ML18215A215
| ML18215A215 | |
| Person / Time | |
|---|---|
| Site: | 03014235 |
| Issue date: | 07/23/2018 |
| From: | Nieves Folch L A NRC/RGN-III |
| To: | Hammond B W Diagnostic Health Services |
| References | |
| IR 2018001 | |
| Download: ML18215A215 (3) | |
Text
NRC FORM 591M PART 1 U.S. NUCLEAR REGULA TORY COMMISSION (07-2012) 10 CFR2.201 SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION
- 1. LICENSEE/LOCATION INSPECTED:
Diagnostic Health Services 2025-A Broadway St. P.O. Box 1565 Mt. Vernon, IL 62864 REPORT NUMBER(S) 2018001 3. DOCKET NUMBER(S) 030-14235 LICENSEE:
- 2. NRC/REGIONAL OFFICE 4. LICENSE NUMBER(S) 12-13568-02 Region III U. S. Nuclear Regulatory Commission 2443 Warrenville Road, Suite 210 Lisle, IL 60532-4352
- 5. DATE(S) OF INSPECTION 7/,;23 /u1i The inspection was an examination of the activities conducted under your license as they relate to radiation safety and to compliance with the Nuclear Regulatory Commission (NRC) rules and regulations and the conditions of your license. The inspection consisted of selective examinations of proc~s and representative records, interviews with personnel, and observations by the inspector.
The inspection findings are as follows: @' 1. Based on the inspection findings, no violations were identified.
Previous violation(s) closed. D 2. D 3. The violations(s), specifically described to you by the inspector as non-cited violations, are not being cited because they were self-identified, non-repetitive, and corrective action was or is being taken, and the remaining criteria in the NRC Enforcement Policy, to exercise discretion, were satisfied.
Non-cited violation(s) were discussed involving the following requirement(s):
D 4. During this inspection, certain of your activities, as described below and/or attached, were in violation of NRC requirements and are being cited in accordance with NRC Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in accordance with 10 CFR 19.11. (Violations and Corrective Actions) Statement of Corrective Actions I hereby state that, within 30 days, the actions described by me to the Inspector will be taken to correct the violations identified.
This statement of corrective actions is made in accordance with the requirements of 10 CFR 2.201 (corrective steps already taken, corrective steps which will be taken, date when full compliance will be achieved).
I understand that no further written response to NRC will be required, unless specifically requested.
TITLE LICENSEE'S REPRESENTATIVE PRINTED NAME NRC INSPECTOR Luis Nieves Folch BRANCH CHIEF Aaron T. Mccraw NRC FORM 591M PART 1 (07-2012)
SIGNATURE DATE NRC FORM 591M PART 3 (07-2012) 10 CFR2.201 U.S. NUCLEAR REGULATORY COMMISSION Docket File Information SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION
- 1. LICENSEE/LOCATION INSPECTED:
Diagnostic Health Services 2025-A Broadway St. P.O. Box I 565 Mt. Vernon, IL 62864 REPORT NUMBER(S) 20 I 800 I 3. DOCKET NUMBER(S) 030-14235
- 6. INSPECTION PROCEDURES USED 87131 2. NRC/REGIONAL OFFICE 4. LICENSE NUMBER(S)
I 2-I 3568-02 Region III U.S. Nuclear Regulatory Commission 2443 Warrenville Road, Suite 210 Lisle, IL 60532-4352
- 5. DATE(S) OF INSPECTION July 23, 2018 7. INSPECTION FOCUS AREAS 03.01-03.08 SUPPLEMENTAL INSPECTION INFORMATION
- 1. PROGRAM CODE(S) 02220 2. PRIORITY 3 3. LICENSEE CONTACT Bruce W. Hammond 4. TELEPHONE NUMBER (8 I 7) 658-0487 D Main Office Inspection Next Inspection Date: July 23, 202 I [l] Field Office Inspection Sullivan, Indiana ------------------
D Temporary Job Site Inspection
PROGRAM SCOPE This was an unannounced, routine inspection of a mobile medical services licensee authorized by its NRC license to use unsealed byproduct material for diagnostic procedures under IO CFR 35. 100 and 35.200 at facilities in Clinton and Sullivan, Indiana and any temporary job sites in NRCjurisdiction.
A local radiopharmacy delivered unit doses to the hospital for a variety of diagnostic procedures.
The clinic employed one full-time nuclear medicine technologist who staffed the department on Monday, Thursday and Friday at the Sullivan location and Tuesday, Wednesday and Thursday at the Clinton location.
The licensee performed approximately eight diagnostic studies per week. The licensee did not administer any I-I 3 I or any other therapies.
PERFORMANCE OBSERVATIONS The inspector toured the nuclear medicine laboratory and observed the licensee demonstrate package receipt surveys and instrument quality control checks. The licensee demonstrated preparation and administration of radioactive material, because there were no patient administrations scheduled at the time of the inspection.
The inspector performed independent surveys of the hot lab and other areas of the nuclear medicine department and found no contamination or exposures to members of the public distinguishable from background.
The licensee demonstrated adequate knowledge of radiation safety principles and practices through interviews.
The inspector reviewed quarterly audit reports, spill reports, and documentation of package receipt, area surveys, instrument quality control, waste disposal, and employee training.
The inspector also reviewed monthly dosimetry reports, which indicated annual whole-body and extremity doses below regulatory limits. No violations ofNRC requirements were identified during this inspection.
NRG FORM 591M PART 3 (07-2012)
NRC FORM 591M PART 3 (07-2012) 10 CFR2.201 U.S. NUCLEAR REGULATORY COMMISSION Docket File Information SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION
- 1. LICENSEE/LOCATION INSPECTED:
Diagnostic Health Services 2025-A Broadway St. P.O. Box 1565 Mt. Vernon, IL 62864 REPORT NUMBER(S) 2018001 3. DOCKET NUMBER(S) 030-14235
- 6. INSPECTION PROCEDURES USED 87131 2. NRG/REGIONAL OFFICE 4. LICENSE NUMBER(S) 12-13568-02 Region III U.S. Nuclear Regulatory Commission 2443 Warrenville Road, Suite 210 Lisle, IL 60532-4352
- 5. DATE(S) OF INSPECTION July 23, 2018 7. INSPECTION FOCUS AREAS 03.01-03.08 SUPPLEMENTAL INSPECTION INFORMATION
- 1. PROGRAM CODE(S) 02220 2. PRIORITY 3. LICENSEE CONTACT Bruce W. Hammond 4. TELEPHONE NUMBER 3 (817) 65 8-0487 D Main Office Inspection Next Inspection Date: July 23, 2021 [l] Field Office Inspection Sullivan, Indiana ------------------
D Temporary Job Site Inspection
PROGRAM SCOPE fc.c..:);h't.!> This was an unannounced, routine inspection of a mobile medical services licensee a. uthorized by its N&e'i'icense to use unsealed byproduct material for diagnostic procedures under 10 CFR 35.10&8P~5.200 at~ in-Clinton and Sullivan, Indiana and any temporary job sites in NRC jurisdiction.
A local radidpt('armacy delivered unit doses to the hospital for a variety of diagnostic procedures.
The clinic employed one full-time nuclear medicine technologist who staffed the department on Monday, Thursday and Friday at Sullivan location and Tuesd~ednesday and Thursday .it,-; "( Clinton location.
The licensee performed approximately eig~ diagnostic studies per we~The licensee did not administer any I-131 or any other therapies.
7'.t. PERFORMANCE OBSERVATIONS The inspector toured the nuclear medicine laboratory and observed the licensee demonstrate package receipt surveys and instrument quality control checks. The licensee demonstrated preparation and administration of radioactive material, because there were no patient administrations scheduled at the time of the inspection.
The inspector performed independent surveys of the hot lab and other areas of the nuclear medicine department and found no contamination or exposures to members of the public distinguishable from background.
The licensee demonstrated adequate knowledge of radiation safety principles and practices through interviews.
The inspector reviewed quarterly audit reports, spill reports, and documentation of package receipt, area surveys, instrument quality control, waste disposal, and employee training.
The inspector also reviewed monthly dosimetry reports, which indicated annual whole-body and extremity doses below regulatory limits. No violations ofNRC requirements were identified during this inspection.
NRG FORM 591 M PART 3 (07-2012)