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| Start date | Reporting criterion | Title | Event description | System | LER | |
|---|---|---|---|---|---|---|
| ENS 46635 | 21 February 2011 07:00:00 | Agreement State | Agreement State Report - Pharmacological Package with Surface Contamination in Excess of Limits | The state of Colorado submitted the following information via e-mail: On 2/21/11, a medical licensee, St. Mary's Hospital in Grand Junction, Colorado (CO License # 14-03), notified the Department that they received a package containing medical isotopes that was externally contaminated in excess of reporting limits. The package originated from NuQuest Pharmacy (CO License # 1022-01) also located in Grand Junction, Colorado. Hospital staff reported that the package, which contained about 50 millicuries of I-131, was intact but had about 1 microcurie of external contamination present. Hospital staff immediately notified the RSO at NuQuest who was able to contact their driver and perform contamination surveys, which were negative. NuQuest's RSO conducted an investigation and reported that the driver, who also works at the pharmacy as a helper, is a new employee. The RSO believes that the new employee must have forgotten to change his gloves after handling some I-131 waste, and touched the package before it was loaded into the vehicle. The RSO stated that he provided additional training to the new employee as a corrective action. Also, as a precaution, the RSO plans to perform a thyroid scan to verify that there was no uptake of I-131 by the new employee. No other details are available at this time. |