ENS 57992: Difference between revisions
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| NRC officer = Ian Howard | | NRC officer = Ian Howard | ||
| event date = 10/15/2025 00:00 CDT | | event date = 10/15/2025 00:00 CDT | ||
| last update date = | | last update date = 11/25/2025 | ||
| title = Unplanned Contamination | | title = Unplanned Contamination | ||
| event text = The following information was provided by the Illinois Emergency Management Agency and Office of Homeland Security (the Agency) via phone and email: | | event text = The following information was provided by the Illinois Emergency Management Agency and Office of Homeland Security (the Agency) via phone and email: | ||
The Agency was contacted on 10/15/25 by the radiation safety officer for Elmhurst Hospital (IL-01612-01) to advise of a contamination incident. Reportedly, a vial containing 200 millicuries of Lu-177 was dropped in the facility's hot lab and contaminated a technician. Decontamination efforts are ongoing. Inspectors are headed to the facility to gather additional details and determine the likelihood of exposures exceeding regulatory limits. | The Agency was contacted on 10/15/25 by the radiation safety officer for Elmhurst Hospital (IL-01612-01) to advise of a contamination incident. Reportedly, a vial containing 200 millicuries of Lu-177 was dropped in the facility's hot lab and contaminated a technician. Decontamination efforts are ongoing. Inspectors are headed to the facility to gather additional details and determine the likelihood of exposures exceeding regulatory limits. | ||
Based on the information currently available | Based on the information currently available, this matter is a reportable unplanned contamination event under 32 Illinois Administrative Code 340.1220(c)(1). It is reportable within 24 hours, which the licensee met. | ||
Additional updates will be provided as they become available. | Additional updates will be provided as they become available. | ||
Illinois Reference Number: IL250044 | Illinois Reference Number: IL250044 | ||
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2025/ | * * * UPDATE ON 11/25/2025 AT 1620 EST FROM KIM STICE TO ROBERT THOMPSON * * * | ||
The following information was provided by the Illinois Emergency Management Agency and Office of Homeland Security (the Agency) via email: | |||
Inspectors verified that the one nuclear medicine technician that was initially contaminated was successfully decontaminated prior to inspectors leaving the site. No contamination or elevated exposure rates were identified in unrestricted areas. Contamination was contained in the hotlab. Some fixed contamination on the hot lab floor was covered with lead so patient care could continue. | |||
The licensee submitted an event report on 11/13/25, as required. A skin dose assessment of the individual contaminated was performed using Varskin+. The contamination did not result in a skin or other occupational dose in excess of regulatory limits. The contaminated individual was assigned a skin dose of 16 rem. There was no public exposure as a result of this incident. | |||
Root cause was reported as a breach in handling procedures and inadequate vial and pig design. | |||
Corrective action included retraining and a recommendation to the manufacturer to change the design of the pig. The licensee stated that the manufacturer has since redesigned the pig to now include a locking engineering control to prevent lid and base separation. | |||
Notified R3DO (Hills), NMSS Events Notification (email) | |||
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2025/20251126en.html#en57992 | |||
}} | }} | ||
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Latest revision as of 07:20, 26 November 2025
| Where | |
|---|---|
| Elmhurst Hospital Elmhurst, Illinois (NRC Region 3) | |
| License number: | IL-01612-01 |
| Organization: | Illinois Emergency Mgmt. Agency |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+35.58 h1.483 days <br />0.212 weeks <br />0.0487 months <br />) | |
| Opened: | Kimberly Stice 16:35 Oct 16, 2025 |
| NRC Officer: | Ian Howard |
| Last Updated: | Nov 25, 2025 |
| 57992 - NRC Website | |