ENS 54547: Difference between revisions
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{{ENS notification | {{ENS notification | ||
| event number = 54547 | | event number = 54547 | ||
| facility = | | facility = | ||
| Organization = Veterans Health Administration | | Organization = Veterans Health Administration | ||
| license number = 03-23853-01VA | | license number = 03-23853-01VA | ||
| Line 10: | Line 10: | ||
| utype = | | utype = | ||
| cfr = 10 CFR 20.1906(d)(1) | | cfr = 10 CFR 20.1906(d)(1) | ||
| emergency class = | | emergency class = Non Emergency | ||
| notification date = 02/27/2020 10:38 | | notification date = 02/27/2020 10:38 | ||
| notification by = Kim Wiebeck | | notification by = Kim Wiebeck | ||
| Line 21: | Line 21: | ||
The package was received Thursday, February 27, 2020, at around 0710 EST by the North Florida/South Georgia Veterans Health System [Permit No.: 0912467-02] in Gainesville, Florida. This facility holds permit number 09-12467-02 under the VHA master materials license. | The package was received Thursday, February 27, 2020, at around 0710 EST by the North Florida/South Georgia Veterans Health System [Permit No.: 0912467-02] in Gainesville, Florida. This facility holds permit number 09-12467-02 under the VHA master materials license. | ||
The package was checked-in and surveyed upon receipt around 0710 EST. Wipe tests performed on the external surface of the entire package indicated a removable contamination level of around 560 dpm/cm2 as compared to the regulatory limit of 240 dpm/cm2 for beta-gamma emitters. Removable contamination level on the bottom surface of the package, indicated a removable contamination level of around 413 dpm/cm2 as compared to the regulatory limit of 240 dpm/cm2 for beta-gamma emitters. | The package was checked-in and surveyed upon receipt around 0710 EST. Wipe tests performed on the external surface of the entire package indicated a removable contamination level of around 560 dpm/cm2 as compared to the regulatory limit of 240 dpm/cm2 for beta-gamma emitters. Removable contamination level on the bottom surface of the package, indicated a removable contamination level of around 413 dpm/cm2 as compared to the regulatory limit of 240 dpm/cm2 for beta-gamma emitters. | ||
The package contained three unit doses consisting of a 6 mCi dose of Tc-99m Mebrofenin (calibrated for 1330), a 25 mCi dose of Tc-99m Sestamibi (calibrated for 0930), and a 1 mCi dose of Tc-99m Sulfur Colloid (calibrated for 0800). | The package contained three unit doses consisting of a 6 mCi dose of Tc-99m Mebrofenin (calibrated for 1330), a 25 mCi dose of Tc-99m Sestamibi (calibrated for 0930), and a 1 mCi dose of Tc-99m Sulfur Colloid (calibrated for 0800). | ||
The dosage was shipped from Triad Isotopes, out of Jacksonville, Florida, who was also the delivery carrier. The facility Radiation Safety Officer immediately notified the delivery carrier by phone about the contaminated package around 0730 EST. | The dosage was shipped from Triad Isotopes, out of Jacksonville, Florida, who was also the delivery carrier. The facility Radiation Safety Officer immediately notified the delivery carrier by phone about the contaminated package around 0730 EST. | ||
The patient dosages inside the package were not impacted and were able to be used. As corrective actions, the packaging materials were bagged in plastic and set aside in a restricted area at the facility. | The patient dosages inside the package were not impacted and were able to be used. As corrective actions, the packaging materials were bagged in plastic and set aside in a restricted area at the facility. | ||
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* * * UPDATE FROM THE STATE OF FLORIDA, BUREAU OF RADIATION CONTROL TO DONALD NORWOOD AT 1725 EST ON 2/28/2020 * * * | * * * UPDATE FROM THE STATE OF FLORIDA, BUREAU OF RADIATION CONTROL TO DONALD NORWOOD AT 1725 EST ON 2/28/2020 * * * | ||
The following is a synopsis of information received via E-mail: | The following is a synopsis of information received via E-mail: | ||
Reporting Organization: | Reporting Organization: State of Florida Bureau of Radiation Control | ||
NRC Notified By: | NRC Notified By: Matthew Senison | ||
Licensee: | Licensee: Jubilant DraxImage Radiopharmacies, Inc. | ||
City, State: | City, State: Jacksonville, Florida | ||
License Number: | License Number: 4587-5 | ||
Jubilant, Jacksonville received a call from the VHA in Gainesville, Florida about a delivery bag which had been delivered around 0710 EST that was contaminated on the outside. Jubilant, Jacksonville then notified their RSO who notified Jubilant's corporate RSO. Jubilant, Jacksonville personnel reviewed surveys and DOT documentation and found no removable contamination. They immediately pulled all six carts that are used in the pharmacy and wipe tested and surveyed each cart using a single channel analyzer and found only background. The driver is a third party (MDS) and had just returned. Jubilant, Jacksonville personnel surveyed and wipe tested the entire van and found it to also be at background. The Jubilant, Jacksonville RSO then called the VHA's RSO to relay that three patient doses were in the bag and no removable contamination had been found in the bag nor on the doses. | Jubilant, Jacksonville received a call from the VHA in Gainesville, Florida about a delivery bag which had been delivered around 0710 EST that was contaminated on the outside. Jubilant, Jacksonville then notified their RSO who notified Jubilant's corporate RSO. Jubilant, Jacksonville personnel reviewed surveys and DOT documentation and found no removable contamination. They immediately pulled all six carts that are used in the pharmacy and wipe tested and surveyed each cart using a single channel analyzer and found only background. The driver is a third party (MDS) and had just returned. Jubilant, Jacksonville personnel surveyed and wipe tested the entire van and found it to also be at background. The Jubilant, Jacksonville RSO then called the VHA's RSO to relay that three patient doses were in the bag and no removable contamination had been found in the bag nor on the doses. VHA's RSO stated that she was notifying the NRC who would notify BRC. Since the NRC report shows the activity was Tc-99m, and neither party could find the source; at this point greater than five half-lives have passed, so there are no current plans to deploy investigators to either facility at this time. | ||
Florida Incident Number: | Florida Incident Number: FL20-023 (2) | ||
Notified R1DO (Ferdas), R3DO (Orth), and the NMSS Events Notification E-mail group. | Notified R1DO (Ferdas), R3DO (Orth), and the NMSS Events Notification E-mail group. | ||
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2020/20200309en.html#en54547 | | URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2020/20200309en.html#en54547 | ||
Latest revision as of 11:51, 15 January 2021
| Where | |
|---|---|
| Veterans Health Administration North Little Rock, Arkansas (NRC Region 4) | |
| License number: | 03-23853-01VA |
| Organization: | Veterans Health Administration |
| Reporting | |
| 10 CFR 20.1906(d)(1) | |
| Time - Person (Reporting Time:+-1.53 h-0.0638 days <br />-0.00911 weeks <br />-0.0021 months <br />) | |
| Opened: | Kim Wiebeck 10:38 Feb 27, 2020 |
| NRC Officer: | Ossy Font |
| Last Updated: | Feb 27, 2020 |
| 54547 - NRC Website | |