ML20237L119
| ML20237L119 | |
| Person / Time | |
|---|---|
| Issue date: | 08/14/1987 |
| From: | Cline W NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
| To: | Jackie Jones WHEELING HOSP. WHEELING, WV |
| References | |
| NUDOCS 8708270428 | |
| Download: ML20237L119 (2) | |
Text
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Wheeling' Hospital, Inc.
ATTN: Mr. J.-T. Jones
' Assistant Administrator l
Medical Park Wheeling, WV 26003 Gentlemen:
SUBJECT:
CCPY OF RECENT. RECORDS RELATED T0 BRACHYTHERAPY SOURCES This refers to your letter of August 5,1987, addressing ' Violation G of our August 3,1987, Notice.of'. Violation and Proposed Imposition of Civil Penalty.
In order for us to evaluate your response, we will also need a. copy o.f the i
< records maintained 'after April 1,
- 1987, under 10 CFR 35.406(:)
and 35.415(a)(4).
~
~
Your consultant; Mr. D. Cloth, NMA Medical Physics. Services, is aware of this, based on his August.13,1987, telephone discussion with Mr. E. Kline of. our office.
Please advise me of any questions or problems concerning this request.
1 Sincerely,.
i William E. Cline, Chief Nuclear Materials Safety and Safeguards Branch Division of Radiation Safety and Safeguards
Enclosure:
10 CFR 35.406 and 35.415 bec w/o enc 1:
Document Control Desk Commonwealth of VA G. Sjoblom, IMNS J. Lieberman, OE RII ffJPotter 8/jH/87 J
s082[0428370014~
REGg 1C30 PDR
.1___________________
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~M Federal Register / Vol. 51. No. 200 / Thursday. October 16. 1986 / Rules and Regulations confirm that all sources have been (5) Procedures for notification of the rates over the range 1 millirem per hour removed. The licensee may not release Radiation Safety Officer if the patient to 1000 millirem per hour.
from confinement for medical care a dies or has a medical emergency.
patient treated by temporary implant (b) A licensee shall retain for two Subpert H-Seeled Sources for until all sources have been removed.
years a record of individuals receiving Otegnoets (b) A licensee shall retain a record of - instruction required by paragraph (a) of I "88' U** # *** ***'"' *
. patient surveys for two years. Each this section, a description of the record must include the date of the instruction. the date of instruction. and survey the name of the patient, the dose the name of the individual who gave the A licensee shall use the following sealed sources in accordance with the rate from the patient expressed as instruction.
manufacturer's radiation safety and millirem per hout and measured at ona iE4ts sawy pressumena, handling instructions:
m2 tar from the patient, the survey instrument used, and the initials of the (a) For each patient receiving implant (a) Iodine.125, americium.241, or individual who made the survey.
therapy, a licensee shall:
gadolinium.153 as a sealed source in a (1) Not quarter the patient in the same device for bone mineral analysis'. and
, g,,,
room with a patient who is not receivmg (b) lodine.125 as a sealed source in a m,,,,y, (a) Promptly after removing them from
",'*[3ons p$a 5the P "*
"8 ec a patient, a licensee shall retum requirements of 4 20.105(b) of this i 35.830 Aveastety of survey Instrument.
g*epter at a distance of one meter from Alicensee authorized to use a e d obt the n e re ed to byproduct material as a sealed source a
ensure that all sources taken from the (2) Post the patient.s door with a for diagnostic purposes shall have storage area have been returned.
.. Radioactive Materials sign and note available for use a portable radiation (b) A licensee shall make a record of on the door orin the patient a chart detection survey instrument capable of brachytherapy source use which must where and how long visitors may stay in detecting dose rates over the range 0.1 include:
the patient's room; millirem per hour to 100 millirem per (1)ne names of the individuals (3) Authorize visits by individuals hour or a portable radiation permitted to handle the sources.
under age 18 only on a patient-by-measurement survey instrument capable (2)The number and activity of sources patient Desis with the approval of the of measuring dose rates over the range 1 removed from storage. the patient's authorized user after consultation with millirem per hour to 1000 millitem per
- n:me and room number. the time and the Radiation Safety Officer: and hour.h instrument must have been date they were removed from storage.
(4) Promptly after implanting the calibrated in accordance with I 35 51 of ths number and activity of the sources material, survey the dose rates in this put.
in storage after the removal, and the condguous restricted and unrestricted initials of the individual who removed areas with a radiation measurement Subpert 6. Teletherapy tha sources from storage:
survey instrument to demonstrate (3) The number and activity of sources compliance with the requirements of I E000 Use of a easted source in a returned to storage. the patient's name Part 20 of this chapter, and retain for ensemerapy unst, and room number, the time and date two yeam a scord of each survey that The regulations and provisions of this they were returned to storage, the includes the time and date of the ontvey. subpart govern b use of teletherapy number and activity of sources in a plan of the ama orlist of points units for medical use ht contain a sacrase after the return, and the initials surveyed, the measured dose rate at sealed source of cobalt.eo or cesium.13?
of the individual who returned the several points expressed in millirem per sources to storage, hour, the instrument used to make the 9 E006 08aintenance and repair (c)Immediately afterimplantms azurces in a patient the licensee shall survey, and the initials of the individual seeertemena.
make a radiation survey of the patient who made the survey.
Only a person specifically licensed by and the area of use to confirm that no (5) Provide the patient with radiation the Commission or an Agreement State s:urces have been misplaced. The safety guidance that will help to keep to perform teletherapy unit maintenance licensee shall make a record of each radiation dose to household members and spair shall:
and the public as low as masonably (a)lasta11. miocate, or remove a survey.
achievable befom releasing the patient teletherapy sealed source or a (d) A licensee shall retain the records required in paragraphs (b) and (c) of this if the patient was administered a teletherapy unit'thgt contains a sealed section for two years.
Permanent implant.
on SYa ty ebatelyif (b) Maintain, adjust, or repair the 9 35.410 eewyinseruceen.
Ra ce source drawer, the shutter or other (a)De licensee shall provide the patient dies or has a medical mechanism of a teletherapy unit that radiation safety instruction to all emergency.
could expose the source, reduce the undergoing implant therapy. To satisfy
$ stese peessesten of survey meerument.
shielding around the source or result in personnel caring for the patient increased radiationlevels, this requirement, the instruction must Alicensee authorised to use describe:
byproduct material for implant therapy
, g ee, m,,,,g (1) Size and appearance of the shall have in its possession a portable la addition to the changes specified in brachytherapy sources:
radiation detection survey instrument 138.13 of this part, a licensee shall (2) Safe handling and shielding capable of detecting dose rates over the spply for and must receive a license instructions in case of a dislodged range 0.1 millitem per hour to 100 amendment before:
milhmm per hour, and a portable (a) Making any change in the erurce:
(3) Procedures for patient control:
radiation measurement survey (4) Procedures for visitor control; and instrument capable of measurma dose treatment room shieldms:
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