# NRC CAL – NOV (SL III)
> **EA-09-040** · CAL · Severity SLIII · Issued 2010-01-21 · Materials Licensees
## Action
- **EA Number:** EA-09-040
- **Licensee:** NOV (SL III)
- **Category:** Materials Licensees
- **Action type:** CAL
- **Severity level:** SLIII
- **Date issued:** 2010-01-21
## Description

On January 21, 2010, the NRC issued a Notice of Violation to CJW Medical Center - Johnston-Willis Campus for a violation of 10 CFR 35.41(a)(2) associated with a Severity Level III violation involving the failure to develop, implement, and maintain written procedures to provide high confidence that each administration is in accordance with written directives. Specifically, as of December 16, 2008, the licensee's procedures did not require verification of the treatment site nor resolution of any inconsistencies in the written directive prior to administration of the dose. This resulted in a patient receiving treatment to the left trigeminal nerve instead of to the originally-intended site (right trigeminal nerve).

## Source
- [Full enforcement letter (PDF)](https://www.nrc.gov/docs/ML1002/ML100220930.pdf)
- [NRC Materials Licensees index](https://www.nrc.gov/reading-rm/doc-collections/enforcement/actions/materials/)
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