set forth in Appendix A.
Your response to the enclosed Notice of Violation and Proposed Imposition of Civil. Penalties, along with our findings from our continuing inspection program, will be considered'in determining whether any further enforcement action such as additional civil penalties, modification, suspension or revocation of your license is appropriate.
In accordance with Section 2.790 of. the NRC's " Rules of Practice," Part 2,
-Title 10, Ccde of Federal Regulations, a copy of this lette, and the en-closures will be placed in the'NRC's Public Document Room.
Sincerely,.
VictorStello,J.[, Director
/A Office of Inspection and Enforcement
Enclosure:
Appendix A, Notice of Violation and Proposed Imposition of Civil Penaltits 1
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