ENS 54022
ENS Event | |
|---|---|
07:00 Apr 23, 2019 | |
| Title | Washington Agreement State Report - Lost and Found Radioactive Material |
| Event Description | The following information was received from the state of Washington via email:
Swedish Medical Center notified the state of Washington that a lead pig, containing 50 mCi (1.86 GBq) of Y-90 Sir-Spheres, was picked up for lead recycling. When the recycling company (Stericycle) came to collect all the lead pigs, a tech let the company into the waste room to collect the pigs not knowing that one of the pigs contained the Y-90 material left over from a treatment on Friday the 19th of April 2019. On April 23rd, the RSO [radiation safety officer] was reviewing the lead disposal paperwork and realized the material was sent out with the other lead pigs and notified the State. The RSO called the recycling company and was told the pigs were still in a drum and had not been processed. They will be returning the drum to the medical center on April 24th, 2019 and the RSO will notify the State when it arrives. WA Event Report ID No.: WA-19-014 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 Note: This device is assigned an IAEA Category 3 value based on the actual radioactivity of the source, not on the device type. (Reference IAEA RG-G-1.9) |
| Where | |
|---|---|
| Swedish Medical Center Seattle, Washington (NRC Region 4) | |
| License number: | M008 |
| Organization: | Wa Office Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+12.55 h0.523 days <br />0.0747 weeks <br />0.0172 months <br />) | |
| Opened: | Tristan Hay 19:33 Apr 23, 2019 |
| NRC Officer: | Howie Crouch |
| Last Updated: | Apr 23, 2019 |
| 54022 - NRC Website | |
Swedish Medical Center with Agreement State | |
WEEKMONTHYEARENS 569302024-01-19T20:00:00019 January 2024 20:00:00
[Table view]Agreement State Y-90 Microsphere Misadministration ENS 540222019-04-23T07:00:00023 April 2019 07:00:00 Agreement State Washington Agreement State Report - Lost and Found Radioactive Material ENS 538042018-12-19T08:00:00019 December 2018 08:00:00 Agreement State En Revision Imported Date 1/18/2019 ENS 537942018-12-15T07:00:00015 December 2018 07:00:00 Agreement State Agreement State Report - Medical Misadministration ENS 533772018-01-23T18:30:00023 January 2018 18:30:00 Agreement State Agreement State Report - Patient Received Dose Less than Prescribed Dose ENS 435352007-07-17T17:00:00017 July 2007 17:00:00 Agreement State Agreement State Report - Six Lost Palladium - 103 Seeds ENS 415012005-03-17T20:00:00017 March 2005 20:00:00 Agreement State Argeement State Medical Event ENS 410782004-09-24T07:00:00024 September 2004 07:00:00 Agreement State Agreement State Report ENS 403372003-11-17T08:00:00017 November 2003 08:00:00 Agreement State Patient Received an Overdose During a Brachytherapy Procedure 2024-01-19T20:00:00 | |