ML20042C610
| ML20042C610 | |
| Person / Time | |
|---|---|
| Issue date: | 03/25/1982 |
| From: | Sreniawski D NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | |
| Shared Package | |
| ML20042C608 | List: |
| References | |
| NUDOCS 8203310566 | |
| Download: ML20042C610 (2) | |
Text
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Appendix NOTICE OF VIOLATION St. Joseph Hospital License No. 34-04474-01 As a result of the inspection conducted on March 3, 1982, and in accordance with the Interim Enforcement Policy, 45 FR 66754 (October 7, 1980), the followir.g violations were identified:
1.
License Condition No. 16 requires that licensed material be possessed and used in accordance with the statements, representations, and pro-cedures contained in certain referenced applications and letters.
The referenced letter dated February 15, 1978, states in Section 3(c) that nurses caring for brachytherapy patients will be assigned film badges. TLD finger badges will be assigned to nurses who must provide extended personal care to the patient.
Contrary to the above requirement, film badges were not issued to the nurses in charge of patient care during a period in 1981 when approxi-mately nine brachytherapy procedures were performed.
This is a Severity Level V violation (Supplement VII).
1.
License Condition No. 16 requires that licensed material be possessed and used in accordance with the statements, representations, and pro-cedures contained in certain referenced applications and letters.
The referenced application dated September 8, 1977, states in addendum No. 10(a) that the Medical Isotope Committee for Human Use will meet at least quarterly.
Contrary to the above requirement, the Medical Isotope Committee failed to meet during the second calendar quarter of 1981.
This is.a Severity Level V violation (Supplement VII).
3.
10 CFR 35.14(b)(5)(v) requires that a quarterly physical inventory to account for all sources and devices received and possessed shall be conducted. Records of the inventories shall be maintained for inspection by the Commission and shall include the quantities and kinds of byproduct material, location of sources and devices, and the date of the inventory.
9203310566 820326 NMS LIC30
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34-04474-01 PDR
o e
HSE 2 6 Appendix 2
Contrary to the above requirement, the inventory records did not include the identity or the location of some of the cesium-137 sealed Sources.
This is a Severity Level VI violation (Supplement VII).
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 Atomic Energy Act of 1954, as amended, this response shall be submitted under oath or affirmation. Consideration may be given to extending your response time i
for good cause shown.
Dated ? 05' %d i
I i
D. J.
reniawski, Chief l
Materi Radiation Protection Sectio 2 i
4 1