Event Notification Report for January 22, 2025
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
01/21/2025 - 01/22/2025
EVENT NUMBERS
57507
57507
Agreement State
Event Number: 57507
Rep Org: New York State Dept. of Health
Licensee: Confidential - NY Medical Licensee
Region: 1
City: Confidential - NY State: NY
County:
License #: Confidential - NY Medical Licensee
Agreement: Y
Docket:
NRC Notified By: Nathaniel A. Kishbaugh
HQ OPS Officer: Josue Ramirez
Licensee: Confidential - NY Medical Licensee
Region: 1
City: Confidential - NY State: NY
County:
License #: Confidential - NY Medical Licensee
Agreement: Y
Docket:
NRC Notified By: Nathaniel A. Kishbaugh
HQ OPS Officer: Josue Ramirez
Notification Date: 01/23/2025
Notification Time: 12:15 [ET]
Event Date: 01/22/2025
Event Time: 13:00 [EST]
Last Update Date: 01/23/2025
Notification Time: 12:15 [ET]
Event Date: 01/22/2025
Event Time: 13:00 [EST]
Last Update Date: 01/23/2025
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Gray, Mel (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Gray, Mel (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - OCCUPATIONAL DOSE EXCEEDANCE (EXTREMITY)
The following is a summary of information received from the New York State Department of Health Bureau of Environmental Radiation Protection (NYSDOH) via phone and email:
NYSDOH was notified on January 22, 2025, that an interventional radiologist had exceeded the occupational dose for extremities (50 rem in a calendar year) for 2024. The radiologist routinely performs yttrium-90 microspheres and x-ray fluoroscopic procedures, and it is unclear what the primary cause is of this overexposure. The left-ring badge dosimeter for this authorized user indicated doses of 92.395 Rem for year 2024. This investigation will include the procedure(s) that have been performed to outline potential causes for these elevated extremity doses.
The licensed medical facility's radiation safety officer immediately provided a written notification to the affected authorized user and is performing a root cause analysis to further identify primary and contributing causes of this overexposure. NYSDOH is closely monitoring this event and has assigned NYSDOH incident No. 1513. More information will be provided to NMED once available.
NY event number: NY-25-01
The following is a summary of information received from the New York State Department of Health Bureau of Environmental Radiation Protection (NYSDOH) via phone and email:
NYSDOH was notified on January 22, 2025, that an interventional radiologist had exceeded the occupational dose for extremities (50 rem in a calendar year) for 2024. The radiologist routinely performs yttrium-90 microspheres and x-ray fluoroscopic procedures, and it is unclear what the primary cause is of this overexposure. The left-ring badge dosimeter for this authorized user indicated doses of 92.395 Rem for year 2024. This investigation will include the procedure(s) that have been performed to outline potential causes for these elevated extremity doses.
The licensed medical facility's radiation safety officer immediately provided a written notification to the affected authorized user and is performing a root cause analysis to further identify primary and contributing causes of this overexposure. NYSDOH is closely monitoring this event and has assigned NYSDOH incident No. 1513. More information will be provided to NMED once available.
NY event number: NY-25-01