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Violation Tracker Individual Record

Company: Avera McKennan Hospital
Current Parent Company: Avera Health
Penalty: $11,200
Year: 2012
Date: October 3, 2012
Offense Group: safety-related offenses
Primary Offense: nuclear safety violation
Violation Description: On October 3, 2012, an NOV and Proposed Imposition of a Civil Penalty in the amount of $11,200 was issued to Avera McKennan Hospital for a SL II violation involving the failure to maintain written procedures to provide high confidence that each treatment is in accordance with the physician's written directive as required by 10 CFR 35.41. Specifically, on January 16 and 17, 2012, procedures related to high dose-rate remote afterloader treatments failed to 1) verify a brachytherapy treatment was in accordance with the treatment plan and written directive as required by 10 CFR 35.41(b)(2); 2) check both manual and computer-generated dose calculations as required by 10 CFR 35.41(b)(3); and (3) verify that any computer-generated dose calculations were correctly transferred into the consoles of therapeutic medical units as required by 10 CFR 35.41(b)(4). This violation was repeated, resulting in radiation underexposures to the intended treatment site and exposures to an unintended site on two consecutive days. As a result of the licensee's performance, the NRC used enforcement discretion in accordance with Section 3.6 of the Enforcement Policy to double the base civil penalty for a SLII violation.
Level of Government: federal
Action Type: agency action
Agency: Nuclear Regulatory Commission
Civil or Criminal Case: civil
HQ Country of Current Parent: USA
HQ State of Current Parent: South Dakota
Ownership Structure of Current Parent: non-profit
Major Industry of Current Parent: healthcare services
Specific Industry of Current Parent: hospitals
Source of Data: (click here)
Source Notes: If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Current parent company note: Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.