Event Notification Report for April 28, 2025
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/27/2025 - 04/28/2025
Hospital
Event Number: 57688
Rep Org: Charleston Area Medical Center
Licensee: Charleston Area Medical Center
Region: 1
City: Charleston State: WV
County:
License #: 47-15473-01
Agreement: N
Docket:
NRC Notified By: Kim Lowe
HQ OPS Officer: Ian Howard
Licensee: Charleston Area Medical Center
Region: 1
City: Charleston State: WV
County:
License #: 47-15473-01
Agreement: N
Docket:
NRC Notified By: Kim Lowe
HQ OPS Officer: Ian Howard
Notification Date: 05/04/2025
Notification Time: 20:40 [ET]
Event Date: 04/28/2025
Event Time: 10:00 [EDT]
Last Update Date: 05/04/2025
Notification Time: 20:40 [ET]
Event Date: 04/28/2025
Event Time: 10:00 [EDT]
Last Update Date: 05/04/2025
Emergency Class: Non Emergency
10 CFR Section:
35.3045(a)(1)(i) - Dose <> Prescribed Dosage
10 CFR Section:
35.3045(a)(1)(i) - Dose <> Prescribed Dosage
Person (Organization):
Lally, Christopher (R1DO)
NMSS_Events_Notification, (EMAIL)
Lally, Christopher (R1DO)
NMSS_Events_Notification, (EMAIL)
MEDICAL EVENT
The following is a summary of information provided by the licensee via phone:
On April 28th, 2025, at 1000 EDT, a patient receiving Y-90 Therasphere treatment was prescribed to receive 301 Gy from three different vials. While administering the third vial, not all of the dose was received by the patient which resulted in the patient receiving 71.2 percent of the total expected dose. The cause of the patient not receiving the third full dose is still under investigation. This medical event is being reported as a dose that differs from the prescribed dose by more than 20 percent.
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
The NRC regional office has been notified.
The following is a summary of information provided by the licensee via phone:
On April 28th, 2025, at 1000 EDT, a patient receiving Y-90 Therasphere treatment was prescribed to receive 301 Gy from three different vials. While administering the third vial, not all of the dose was received by the patient which resulted in the patient receiving 71.2 percent of the total expected dose. The cause of the patient not receiving the third full dose is still under investigation. This medical event is being reported as a dose that differs from the prescribed dose by more than 20 percent.
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
The NRC regional office has been notified.
Power Reactor
Event Number: 57683
Facility: Cooper
Region: 4 State: NE
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: Bailey Giles
HQ OPS Officer: Troy Johnson
Region: 4 State: NE
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: Bailey Giles
HQ OPS Officer: Troy Johnson
Notification Date: 04/28/2025
Notification Time: 14:00 [ET]
Event Date: 04/28/2025
Event Time: 10:26 [CDT]
Last Update Date: 04/28/2025
Notification Time: 14:00 [ET]
Event Date: 04/28/2025
Event Time: 10:26 [CDT]
Last Update Date: 04/28/2025
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(xiii) - Loss Comm/Asmt/Response
10 CFR Section:
50.72(b)(3)(xiii) - Loss Comm/Asmt/Response
Person (Organization):
Agrawal, Ami (R4DO)
Agrawal, Ami (R4DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
EN Revision Imported Date: 4/30/2025
EN Revision Text: LOSS OF OFF-SITE COMMUNICATION
The following information was provided by the licensee via phone and email:
"On 4/28/2025, at 1026 CDT, the National Weather Service notified Cooper Nuclear Station that the Shubert tower is disabled due to planned maintenance. The planned maintenance will continue from Monday, 4/28/2025 to Wednesday, 4/30/2025. This constitutes a loss of the primary public prompt notification system for greater than 24 hours. The Shubert tower transmitter activates the emergency alert system/tone alert radios used for public notification. The backup notification system has been verified to be available for use, if needed, throughout this period. This condition is reportable under 10 CFR 50.72(b)(3)(xiii) as a major loss of the public prompt notification system capability since the backup alert methods do not meet the primary systems design objective.
"The NRC Resident Inspector has been notified."
The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
The National Weather Service notified the local authorities that the Shubert tower is disabled due to planned maintenance.
EN Revision Text: LOSS OF OFF-SITE COMMUNICATION
The following information was provided by the licensee via phone and email:
"On 4/28/2025, at 1026 CDT, the National Weather Service notified Cooper Nuclear Station that the Shubert tower is disabled due to planned maintenance. The planned maintenance will continue from Monday, 4/28/2025 to Wednesday, 4/30/2025. This constitutes a loss of the primary public prompt notification system for greater than 24 hours. The Shubert tower transmitter activates the emergency alert system/tone alert radios used for public notification. The backup notification system has been verified to be available for use, if needed, throughout this period. This condition is reportable under 10 CFR 50.72(b)(3)(xiii) as a major loss of the public prompt notification system capability since the backup alert methods do not meet the primary systems design objective.
"The NRC Resident Inspector has been notified."
The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
The National Weather Service notified the local authorities that the Shubert tower is disabled due to planned maintenance.