ML20038B783
| ML20038B783 | |
| Person / Time | |
|---|---|
| Issue date: | 12/03/1981 |
| From: | Sreniawski D NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | Dutcher P HURLEY MEDICAL CENTER, FLINT, MI |
| References | |
| NUDOCS 8112090099 | |
| Download: ML20038B783 (1) | |
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N DEC 3 198f i
Earley Medical Center License License No. 21-00338-03 ATDI: Phillip Dutcher Ezecutive Director Sixth Avenne and Begole Street Flint, MI 48502 Gentlemen:
Thank you for your letters dated July 23 and October 2, 1981, informing us of the steps you have taken to correct the noncompliance which we brought to your attention in our letter dated July 14, 1981. We will
====1== these netters during a future inspection.
The e - ts, in the letter by Morris I. Beak, Ph.D. dated October 2, 1981, concerning monthly spot checks of teletherapy =nehi=== required by 10 CFR 35.22(a), are being forwarded to Willisw B. Walker, Ph.D. for review and consideration. Dr. Walker is the section leader of the Medical and Acad==4e Materials Licensing Branch, Div,12 ion of letSS, in Weakington, D.C.
If you have any questions concerning this letter, please do not hesitate to call this office. Your cooperation with us is appractated.
Sincerely,
.\\.
--m-a D. J. Sreniawski, Chief Meterials Radiation Protection
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cc Morris I. Bank, Ph.D.
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NRC FORM 318 (10-80) NRCM 0240 OEFE#CCDSL EMCORD COPY d
MEDKX. CBE DEPARTMENT OF RADIOLOGY C. GENE FoLLIS. M D, PH D.
Fhnt Assocated Radrologists. P C.
APPARA0 MUKKAMALA. M D.
31 176&O210 Florence Whitsng Dalton Radiation Theracy Center ROBERT S. ORMOND, M.D., F.A.C.R., Director 3 r3/766 0422 VEMBLASERRY.lA YABALAN. M D.
DIAGNOSTIC:
"# # ##" " O SYLVIA M KOSCICLEK. M D LIL Y W. UM M D.
1 / 66-0W APPARAO MUKKAMALA, M D.
ROBERT S. oRMoND. M D.
MORRIS I BANK. PH D.
EDGARDO G. PAGUIO. M D.
Radiatron Physocist RAMESH C. SHAH. M D.
3131766 0194 D.J. Sreniawski, Chief Octnber 2, 1981 MATERIALS RADIATION PROTECTION U.S.N.R.C.
Region III 799 Roosevelt Rd.
Glen Ellyn, Illinois 60137
Dear Mr. Sreniawski:
In reply to your letter of August 24, 1981, a back-up instrument will be employad to perform monthly spot checks whenever the primary unit is not avail-able. This is a Victoreen R-Meter Model 570 with 621 chamber.
The NRC's requirement for monthly spot checks is still controversial. The Medical Physics community does not agree with the absolute need for monthly check of output. While we recognize the need for spot checking, monthly checks are not absolutely necessary in view of the safety record of Cobalt units.
Units have operated for many years with no change in stability or predicted output and with only annual calibration of output. Patients were treated safely and with great reliability. The incident in Columbus which precipitated the new NRC requirements did not occur due to lack of output measurements, but because the measurements and calibrations were incorrectly performed, and no current calibration was available.
Since the NRC also requires biannual calibration of measuring devices at an approved laboratory and calibration may take 4-6 weeks, one or two monthly checks will be missed. This should not compromise the safety of patients and back-up in-struments should not be necessary.
I suggest that the NRC be more flexible in its '
enforcement policy of monthly spot checks. A hospital should not have to spend
$1,500.00-$3,000.00 for back-up units which may add very little to patient safety.
The information in this letter and the letter of July 12, 1981 are submitted under affinnation.
Yours truly, 4b 0^^A1
(
Morris I. Bank, Ph.D.
Department of Radiology
$)' Y
,ao 90/66 SIXTH AVENUE AND BEGOLE e FLINT, MICHIGAN 48502 GCT 21 1981
Hurley Medical Center 4
Number One Hurley Plaza
. Department of Radiology Flint, MI 48502 July 23, 1981 i
D. J. Sreniawski, Chief Materials Radiation Protection
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U.S. N.R.C., Region III
'799 Roosevelt Road Glen Ellyn, IL S0137
Dear Mr. Sreniawski:
~
In reply to your letter of July 14, 1981, concerning items of noncompliance, the following actions have been taken:
Item 1.
Wipe tests for contamination of the sealed calibration sources have been perfomred and will be performed at six month intervals.
I do question the need for testing of these low level sources (200 pC1) since the radioisotope is l-sealed in inert epoxy which is not subject to leakage.
Can you tell me how many incidences of leakage have been recorded and under what circumstances? If the source is broken, then certainly, wipe testing is necessary before source is used.
1 Items 2 and 3.
Personnel have been instructed to check dose calibrator with' Cs-137 and Co-57 sources, and to perform wipe tests and survey weekly as required.
Item 4.
Emergency rules have been pested in the Nuclear Medicine Lab where radioactive materials are used.
Item 5.
Monthly spot checks were not performed when ionization chamber and electrometer were at Victoreen Calibration Lab for calibration.
Item 6.
Birthdates will be added to radiation exposure records.
Item 7.
Enclosed is a copy of service inspection report.
Concerning License Number SNM-1393:
Items 8 and 9.
Patient-follow-up procedures have been established and will be conducted on remaining nucleaf pacemaker patients; loss of contact with patient will be reported.
Item 10. Nuclear powered pacemakers utilizing nuclear materials are no longer implanted at this hospital.
Personnel do not handle nuclear material in the Cardio-vascular Study Department. Therefore, no documents or notices are posted.
i Sincerely yours, (M1 CLS Morris I. Bank, Ph.D.
Radiological Physicist, A.B.R.
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