Event Notification Report for April 30, 2002

                         
                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           04/29/2002 - 04/30/2002

                              ** EVENT NUMBERS **

38879  38881  

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38879       |
+------------------------------------------------------------------------------+
                         
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  OHIO BUREAU OF RADIATION PROTECTION  |NOTIFICATION DATE: 04/26/2002|
|LICENSEE:  RIVERSIDE METHODIST HOSPITAL         |NOTIFICATION TIME: 13:06[EDT]|
|    CITY:  COLUMBUS                 REGION:  3  |EVENT DATE:       04/23/2002 |
|  COUNTY:                            STATE:  OH |EVENT TIME:            [EDT] |
|LICENSE#:  02120-250070          AGREEMENT:  Y  |LAST UPDATE DATE: 04/26/2002 |
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON         ORGANIZATION  |
|                                                |JOHN JACOBSON        R3      |
|                                                |DOUGLAS BROADDUS    NMSS     |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  MARK LIGHT                   |                             |
|  HQ OPS OFFICER:  RICH LAURA                   |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                  
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT OF A MEDICAL MISADMINISTRATION                        |
|                                                                              |
| A medical misadministration occurred on April 23, 2002 that resulted in the  |
| patient receiving a 36% overdose (i.e., 10.9 gray vice 8 gray) during        |
| brachytherapy to treat coronary vessels.  The isotope being used for the     |
| treatment is IR-192. The error was discovered on April 25, 2002 when the     |
| hospital was setting up to treat another patient.  Specifically, a wrong     |
| decay table was used in the calculations.  No adverse effect on the patient  |
| was anticipated.  The patient has been notified.                             |
|                                                                              |
| The State reported that RIII (K. NULL) has been notified.                    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38881       |
+------------------------------------------------------------------------------+
                         
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: LASALLE                  REGION:  3  |NOTIFICATION DATE:04/27/2002 |
|    UNIT:  [1] [2] []                STATE:  IL |NOTIFICATION TIME:15:51[EDT] |
|   RXTYPE: [1] GE-5,[2] GE-5                    |EVENT DATE:        4/27/2002 |
+------------------------------------------------+EVENT TIME:        11:40[CDT]|
| NRC NOTIFIED BY:  GRANLUND                     |LAST UPDATE DATE:  04/29/2002|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON         ORGANIZATION  |
|EMERGENCY CLASS:          NON EMERGENCY         |JOHN JACOBSON        R3      |
|10 CFR SECTION:                                 |                             |
|APRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RXMODE    |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|2     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| OFFSITE NOTIFICATION REGARDING A BOATING ACCIDENT ON THE SITE'S COOLING      |
| LAKE                                                                         |
|                                                                              |
| On April 27, 2002, at 1140 CDT, the Main Control Room received a report from |
| Outside Rounds Operator that a fishing boat had capsized on the station      |
| cooling lake and that two individuals aboard the capsized boat were at the   |
| Wastewater Treatment Facility after swimming ashore.  One individual aboard  |
| the capsized boat remains missing.  Currently, the boat has been recovered,  |
| but after a search of the lake perimeter, the third individual remains       |
| missing.  The Ottawa Search and Rescue Team was on site to perform rescue    |
| operations but has determined that lake conditions are too rough to perform  |
| a water based rescue operation.  State Police and LaSalle County Sheriff     |
| have been notified.  Marseilles and Seneca Fire Departments are coming to    |
| the site to assist in a ground search.   Department of Natural Resources     |
| officials are also assisting with the missing person search.                 |
|                                                                              |
| The NRC Resident Inspector was notified.                                     |
|                                                                              |
| ***** UPDATE FROM LARRY BLUNK TO LEIGH TROCINE AT 1245 EDT ON 04/29/02       |
| *****                                                                        |
|                                                                              |
| At approximately 0940 CDT on 04/29/02, the body of the individual missing    |
| from the boating accident was found in LaSalle's cooling lake.  The LaSalle  |
| County Coroner responded to the scene and took possession of the body. All   |
| parties subsequently left the vicinity of the station.                       |
|                                                                              |
| The licensee notified the NRC resident inspector.  The NRC operations        |
| officer notified the R3DO (Brent Clayton).                                   |
+------------------------------------------------------------------------------+


Page Last Reviewed/Updated Wednesday, March 24, 2021