ML21025A017
| ML21025A017 | |
| Person / Time | |
|---|---|
| Site: | 03033050 |
| Issue date: | 01/22/2021 |
| From: | Craffrey R Division of Nuclear Materials Safety III |
| To: | Kritzman S Internal Medicine Associates of Mt. Clemens, PC |
| References | |
| IR 2021001 | |
| Download: ML21025A017 (1) | |
See also: IR 05000202/2010001
Text
NRC FORM 592M U.S.NUCLEAR REGULATORY COMMISSION
(10-2020) w
( Materials Inspection Record
1.Licensee Name: Number(s):
2.Docket Number(s)
3.License
Internal Med. Associates ofMt. Clemens 030-33050 21-26470-01
4.Report Number(s): 5.Date(s) ofInspection:
2021-001 January 22,2021
6.inspector(s): 7.Program Code(s): 8.Priority:9.inspection Guidance Used:
RyanCraffey 02201 5 IP87130
10.Licensee ContactName(s): 11.Licensee Address:
E-mail 12.LicenseeTelephone Number(s):
Shelli Kritzman, MS RSO
-
mkritzman@mpcphysics.com 734-662-3197
13.Inspection Type: O Initial14.Locations Inspected: 15.Next Inspection
Date(MM/DD/YYYY):
2 Routine 2 Announced 2 MainOffice O Field Office gppqg 2 Normal Q Extended
Q Non-RoutineQ UnannouncedQ Temporary JobSite2 Remote
Q ReducedO Nochange
16.ScopeandObservations:
This wasanannounced routineinspection, conducted remotely,of a privately-owned cardiology practice authorized
tousebyproduct material fordiagnostic medical purposes atitsfacility in Mount Clemens, Michigan. Atthe time of
theinspection, onepart-time nuclear medicine technologist performed up tofive procedures per day(cardiac stress
tests andonrare occasion a MUGAstudy) onMondays andTuesdays,and every other Thursday. Thelicensee
used only unit doses ofradiopharmaceuticals andretained theservices ofa consulting medical physicist tofulfillthe
duties ofRSO,calibrate its
survey instruments, andaudit theradiation safetyprogram quarterly.
PERFORMANCE OBSERVATIONS
Using a video teleconference platform, thelicensee's RSOprovided theinspector witha walk-through ofthe clinic at
133South Main Street inMount Clemens, including a review ofequipment andlicensed material present. The
facility appeared tobeadequately posted andall material appeared tobeadequately secured. The inspector
observed theRSOperform survey instrument checks, dose calibrator qualitycontrol checks, andsealed source leak
testing. Theinspector alsoobserved thelicensee's nuclear medicine technologist perform demonstrations of
package receipt, dose preparation,radioactive waste handling, andarea surveys. Atthe direction ofthe inspector,
thetechnologist performed additional surveys inrestricted andunrestricted areas ofthefacility. Noevidence of
residual contamination or exposures tomembers ofthe public inexcess ofregulatory limits werenoted from any of
these surveys. Theinspector alsointerviewed theRSO,technologist, andthelicensee's office manager todiscuss
thestatus oftheprogram anda variety ofradiation safety topics. Through these discussions andthe
aforementioned observations, thelicensee's staffdemonstrated proficiency inALARApractices anda thorough
understanding oflicensee procedures, regulatory limits andother NRCrequirements.
Theinspector also reviewed a selection ofrecords, including quarterly consultant audits,documentation ofvarious
surveys andinstrument qualityassurance sealed
checks, source inventories andleak test results, dose
administration records, andpersonnel dosimetry reports.
Noviolations ofNRCrequirements wereidentified asa result ofthis inspection.
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