ENS Event | |
|---|---|
04:00 Aug 16, 2018 | |
| Title | Agreement State Report - Lost I-125 Brachytherapy Seed |
| Event Description | The following was received from the State of Florida:
[The State of Florida Bureau of Radiation Control] received a call from [the Medical Physicist] to report the loss of a [190 microCurie] I-125 brachytherapy seed. It is believed that the seed was removed from a patient between July 25 and 26 and placed into the biohazard waste container. The lost seed was discovered missing on Aug. 7th and all attempts to locate the seed have failed. There was no adverse outcome in patient care from this incident. No personnel or general public exposure would have been significant based upon the low exposure rate and the nature of controlled biohazard waste. The waste was incinerated. The majority of the radioactivity would have been released through the stack with minimal residual activity. No environmental impact is expected. Corrective actions taken include reeducation of proper documentation methods and reeducation of the proper use and checkoff of the inventory log. Florida Incident Report #: FL18-110 THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf |
| Where | |
|---|---|
| Florida Hospital Altamont Springs, Florida (NRC Region 1) | |
| License number: | 2897-1 |
| Organization: | Florida Bureau Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+317.5 h13.229 days <br />1.89 weeks <br />0.435 months <br />) | |
| Opened: | Tim Dunn 09:30 Aug 29, 2018 |
| NRC Officer: | Ossy Font |
| Last Updated: | Aug 29, 2018 |
| 53571 - NRC Website | |
Florida Hospital with Agreement State | |
WEEKMONTHYEARENS 535712018-08-16T04:00:00016 August 2018 04:00:00
[Table view]Agreement State Agreement State Report - Lost I-125 Brachytherapy Seed 2018-08-16T04:00:00 | |