ML20059G826

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Partially Deleted Ltr Expressing Appreciation for Recipient Willingness to Continue to Serve as Consultant to Agency. Specific Details of Appointment Indicated on Encl Form NRC 50.Instructions for Obtaining Reimbursements Also Encl
ML20059G826
Person / Time
Issue date: 11/16/1981
From: Langan J
NRC OFFICE OF ADMINISTRATION (ADM)
To: Saenger E
AFFILIATION NOT ASSIGNED
Shared Package
ML20058A679 List:
References
FOIA-93-34 NUDOCS 9401250322
Download: ML20059G826 (5)
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Text

{{#Wiki_filter::g(,,r. cg'o UNITED STATES g y g p, NUCLEAR REGULATORY COMMISSION g,,, g ny WASHING T ON. D. C. 20$55 I %,.... / NOV 161881 e Sie er AT-(49-24)-1023 Modification #20 j Dear Dr. Saenger; The Nuclear Regulatory Commission appreciates your willingness to continue to serve as a consultant to the agency. The specific details of your appointment are indicated on the enclosed Fonn NRC 50. Your appointment is with the understanding that either you or the Nuclear Regulatory Commission may terminate your services at any time by giving the other notice in writing. Please indicate your acceptance of this appointment by signing the copy of this letter and returning it as soon as possible. The original of this letter should be retained for your personal files. If you should have any questions, please feel free to contact Martie Lopez-Nagle of my staff, on (301) 492-4235. Sincerely, N. U Judy A. Langan, Chief Staffing Section Staffing and Position Evaluation Branch Division of Organization and Personnel

Enclosures:

1. Form NRC 50 " Notification of Personnel Action" 2. Instructions for Obtaining Reimbursements Accepted: MAhD M./4) //- 42 if, - S' / / g Signat'ure g Date InfctmMica in th:: re:ctd was de'eted in accot.':e wit iht freedom of Information y Act, ex mptions _. 9401250322 930514 F0lA- ~Ml / PDR FOIA DAVIS 93-34 PDR [ Y$.hu jf/A'.) b 4', /-/f-/])

1 ^ 9 U. 5. NUCLEAR PEGULATORY COMMISSION INSTPUCTIONS FOR CONSULTANTS AND ADVISORS I FOR OBTAIN1hG REIMBURSEMENTS FOR PERSONAL SERVICES, TRAVEL AND MISCELLANEOUS EXPENSES i I s. I, Purpose This document provides instructions for NRC consultants and advisors relative to obtaining reimbursement for personal services, travel and miscellaneous expenses. Adherence to the " procedures stated herein will insure prompt and accurate retetursement to those individuals performing services for NRC. II. Categories of Reimbursement Consultants and advisors are reimbursed under three categories of costs; personal services (salary), travel (per diem, transportation and associated travel expenses), and miscella-neous expenses. Obtaining reimbursement within each of these categories reovires the completion and proper processing of three different types of forms. Instructions for completing the forms and their processino are given below and examples of the forms are provided as exhibits. III. Personal Services (salary). Use NRC Form 148, " Voucher for Professional Services," see Exhibit A. A. Instructions for Completing Forn, by Block 1. From: Give full name of claimant. 2. Street Address: Give full address including rip code. 3. Social Security Nur.ber: Give full social security number. 4 Attention: The NDC divisien er office that serves es the pria=ry centect te the consul ta nt. 5. City, State. Zip Code: The full address of the division or office shown above. f. Contract: Provide the full contract number and beginning and expiration dates. I 7. Period Covered: The dates of service covered by the voucher. 8 Services Perfomed: May be described in days, hours, or a combination of both; however, the total hours must agree with the total hours shown on the reverse of ~ the form. Rates of pay may be given per hour or per day as appropriate. 9. Retired Annuitant: Check yes if claimant is receiving an annuity from the Civil Service Comission or Departnent of Defense. A

10. Anount Claimed: Indicate the amounts claimed on a daily or hourly basis and the total amount being claimed.
11. Certification: The claimant must manually sign and date the claim prior to submission to the approving official.
12. Approval: This area is to be manually signed and dated by the NRC official who is cognizant of the services performed by the claimant. Approval date must not precede certification date.
13. Services Performed: This section must reflect the date, time, and total hours for each day worked during the period covered by the claim.

R. Instructions. for Submitting Form NRC-148 A signed original and two copies of the form should be sent to the responsible NRC division er office shown in the

  • Attention" box. This office will obtain the L

\\ } i required approvat signature and forward the fom to the Office of the Controller. Claimants should na sutnit the fem directly to the Payroll Office as this will only delay processing. !Y. Travel Costs (Per Diem. Transportation and Related Travel Costs), Use NRC Form 64 and 64A, " Travel voucher," see Exhibit B. A. Instructions for Completing Fom NRC-64 Detailed instructions for completing this fom are contained in NRC Manual Appendix 1501. Consultants and advisors should contact the administrative officer of the coanizant NRC division for assistance in completing the travel voucher. B. Instructions for Submitting Fem NRC-64 I This form should be submitted to the NRC division or office having cognizance of the activities of the consultant. After approval the form is forwarded to the Office of the Controller for payment. V. Miscellaneous Empenses. Use SF-1034, "Public Voucher for Purchases and Services Other Than Professional " see Exhibit C. A. Use This form is used to claim reimbursement for expenses other than those associated with salary and travel; for example, secretarial services, copying services, office facili-ties. The costs to be claimed must be authorized in the consultant agreement issued by the Division of Organization and Personnel before they can be paid by the Office of the Controller. B. Instructions for Completing Fom 5F-1034, By Block 1. Voucher Number: Vouchers should be numbered sequentially beginning with 1. 2. U. 5. Department, etc.: Address fem to U. 5. Nuclear Regulatory Cornission, Division of Accounting L-30B, Washington, DC 20555. 3. Date Youcher Prepared: Must be completed. 4 Contract Number and Date: Indicate personal services contract number effective

date, 5.

'ayee's Name and Address: Indicate full name and address, including Zip code, of claimant. 6. Articles or Services: Describe the items for which reimbursement is being claimed and give unit cost amount and total cost. Note: Receipts for all goods and/or services in excess of $15 must be attached to the SF-1034 C. Instructions for Subtritting the Forn This form should be submitted directly to the Division of Accounting at the address given in the instructions above. VI. Questions Questions relative to employment dates, conditions of employment, items covered by the agreement, etc., should be directed to the Director, Division of Organization and Personnel ADM. Questions concerning preparation and submission of the attached forms should be directed to the Director, Division of Accounting, CON. i

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18. S ALA R Y OCC UPATION CDOE Consultant NUMeER m.

AT-(49-241-1023 EF-1306-0 00 $ 170.00 pd 3 9. NAME AND LOCATION OF EMPLOY 8NG OF FICE U.S. Nuclear Regulatory Comission Office of Inspection and Enforcement Bethesda, Maryland t A

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AT-(49-24)-1023 EF-1306-0 00 $ 170.00 pd

24. NAME AND LOC ATION OF EMPLOYING OFFICE
a. ORG ANs2 ATsON CODE U.S. Nuclear Regulatory Commission Bethesda, Maryland 634-00-000-00 Office of Inspection and Enforcement
n. CaGANizATiON AssaEviATiON Bethesda, Maryland IE
25. DUTY ST ATION (C)fy-towst ry-S ta rt)
26. LOCATION CODE Bethesda, Montgomery, Maryland 24-0130-031
27. APPROPRI ATsON 2s. Pos st son oc cueis e
29. APPOR TIONE D POSITION 8

NOT APPLICABLE TO NRC POSITION I s's., a ntvAnxs: ir sEPAR AT ON ACT ON. s-Ow AEAso~s.E'o*- O*EWORG: 54-00-000-000 N Special Government Employee. Employee shall be employed no more than 130 days. Estimated nu ber of days employee is to do work is 30. Ineligible for health benefits. A L O.D.DATE

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Univceuty of Cinr sah itospital Univeesity 01 Cincinnati I Et.EfHONE (513) 872-4282 Cincinnati Gencea 'hwision Medicti Cenic, .o

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e,in...en.in ( H uo. f a, April 23, 1982 Antonia Rodriguez-Antunez, M.D. b-Cleveland Clinic g' Department of Radiation Therapy 9500 Euclid Avenue Cleveland, Ohio 44106

Dear Dr. Antunez,

In regard to our telephone conversation of April 20, 1982 concerning the' case of I received a telephone call from NIic-Region III just after speaking with you. There were several questions asked which were not covered in our conversation and since you would have to refer to your records, I am asking you to do so by letter rather than by telephone. The questions are as follows: 1. What is the thickness of the patient? It would be helpful for my report to have a copy of the treatment prescription as given. 2. Did the patient undergo proctoscopy or cystoscopy pricr to the laparotomy? If so, when were these procedures carr. < out and what were the findings. 3. What was the date of the laparotomy. What was observed at surgery. 4. I would appreciate receiving a copy of the discharge s unnary when it is completed. For your information and for that of the Cleveland Clinic, rny report is a confidential one to the Nuclear Regulator,' Commission and the information supplied by you to me will not be released verbatin publicly. r Sincerely, i information in this record was deleted in accordaate withlthe Freedom of information Eugene L. Saenger, M.D. Act,exe ns Medical Consultant l FOIA - Nuclear negulatory Conanission j ELS/sch j b Panent care. [ etocanon. noe.oatrh. Cominoneir Senvice I 1

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&,,) ) 0sl:b j'y2r$ O, APR 2 31992 Dr. Eugene L. Saenger (513-872-4282)

Dear Dr. Saenger:

This letter is to confirm our telephone agrecent of April 16, 1982, that you vill assist this office by serving as a medical consultant with respect to the misaAm4Matration described in the enclosure to this letter. Dr. Antonio Rodriquez Antunes of the Cleveland Clinic Foundation, 9500 Euclid Avenue, Clevaland, Ohio, 44106, phone 216-444-5572, the patient's therapeutic physician has been informed by our office of your participa-tion in this evaluation. A report of your findings and conclusions should be provided to us within 30 calendar days of the completion of your investigatory and advisory efforts. Picase follow the enclosed instructions in preparing and sub-mitting claims for reinbursement on a bizonthly basis. thank you for your assistance in this matter. Mr. Donald Sreniavski (312/932-2511) is the Regional Office contact for this investigation. Sincerely.. Original signed by Jams G. Keppler James G. Keppler Regional Adminiatrator

Enclosures:

1. Description of incident 2. Cuidance for consultant i 3. Instructions for submitting l claims for reimbursement cc w/ enclosure 1: HQ:RSB Regional Distribution ,e), ,WO-{ ;....pf'ra....., orr ct ' D'aUpr S uski Roy Norel s s

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~* I l 1 Description of the Misadministration Region III (Chicago) Date: April 19, 1982 Medical Consultant: Dr. Eugene L. Saenger Description of Misadministration: Dr. Antonio Rodriquez.Antunez The Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland, Ohio 44106 NRC License No. 34-00466-02 NRC Docket No. 030-00394 Date of Reported Misadministration: April 7, 1982 A patient was scheduled to begin cobalt-60 teletherapy treatments of the 12, 1982, for castration of the ovaries. This pelvic region on March ~ treatment was in conjunction with cobalt-60 teletherapy treatments of On March 10,1982, dose the patient's right breast for cancer stage 2. calculations were made for the pelvis to deliver 300 rads through the anterior port and 300 rads through the posterior port over thre-treat-time of The intended total dose to the pelvis was 1800 rads at ments. simulation. On March 12, 1982 Dr. Antunez instructed the physicist, Dr. Mills, to deliver 300 rads (150 anterior, 150 posterior) over five treatments for a total dose of 1500 rads. On March 12, 1982, treatments of the right breast and pelvis began. Just prior to the treatment on March 12, Michael Mills, Ph.D., the staff physicists, realized that Dr. Mills written orders for treatment of the pelvis had not been made. received a verbal order to deliver 300 times 5 rad for the. pelvis field. The patient vas then treated.using the March 10, 1982,' dose calculations - for 5 treatments. The last treatment.was administered on March 18, 1982. Af ter complaints-by the patient of diarrhea and abdominal discomfort, - the pelvic treatment was reviewed. On April 7,1982,. the NRC was noti-fica that 3000 rad was administered to the pelvis contrary to the pre-scribed dose of 1500 rad. F d* J}}

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