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Category:Press Release
MONTHYEARML24214A2262024-07-22022 July 2024 News Release-I-24-014: New NRC Senior Resident Inspector Assigned to Salem Nuclear Power Plant ML24214A2362024-07-0101 July 2024 News Release-I-24-012: NRC Names New Senior Resident Inspector at Hope Creek Nuclear Plant ML24142A1502024-05-16016 May 2024 News Release-I-24-011: NRC to Hold Public Meeting to Discuss Seabrook Station 2023 Safety Performance ML24142A1492024-05-16016 May 2024 News Release-I-24-010: NRC Names New Senior Resident Inspector at Ginna Nuclear Power Plant ML24142A1482024-05-13013 May 2024 News Release-I-24-009: NRC Schedules Webinar to Discuss Safety Performance at Nuclear Power Plants in Maryland, New Jersey, New York and Pennsylvania ML24142A1522024-05-0606 May 2024 News Release-I-24-008: NRC to Meet with Connecticut Nuclear Energy Advisory Council to Discuss Millstone Nuclear Power Plant 2023 Performance ML24127A0242024-04-24024 April 2024 News Release-I-24-007: NRC Names New Resident Inspector at James A. FitzPatrick Nuclear Power Plant ML24113A1972024-04-0101 April 2024 News Release-I-24-005: NRC Names New Resident Inspector at Millstone Nuclear Plant ML24113A0582024-03-14014 March 2024 News Release-I-24-004: NRC Proposes $9,000 Fine to West Virginia Firm for Apparent Violation Involving Nuclear Gauges ML24095A1722024-03-14014 March 2024 News Release-I-24-004: NRC Proposes $9,000 Fine to West Virginia Firm for Apparent Violation Involving Nuclear Gauges ML24064A1002024-02-22022 February 2024 News Release-I-24-003: NRC Names New Resident Inspector at the Beaver Valley Nuclear Power Plant ML24058A2862024-01-29029 January 2024 News Release-I-24-002: NRC Names New Resident Inspector to Seabrook Nuclear Plant ML24058A2852024-01-29029 January 2024 News Release-I-24-001: NRC Names New Senior Resident Inspector at Nine Mile Point Nuclear Power Plant ML24052A3232023-12-20020 December 2023 News Release-I-23-017: NRC Names New Senior Resident Inspector at Susquehanna Nuclear Power Plant ML24052A2952023-11-28028 November 2023 News Release-I-23-016: NRC to Discuss Crystal River Nuclear Plant License Termination Plan, Gather Public Comments at Dec. 7 Meeting ML24052A2942023-11-0909 November 2023 News Release-I-23-015: NRC Proposes $43,750 Civil Penalty for Shipment of Equipment from Oyster Creek That Exceeded Radiation Limits ML24052A2922023-11-0606 November 2023 News Release-I-23-013: NRC Chair and Commissioners to Host Public Meeting in King of Prussia on Nov. 16 ML24052A1072023-09-0808 September 2023 News Release-I-23-011: NRC to Conduct Predecisional Enforcement Conference with Virginia Firm to Discuss Apparent Violations ML24052A0572023-08-28028 August 2023 News Release-I-23-010: NRC Names New Resident Inspector at Hope Creek Nuclear Power Plant ML24047A3062023-07-26026 July 2023 News Release-I-23-009: NRC Names New Senior Resident Inspector at Beaver Valley Nuclear Power Plant ML24047A2702023-06-29029 June 2023 News Release-I-23-008: NRC Names New Resident Inspector at Calvert Cliffs Nuclear Plant ML24047A2692023-06-26026 June 2023 News Release-I-23-007: New NRC Resident Inspector Assigned to Seabrook Nuclear Power Plant ML24047A2682023-06-12012 June 2023 News Release-I-23-006: NRC to Hold Public Meeting to Discuss Seabrook Station 2022 Safety Performance ML24047A0782023-05-18018 May 2023 News Release-I-23-005: NRC Schedules Webinar to Discuss 2022 Safety Performance at Maryland, New Jersey, New York, Pennsylvania Nuclear Power Plants ML24047A0792023-05-11011 May 2023 News Release-I-23-004: NRC Revokes License of West Virginia Company ML24047A0762023-05-0101 May 2023 News Release-I-23-003: NRC Initiates Special Inspection at Calvert Cliffs Unit 1 Nuclear Power Plant ML23166A0212023-03-10010 March 2023 News Release-I-23-002: NRC to Meet with Connecticut Nuclear Energy Advisory Council to Discuss Millstone Nuclear Power Plant 2022 Performance ML22346A0552022-11-23023 November 2022 News Release-I-22-016: NRC Schedules Decommissioning Webinar for Nuclear Power Plant Emergency Preparedness and Security Requirements ML22346A0562022-11-21021 November 2022 News Release-I-22-015: NRC Names New Resident Inspector at Salem Nuclear Power Plant ML22346A0572022-11-10010 November 2022 News Release-I-22-014: West Virginia Hospital to Take Corrective Actions Under Settlement Agreement with NRC ML22305A5512022-10-14014 October 2022 News Release-I-22-013: NRC Imposes Civil Penalty to Pennsylvania Company ML22270A0832022-09-14014 September 2022 News Release-I-22-012: NRC Names New Resident Inspector at Peach Bottom Nuclear Power Plant ML22255A0872022-09-0909 September 2022 News Release-I-22-011: NRC to Conduct Pre-Decisional Enforcement Conference with a Connecticut Medical Facility ML22217A0572022-08-0505 August 2022 News Release-I-22-010: New NRC Senior Resident Inspector Assigned to Calvert Cliffs Nuclear Power Plant ML22215A2132022-07-28028 July 2022 News Release-I-22-009: NRC Names New Resident Inspector at Ginna Nuclear Power Plant Press Release-I-22-008, NRC Names New Resident Inspector at Limerick Nuclear Power Plant2022-06-22022 June 2022 Press Release-I-22-008: NRC Names New Resident Inspector at Limerick Nuclear Power Plant ML22153A1262022-05-26026 May 2022 News Release-I-22-007: NRC Schedules Webinar to Discuss 2021 Safety Performance at Maryland, New Jersey, New York, Pennsylvania Nuclear Power Plants ML22131A1432022-05-0606 May 2022 News Release-I-22-006: NRC to Hold Public Meeting to Discuss Seabrook Station 2021 Safety Performance ML22131A1422022-05-0202 May 2022 News Release-I-22-005: NRC Proposes $3,500 Defense Health Agency Fine for Loss of Medical Purpose Radioactive Material ML22083A0522022-03-18018 March 2022 News Release-I-22-004: NRC to Meet with Connecticut Nuclear Energy Advisory Council to Discuss Millstone Nuclear Power Plant 2021 Performance ML22063A4642022-03-0202 March 2022 News Release-I-22-003: NRC Proposes $25,600 Fine for Pennsylvania Company ML22028A0502022-01-26026 January 2022 News Release-I-22-002: NRC Issues Confirmatory Order, $50,000 Civil Penalty to HDI Over Security-Related Violations at Oyster Creek Nuclear Power Plant Press Release-I-22-001, NRC Names New Senior Resident Inspector at Salem Nuclear Power Plant2022-01-10010 January 2022 Press Release-I-22-001: NRC Names New Senior Resident Inspector at Salem Nuclear Power Plant Press Release-I-21-010, NRC Proposes $150,000 Civil Penalty for Violations at New Jersey Nuclear Power Plant Undergoing Decommissioning2021-12-22022 December 2021 Press Release-I-21-010: NRC Proposes $150,000 Civil Penalty for Violations at New Jersey Nuclear Power Plant Undergoing Decommissioning Press Release-I-21-009, NRC Issues Confirmatory Action Letter to West Virginia Hospital2021-11-19019 November 2021 Press Release-I-21-009: NRC Issues Confirmatory Action Letter to West Virginia Hospital Press Release-I-21-007, NRC to Hold Public Meeting to Receive Comments on Indian Point Nuclear Power Plant Decommissioning Activities Report2021-07-19019 July 2021 Press Release-I-21-007: NRC to Hold Public Meeting to Receive Comments on Indian Point Nuclear Power Plant Decommissioning Activities Report Press Release-I-21-006, NRC Proposes $3,750 Fine for Connecticut Hospital Violations2021-06-0202 June 2021 Press Release-I-21-006: NRC Proposes $3,750 Fine for Connecticut Hospital Violations Press Release-I-21-005, NRC Schedules Webinar to Discuss 2020 Safety Performance at Maryland, New Jersey, New York and Pennsylvania Nuclear Power Plants2021-06-0101 June 2021 Press Release-I-21-005: NRC Schedules Webinar to Discuss 2020 Safety Performance at Maryland, New Jersey, New York and Pennsylvania Nuclear Power Plants Press Release-I-21-004, NRC to Hold Virtual Meeting to Discuss 2020 Performance of Seabrook Nuclear Power Plant2021-05-24024 May 2021 Press Release-I-21-004: NRC to Hold Virtual Meeting to Discuss 2020 Performance of Seabrook Nuclear Power Plant Press Release-I-21-003, NRC to Meet with Connecticut Nuclear Energy Advisory Council to Discuss Millstone Nuclear Power Plant Performance2021-03-11011 March 2021 Press Release-I-21-003: NRC to Meet with Connecticut Nuclear Energy Advisory Council to Discuss Millstone Nuclear Power Plant Performance 2024-07-22
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NRC NEWS U.S. NUCLEAR REGULATORY COMMISSION Office of Public Affairs, Region I 475 Allendale Road, King of Prussia, Pa.
Web Site: http://www.nrc.gov/OPA No. I-05-046 September 9, 2005
Contact:
Diane Screnci, 610/337-5330 E-mail: opa1@nrc.gov Neil Sheehan, 610/337-5331 NRC TO DISCUSS APPARENT VIOLATIONS AT LANCASTER, PA., HOSPITAL Nuclear Regulatory Commission staff will meet with representatives of a Lancaster, Pa.,
hospital on Friday, Sept. 16, to discuss three apparent violations of agency requirements. The apparent violations stem from the treatment of a patient with a medical device containing radioactive sources known as a gamma knife.
The predecisional enforcement conference is scheduled to begin at 10 a.m. at the NRC Region I Office, 475 Allendale Road in King of Prussia, Pa. It will be open to the public and there will be an opportunity for members of the public to ask questions of NRC staff before they adjourn the session.
During a review that began last Oct. 21 at Lancaster General Hospital, NRC inspectors examined activities at the facility on North Duke Street that are licensed by the agency. They also looked into the circumstances surrounding a medical event at the facility in September 2003. That event involved a gamma knife, or gamma stereotactic radiosurgery, treatment administered to a patient at a location on the body other than the intended site. This occurred for only a portion of the treatment.
(A gamma knife uses a special helmet to focus radiation from numerous radioactive sources to a specific location deep within brain tissue.)
The NRC inspectors found that at the conclusion of the administration, one of the coordinates for the treatment site was 7 centimeters different from the initial setting, resulting in an estimated dose of 35 to 40 Gray to the wrong site. (A Gray is a measure of the amount of radiation absorbed by the body.) The event did not result in harm to the patient, a medical consultant retained by the NRC to review the incident determined.
Hospital personnel concluded the event was caused when the patient moved vigorously during the treatment. However, the treatment was not suspended to verify the setting coordinates following this movement. Further, hospital staff did not return a subsequently replaced portion of the focusing mechanism known as the z-bars to the manufacturer for analysis despite a recognition it was not properly functioning.
Based on the results of the inspection, the following apparent violations have been identified:
(1) failure to implement adequate procedures to verify that the administration of the gamma knife dose
was in accordance with the treatment plan and written directive; (2) failure to report to the NRC the medical event involving a dose administered to the wrong treatment site; and (3) failure to report to the NRC an equipment malfunction of the devices z-bars.
The purpose of the meeting is to obtain information to enable the NRC to make an enforcement decision. This information can include a common understanding of the facts, root causes, missed opportunities to identify the apparent violations sooner, corrective actions, significance of the issues and the need for lasting and effective corrective action.
No decision will be made during the meeting. Rather, the NRC will consider the facts and render a decision sometime following the conference.