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NRC CAL – NOV (SL III)

EA-09-039 · CAL · Severity SLIII · Issued 2009-05-22 · Materials Licensees

Action

EA Number
EA-09-039
Licensee
NOV (SL III)
Category
Materials Licensees
Action type
CAL
Severity level
SLIII
Date issued
2009-05-22

Description

On May 22, 2009, the NRC issued a Notice of Violation to Walter Reed Medical Center (WRAMC) for a SL III problem involving: (1) the failure to control radioactive material not in storage as required by 10 CFR 20.1802 and (2) a failure to provide adequate radiation safety instruction to a medical student, who provided care to a brachytherapy patient; and a Severity Level III violation involving a failure to provide event notification as required, in a timely manner. Specifically, on November 14, 2008, the licensee lost control of the brachytherapy sources for approximately 5.5 hours when a medical student, who had not been trained on the safe handling and shielding of brachytherapy sources, inadvertently removed three ribbons containing iridium-192 from a patient's bandage and improperly disposed of the sources. Consequently the sources were improperly transported to the trash compactor, an uncontrolled area, on the WRAMC loading dock. In addition, the WRAMC did not notify the NRC until November 19, 2008, five days after this event.

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