ML20040F488

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Notice of Violation from Insp on 820113-14.Noncompliance Noted:Dose Calibrators Not Tested for Accuracy & Patients Treated w/Cs-137 Released W/O Determing That All Implants Had Been Removed
ML20040F488
Person / Time
Issue date: 01/29/1982
From: Sreniawksi D
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML20040F482 List:
References
NUDOCS 8202090258
Download: ML20040F488 (2)


Text

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Appendix NOTICE OF VIOLATION Detroit Osteopathic Hospital Corporation Licer.se No. 21-04082-01 As a result of the inspection conducted on January 13 and 14,1982, and in accordance with the Interim Enforcement Policy, 45 FR 66754 (October 7, 1980), the following violations were identified:

1.

License Condition No. 23 requires that licensed material be possessed and used in accordance with the statements, representations, and procedures contained in certain referenced applications and letters.

The referenced letter dated May 6, 1981, states that quarterly accuracy tests of the dose calibrators will be performed.

Contrary to the above, the dose calibrators at Detroit Osteopathic Hospital, Bi-County Community Hospital and Riverside Osteopathic Hospital have not been tested for accuracy during the first, second, and third quarters of 1981.

This is a Severity Level V violation (Supplement VII).

2.

License Condition No. 16 states that patients containing cobalt-60, cesium-137, or iridium-192 implants shall remain hospitalized until surveys made with an appropriate radiation detection instrument indicate that all implants have been removed. The results of these surveys shall be recorded and maintained for inspect. ion by the Commission for five years.

Contrary to the above, on at least eleven occasions in 1981, patients who had been treated with cesium-137 were released from Detroit Osteopathic Hospital without being surveyed to determine that all implants had been removed.

In addition, records of surveys performed on patients treated with iridium-192 were not maintained.

This is a Severity Level V violation (Supplement VII).

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Appendix Pursuant to the provisions of 10 CFR 2.201, you are required to submit to this office within thirty days of the date of this Notice a written state-ment or explanation in reply, including for each item of noncompliance:

(1) corrective action taken and the results achieved; (2) corrective action to be taken to avoid further noncompliance; and (3) the date when full com-pliance will be achieved. Under the authority of Section 182 of the Atc.,ic Energy Act of 1954, as amended, this response shall be submitted under oath or affirmation. Consideration may be given to extending your response time for good cause shown.

s I!hf89 Dated

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l D. J. :ireniawski, Chief Ma(erials Radiation Protection S$on 2 k