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{{#ask: [[Originated by::Leo Wardrobe]] [[Category:ENS Notification]]
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{
    "query_string": "[[Originated by::Leo Wardrobe]] [[Category:ENS Notification]]",
    "query_source": "SMWSQLStore",
    "query_time": "0.0129",
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}

	Entered date	Event description
ENS 49237	5 August 2013 13:14:00	The licensee reported the administration of a 700 cGy fractional dose instead of the 500 cGy prescribed fractional dose to a patient during GYN treatment on 8/1/13. The 700 cGy fraction was prepared for another patient. The isotope involved was Ir-192. The fraction was the second of a three fraction total dose of 1500 cGy. The final fraction will be adjusted so that the total dose to the patient is 1500 cGy. The prescribing physician had been informed. The patient will be informed of the adjustment prior to administration of the final fraction on 8/8/13. There are no anticipated adverse consequences to the patient. The cause is under investigation and the licensee is still discussing potential corrective actions. A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
ENS 49696	6 January 2014 13:21:00	The following information was provided by the State of Iowa via email: On 1/6/2014 the RSO for MidAmerican Energy Company (Louisa Generating Station), License # 0040-1-70-FG, informed IDPH (Iowa Department of Public Health) that a shutter for a fixed gauge (Texas Nuclear, Model # 5192, s/n B-2723, Source Model # 57157C, containing < 50 mCi of Cs-137) vibrated out of its bracket. This event occurred on 1/4/2014 at approximately 0730 (CST). The fixed gauge is located on a coal hopper and used for level indication. At the time of the incident the plant is online and the hopper is in use. The fixed gauge is located approximately 50 feet from the catwalk. Since the facility is online, the hopper is in use and no work can occur inside hopper, there is no exposure pathway for any individuals. The licensee has informed all of their employees that no work will be allowed in the hopper until the shutter has been repaired/reinstalled. The licensee has contacted their fixed gauge service provider (RM Wester) to perform repairs/modifications to the fixed gauge so there is no reoccurrence of this event. They are scheduled to be onsite 1/8/2014. IDPH considers this event closed. Item No.: IA140001

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