IR 05000202/2010001

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Internal Medicine Associates of Mt. Clemens, P.C. - NRC Form 592M, Inspection Report 03033050/2021001(DNMS); License: 21-26470-01 / Docket: 030-33050 / Planner: 20203502687
ML21025A017
Person / Time
Site: 03001250, 05000202
Issue date: 01/22/2021
From: Craffrey R
Division of Nuclear Materials Safety III
To: Kritzman S
Internal Medicine Associates of Mt. Clemens, PC
References
IR 2021001
Download: ML21025A017 (1)


Text

NRC FORM 592M U.S.NUCLEAR REGULATORY COMMISSION (10-2020) w ( Materials Inspection Record 1.Licensee Name: Number(s):

2.Docket Number(s)

3.License Internal Me Associates ofMt. Clemens 030-33050 21-26470-01 4.Report Number(s): 5.Date(s) ofInspection:

2021-001 January 22,2021 6.inspector(s): 7.Program Code(s): 8.Priority:9.inspection Guidance Used:

RyanCraffey 02201 5 IP87130 10.Licensee ContactName(s): 11.Licensee Address:

E-mail 12.LicenseeTelephone Number(s):

Shelli Kritzman, MS RSO

-

mkritzman@mpcphysics.com 734-662-3197 13.Inspection Type: O Initial14.Locations Inspected: 15.Next Inspection Date(MM/DD/YYYY):

2 Routine 2 Announced 2 MainOffice O Field Office gppqg 2 Normal Q Extended Q Non-RoutineQ UnannouncedQ Temporary JobSite2 Remote Q ReducedO Nochange 16.ScopeandObservations:

This wasanannounced routineinspection, conducted remotely,of a privately-owned cardiology practice authorized tousebyproduct material fordiagnostic medical purposes atitsfacility in Mount Clemens, Michiga Atthe time of theinspection, onepart-time nuclear medicine technologist performed up tofive procedures per day(cardiac stress tests andonrare occasion a MUGAstudy) onMondays andTuesdays,and every other Thursda Thelicensee used only unit doses ofradiopharmaceuticals andretained theservices ofa consulting medical physicist tofulfillthe duties ofRSO,calibrate its survey instruments, andaudit theradiation safetyprogram quarterly.

PERFORMANCE OBSERVATIONS Using a video teleconference platform, thelicensee's RSOprovided theinspector witha walk-through ofthe clinic at 133South Main Street inMount Clemens, including a review ofequipment andlicensed material presen The facility appeared tobeadequately posted andall material appeared tobeadequately secured. The inspector observed theRSOperform survey instrument checks, dose calibrator qualitycontrol checks, andsealed source leak testin Theinspector alsoobserved thelicensee's nuclear medicine technologist perform demonstrations of package receipt, dose preparation,radioactive waste handling, andarea survey Atthe direction ofthe inspector, thetechnologist performed additional surveys inrestricted andunrestricted areas ofthefacilit Noevidence of residual contamination or exposures tomembers ofthe public inexcess ofregulatory limits werenoted from any of these survey Theinspector alsointerviewed theRSO,technologist, andthelicensee's office manager todiscuss thestatus oftheprogram anda variety ofradiation safety topics. Through these discussions andthe aforementioned observations, thelicensee's staffdemonstrated proficiency inALARApractices anda thorough understanding oflicensee procedures, regulatory limits andother NRCrequirements.

Theinspector also reviewed a selection ofrecords, including quarterly consultant audits,documentation ofvarious surveys andinstrument qualityassurance sealed checks, source inventories andleak test results, dose administration records, andpersonnel dosimetry reports.

Noviolations ofNRCrequirements wereidentified asa result ofthis inspection.

NRCForm592M(10-2020) Page1of1