Information Notice 1986-98, Offsite Medical Services

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Offsite Medical Services
ML031250230
Person / Time
Site: Beaver Valley, Millstone, Hatch, Monticello, Calvert Cliffs, Dresden, Davis Besse, Peach Bottom, Browns Ferry, Salem, Oconee, Mcguire, Nine Mile Point, Palisades, Palo Verde, Perry, Indian Point, Fermi, Kewaunee, Catawba, Harris, Wolf Creek, Saint Lucie, Point Beach, Oyster Creek, Watts Bar, Hope Creek, Grand Gulf, Cooper, Sequoyah, Byron, Pilgrim, Arkansas Nuclear, Three Mile Island, Braidwood, Susquehanna, Summer, Prairie Island, Columbia, Seabrook, Brunswick, Surry, Limerick, North Anna, Turkey Point, River Bend, Vermont Yankee, Crystal River, Haddam Neck, Ginna, Diablo Canyon, Callaway, Vogtle, Waterford, Duane Arnold, Farley, Robinson, Clinton, South Texas, San Onofre, Cook, Comanche Peak, Yankee Rowe, Maine Yankee, Quad Cities, Humboldt Bay, La Crosse, Big Rock Point, Rancho Seco, Zion, Midland, Bellefonte, Fort Calhoun, FitzPatrick, McGuire, LaSalle, 05000000, Zimmer, Fort Saint Vrain, Shoreham, Satsop, Trojan, Atlantic Nuclear Power Plant, Skagit, Marble Hill
Issue date: 12/02/1986
From: Jordan E
NRC/IE
To:
References
IN-86-098, NUDOCS 8611260006
Download: ML031250230 (14)


SSINS No.: 6835 IN 86-98 UNITED STATES

NUCLEAR REGULATORY COMMISSION

OFFICE OF INSPECTION AND ENFORCEMENT

WASHINGTON, D.C. 20555 December 2, 1986 IE INFORMATION NOTICE NO. 86-98: OFFSITE MEDICAL SERVICES

Addressees

All nuclear power reactor facilities holding an operating license or a con- struction permit.

Purpose

This information notice is provided to bring to the attention of licensees a

new Commission policy on offsite medical services around nuclear power plants

and a Federal Emergency Management Agency (FEMA) guidance memorandum addressing

that policy. It is suggested that recipients review the information for appli- cability to their facilities. No written response is required.

Description of Circumstances

Attached is FEMA Guidance Memorandum MS-1, "Medical Services," that addresses

implementation of the Commission policy on offsite medical services published

on September 17, 1986 in the Federal Register (51 FR 32904).. This Guidance

Memorandum was prepared in coordinatio with the NO staff. As noted in the

referenced policy statement, the Commission has determined that these modifi- cations fall under the backfit rule's exception as necessary to bring facili- ties into compliance with a rule of the Commission.

No written response is required by this information notice. If you have any

questions about this matter, please contact the Regional Administrator of the

appropriate regional office or this office.

IarL. [ordan, Director

Division Emergency Preparedness

and Engineering Response

Office of Inspection and Enforcement

Attachments:

1. FEMA Guidance Memorandum MS-1

2. List of Recently Issued IE Information Notices

Technical Contact:

Edward M. Podolak, IE

(301) 492-7290

8611260006

Attachment 1 IN 86-98 December 2, 1986 Federal Emergency Management Agency

Washington, D.C. 20472 MEMORMNDM FOR: Regional Directors

Acting Pegional Directors t

FI4: ( W Coghlin

f'pute Associate Director

State and Local Programs and SUPport

SUBJECT: Guidance Memorandum (@1) MS-I, Medical Services

The attached GM MS-1, Medical Services, is forwarded for your use in

providing guidance to State and local officials in developing their

radiological emergency response plans and in evaluating the medical

services capabilities of State and local governments.

The origins of this GM and its development and approval have been somewhat

different from other GM's. This GM was developed as a result of a series

of legal decisions involving NRC which determined that the existing

interpretation of the required pre-accident medical arrangements for

contaminated injured individuals was not sufficient. Those decisions led

NRC to issue a policy statement (Attachment B) on September 17, 1986, indicating that the NRC staff (in cotsultation with FEMA) would develop

detailed guidance on the necessary pre-accident arrangements for medical

services by November 17, 1986.

We have worked closely with NRC in recent weeks in the preparation of

this guidance. Unfortunately, the short deadline did not permit our

usual procedure of obtaining Regional and other oamrents before issuing

this final guidance.

If you have any questions about MS-1, you may contact James Thoaws at

646-2808. A list of all current operative Q4's (Attachment C) is also

provided for your information.

ATTACHMENTS:

A. GM MS-I, Medical Services

B. Emergency Planning - Medical Services, September 17, 1986, 51 FR 32904 C. List of Operative GM's

Attachment 1 IN 86-98 December 2, 1986 Federal Emergency Management Agency

Washington, D.C. 20472 NOV 13 1986 GUIDANCE MEMORANDUM MS-1 MEDICAL SERVICES

Purpose

This Guidance Memorandum (GM) provides interpretation and clarification of

requirements contained in the Nuclear Regulatory Cormnission rule, 10 CFR 50.47 (b)(12) and the associated guidance in NUREG-0654/FEMA-REP-1, Revision 1, re- lated to the provision of medical services for members of the general public.

Background

The background is contained in a policy statement from the Nuclear Regulatory

Commission (NRC) titled 'Emergency Planning - Medical Serviceso (51 FR 32904).

In this policy statement, NRC states its belief that 10 CFR 50.47(b)T12)

("arrangements are made for medical services for contaminated injured

individuals") requires pre-accident arrangements for medical services (beyond

the maintenance of a list of treatment facilities) for individuals who might be

severely exposed to dangerous levels of offsite radiation following an accident

at a nuclear power plant. As used in 10 CFR 50.47(b)(12) and planning Standard

"L" of NUREG-0654/FEMA-REP-I, Revision 1, the temm contaminated injured' means

1) contaminated and otherwise physically injured; 2) contaminated and exposed to

dangerous levels of radiation; or 3) exposed to dangerous levels of radiation.

Guidance

10 CFR 50.47 (b)(12) requires that "Arrangements are made for contaminated

injured individuals." In its policy statement the NRC determined that this

standard requires pre-accident arrangements for medical services for offsite

individuals who might be exposed to dangerous levels of radiation following an

accident at a nuclear power plant. The following guidance applies to the eval- uation of the medical services aspects of State and local emergency plans under

the criteria in NUREG-0654/FEMA-REP-I.

Standards, Evaluations Criteria, Areas of Reviews and Acceptance Criteria

A. Assignment of Responsibility (Organization Control)

Planning Standard

Primary responsibilities for emergency response by the nuclear facility

licensee, and by State and local organizations within the Emergency Planning

Zones have been assigned, the emergency responsibilities of the various sup- porting organizations have been specifically established, and each principal

response organization has staff to respond and to augment its Initial response

on a continuous basis.

Attachment 1 IN 86-98_

December 2, 1986 -2-

A.3. Evaluation Criterion

Each plan shall include written agreements referring to the concept of

operations developed between Federal, State, and local agencies and other

support organizations having an emergency response role within the Emergency

Planning Zones. The agreements shall identify the emergency measures to be

provided and the mutually acceptable criteria for their implementation, and

specify the arrangements for exchange of information. These agreements may be

provided in an appendix to the plan or the plan itself may contain descriptions

of these matters and a signature page in the plan may serve to verify the

agreements. The signature page format is appropriate for organizations where

response functions are covered by laws, regulations or executive orders where

separate written agreements are not necessary.

Areas for Review and Acceptance Criteria

State or local governments should obtain written agreements with the listed

medical facilities (Planning Standard L. Evaluation Criteria 1 and 3) and trans- portation providers (Planning Standard L. Evaluation Criterion 4). The written

agreements should contain simple assurances that the providers have adequate

technical information (e.g. treatment protocols) and treatment capabilities for

handling "contaminated injured" individuals. An indication of Joint Commission

on Accreditation of Hospitals (JCAH) accreditation will suffice for such assurance.

(Note: Veterans Administration (VA), military and other government hospitals

are not usually accredited by JCAH but usually have the desired capabilities.)

If state or local governments do not obtain written agreements, the licensee

should obtain written agreements with the listed medical facilities and trans- portation providers. If good faith efforts are not successful in a particular

case, the licensee shall provide or arrange for adequate compensatory measures, e.g., obtain written agreements with other providers or provide temporary field

medical care.

L. Medical and Public Health Support

Planning Standard

Arrangements are made for medical services for contaminated injured

Individuals.

L.I. Evaluation Criterion

Each organization shall arrange for local and backup hospital and medical

services having the capability for evaluation of radiation exposure and uptake, including assurance that persons providing these services are adequately

prepared to handle contaminated individuals.

Attachment 1 IN 86-98 December 2, 1986 -3-

Areas for Review and Acceptance Criteria

There should be one primary local hospital and one backup hospital for each

site for the evaluation and emergency treatment of *contamination injured'

members of the general public. Hospitals are generally distributed proportional

to the population. Thus, at sites with low population and few hospitals, the

primary local and backup hospitals for members of the general public could be

the same as those for the utility employees and emergency workers.

L.3. Evaluation Criterion

Each State shall develop lists indicating the location of public, private

and military hospitals and other emergency medical services facilities within

the State or contiguous States considered capable of providing medical support

for any contaminated injured individual. The listing shall include the name, location, type of facility and capacity and any special radiological capabili- ties. These emergency medical services should be able to radiologically

monitor contaminated personnel, and have facilities and trained personnel able

to care for contaminated injured persons.

Areas for Review and Acceptance Criteria

The lists should be annotated to indicate the ambulatory/non-ambulatory capaci- ties for providing medical support for 'contaminated injured" members of the

general public and any special radiological capabilities. This will enable state

and local officials to direct members of the general public to those Institutions

capable of handling "contaminated injured" patients. In the event that local

and regional medical resources need to be supplemented, additional medical re- sources would be available through the Federal Radiological Emergency Response

Plan. These resources would include the Radiation Emergency Assistance Center/

Training Site at Oak Ridge, Tennessee and the National Disaster Medical System

with headquarters in Rockville, Maryland.

L.4. Evaluation Criterion

Each organization shall arrange for transporting victims of radiological acci- dents to medical support facilities.

Areas for Review and Acceptance Criteria

Because the early symptoms of persons exposed to dangerous levels of radiation

are usually limited to nausea and vomiting, ambulances may not be required to

transport such persons to medical facilities. Rather, non-specialized public

and private vehicles can be used; supported, if necessary, with agreements In

accordance with A.3. above. For other types of contaminated injured individ- uals, specialized transportation resources (e.g., ambulances) would be necessary

and should be assured by agreements, if necessary, in accordance with A.3. above.

Provisions should be made for the use of contamination control in transporting

contaminated persons to medical facilities.

Attachment 1 IN 86-98 December 2, 1986 -4- Planning Standard

0. Radiological Emergency Response Training

Radiological emergency response training is provided to those who may be

called on to assist in an emergency.

0.4. Evaluation Criterion

Each organization shall establish a training program for instructing and quali- fying personnel who will implement radiological emergency response plans. The

specialized initial training and periodic retraining programs (including the

scope, nature and frequency) shall be provided in the following categories:

h. Medical support personnel

Areas for Review and Acceptance Criteria

Each hospital listed under Evaluation Criteria L.1 and L.3. shall have at least

one physician and one nurse on call within about 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> who can supervise the

evaluation and treatment of radiologically 'contaminated injured' members of

the general public. There are several sources for this training including NRC

licensee sponsored training. Transportation providers should have basic training

in contamination control. Examples include but are not limited to:

1. FEMA handbook, videotape, slides and instruction manual titled 'Hospital

Emergency Department Management of Radiation Accidents," SM 80/1984.

2. Courses from The Radiation Emergency Assistance Center/Training Site

(REAC/TS) at Oak Ridge Associated Universities.

3. Audiocassette and text course, 'Radiation Accident Preparedness: Medical

and Managerial Aspects" by Science-Thru-Media Inc.,'303 Fifth Avenue, Suite

803, New York, NY 10016.

N. Exercises and Drills

Planning Standard

Periodic exercises are (will be) conducted to evaluate major portions of emer- gency response capabilities, periodic drills are (will be) conducted to develop

and maintain key skills, and deficiencies identified as a result of exercises

or drills are (will be) corrected.

Attachment 1 In 86-98 December 2, 1986 -5-

N.2. Evaluation Criterion

A drill is a supervised instruction period aimed at testing, developing and

maintaining skills in a particular operation. A drill is often a component of

an exercise. A drill shall be supervised and evaluated by a qualified drill

instructor. Each organization shall conduct drills, in addition to the biennial

asvad* exercise at the frequencies indicated below:

c. Medical emergency drills

A medical emergency drill involving a simulated contaminated Individual which

contains provisions for participation by the local support services agencies

(i.e., ambulance and offsite medical treatment facility) shall be conducted

annually. The offsite portions of the medical drill may be performed as part

of the required biennial aRnua4'* exercise.

Areas for Review and Acceptance Criteria

State or local governments should provide for the conduct of appropriate drills

and exercises which include 'contaminated injured" individuals. These medical

emergency drills involving the primary local (L.1.) hospital for state and local

governments should be conducted annually. These drills should also test the

capability of relocation centers to direct contaminated injured' members of the

general public to the appropriate hospital. If State or local governments cannot

provide for the conduct of the drills, the licensee shall provide for the con- duct of such drills. If good faith efforts are not successful in a particular

case, the licensee shall provide or arrange for adequate compensatory measures.

Implementation

State and local emergency response plans should reflect the provisions of this

GM at the next annual update following 9 months from the effective date of this

GM.

Plans for plants that do not have a full power operating license should reflect

the provisions of this GM within 9 months of the effective date of this GM. The

first medical drill reflecting the provisions of this GM should be conducted by

the end of the next biennial exercise following 1 year from the effective date

of this GM.

  • Changes reflect language incorporated into GM PR-i.

Attachment 1 IN 86-98 December 2, 1986 -6-

NRC Coordination

This Guidance Memorandum has been prepared'in coordination with the NRC staff.

As noted in the referenced NRC Policy Statement, the Cotmmission has determined

that these modifications fall under the backfit rule's exception as necessary

to bring facilities into compliance with a rule of the Commission.

.;

Attachment 1

1N4 b0-Y

Decemaer 2, 1986 Attachment B

K- 42905 Federal Rezister I Vol. 51. No. SO I Wednesday. September 17. 19B8 I Rules and Regulations

such additional arrangements, tbo decislonalt Commission Itself faced

Commission leaves to the Informed for the &St time the question whether

fudmnent of the NRC staff. subject to planning standard (b)(12) applied to

genital guidance from the Commission. members of the public who were

the exact parameters of the minimally exposed to offeite radiation foilowing an

necessary arrangements for medical accident at a nuclear power facility but

services. To fulfill this mandate the staff were not otherwise Injured, and if so to

(and FEMA) will isue appropriate what extenL In considering this

gidance to licensees. applicants,snd question. the Commission sought the

state and local gOVErnmsntsa views of the parties in the SONGS

The United States Court of A ppeal proceeding, reviewed the principal

for the District of Columbia Court) puposes of the planning standard.

vacated and remanded a preious analyzed the likelihood of serious

Commission Interpretation of planning exposures to the public requirin

standard (1b(121 which required only th emergency medical restmaent. and

development and maIntenance of a Ust evaluated the type of emergency

of treatment facilities on which post. treatment likely to be required. Based on

event, adkhoc arrangements for medical this review, the Commission concluded

treatment could be based GUARD v. as a neric matter that (1)PlannIng

AMC 753 F2d 1144 (D.C Cir. 1985). tsnd rd (b)t12) applied to Individuals

Pending final Commission action Xi both onsIts and oaita. (2)

response to the GUARD remand the *contaminated Injured individuals was

Commilsion Issued a statement of Intended to Include seriously irradiated

interim guidance which permitted. members of the public as well us

pursuant to 10 COR S0.47(CcXI the members of the public who an not

isuance of full power licenses when seriously Irradiated but also are

the applicant satisfied the requirements traumatically injured from other causes

of planning standard (b)(12) as and radiologically contaminated. and (3P

Interpreted by the Commission prior to Atdeq'uatn. post-accIdent arrngements

GUARM and where the applicant for necessary medical tretment of

committed to full compliance With the exposed sembers of te public could be

Comnission's final response to th made ona n od~c basisb if aemeenc

GUARD remand. The Commission's plans contained a list ofcal "atmam

prior interim guidance will continue to

Bovern the Issuance of lull power On appeal. the United States Cort of

ficenses until issuance and Appeals for the p.C. Circuit concluded

Implementation of the NRC staff s that the Commission had not reasonably

specific guidance on this matter, at interpreted planning standard (bl2U2)

which point the new policy Wil applyt when It generically found that a p-

£flcTWI DAtJ September171966 accident list of treatment facilities

FOR FURMR WFORMATSON COWTACU constituted "arrangements" for post.

C.Sebastian Aoot. Office of the accident medical treatment CUUARD v.

General Counsel. U.S Nuclear MRC 753 F.2d 1144 (D.C. Cir 19851W For

NUCLEAR REGULATORY Regulatory Commission, Washnton. this reason. the Court vacated and

COMMISSION DC 2=5. Telephone (202) 634-224. remanded that part of the Commission's

SU"UNIMTARY IORAOC SONGS decision that had interpr ted

tO CFR Par s0 planning standard (b)ll) to require only

L Introducion the preparation of a list of loca

Emergency PlabnInn-Medical I the wake of the Tree Mie Island treatment facilities. Hower, In doing

Services accident In 1979. the Nuclear Regulatory so. the Court made clear that the

aocmr. Nuclear Regulatory Commission ("NRC" or -Commission") Commission had on remand. In its sound

Commission. promulgated regulations requiring Its dlscretlon. flexibility in fashioning a

imfnow. Statement of Policy on licensees and applicants for licenses to reasonable interpretation of plann

Emergency Planning Standard 10 CR operate commercial nuclear power standard (b)(12)

50.47(b)(12) reactors to develop plans for emergency

responses to acciTents at their facilities. IL Anangemants Beyond AkUst Of

Among those requirements was 10 CFR Tnatment Fadlities Requird

S1UMAR rThe Nuclear Regulatory

Commission CNR'or "Commission) 50.47(b)(12) ("'pannln standard Whe originally aeed with the

believes that 10 CR S47(b)(12) (bX12R which proves: question whether the phrase

rplanning standard (bl(12)') requires (b1 The onsits end effaite meqlcy "contaminated injard individuals" was

rtea ccident arrangements for medical nsponse plan bor auctear power mtorr Intended to encompass, Interalic.

.. *ervices (beyond the maintenance of a must meet the lowing stndArd:- members of the public who, as a result

list of treatment facilities) for 1:21 Arrangements ame made for medical of an accident. were exposed to

individuals who might be severely erucses bor contaminated Iniured indidualus.L dangerous levels of radiation. the

exposed to dangerous levels of offilte In SouLhtern Colifornio Wison Commission found no explicit and

radiation following an accident at a Compony, o ol (San Onofre Nuclear conclusive definition of the phrase In the

nuclear power plant. While concluding Generating Station. Units 2 and 3). CIJ- regulation Itself or its underlyint

that planning standard (b)(12) requires 53-10.17 NRC 528 (lu3) (-SONGS) documents. Nonetheless, the

IN 86-98 Federal Register I Vol. St. No. 160 l Wednesday. September 17, i988 / Rules and Regulations 32905 Commission concluded that the prudent Tbe minimaly necessary The Commission has determined that

risk reduction purpose of the arrangements for the person that may be the arrangements contemplated under

Commissions regulations required exposed need not be elaborate. As this Statement of Policy are the

interpreting planning standard (b)(12) to previously stated by the Commissio minimum required by a reasonable

apply to such offllie exposed "it was never the intent of the reading of planning standard (bflt.2)

Individuals. given the underlying reulsltions to require directly or ccordingly. although Implementtlion of

assumption of the NRCS emergency Indirectly that state and local tbisrewading of the standard will entail

planning regulations that a serious governments adopt extraordinary some addibions to. and some

accident could ovur and the measures. Such as construction of modifications of. the emergency

Commission presumption that sudc an additional hospitals or reruitment of procedures and organizations for which

accident could result In offadte substantial additional medical lcens ees ar ultimately responsible. the

individuals being expsed lo dangerous personnel. just to deal with nudesr requirements of the backlit rule. 0 CFR

levels of radiation (apresumption plant accidents.' 17 NRC at 133. Rather. 0.109 1986). for a cost-benefil analysis

concurred Inby the Federal Emergency the Commission believts that and a finding that the costs of the

Mfana;emenl Agency). After satisfactoty arrangements shoudd modifications are justified by a

reconsideration of this matter following include (13 a list of local orneglonal substantial Ineresse in safety are not

the GUARD decision, the Commission medical treatment facilities and applicable, since these modification. fall

has decided to neaffirm this por transportation providers appropriately under the backfil rule's exception for

interpretation of planning standard annotated to show their capacities, modifications necessary to bring

(b)12). special capabilities or other uiue facilities into compliance with a rule of

However, the Commission has come characteristics. (23 a good faith the Commission. See 10 CiR 50109 to a different result with rpect to the reasonable effort by licensees or local cr (al2) and (*X4) (1986). The analysis

minimum arrangements necessary for state governments to facilitate or obtain which the backht rule requires be done

Individuals who might be seriously written agreements with the listed to justify the application of any of Its

txposed. but not othervbse injured. in a medical facilities and transportatin exception provisions constitutes the

radiologic emergency. hIn otiginally providers. (33 provision for naking core or tis Statement of Policy. Sem

resolving the scope of arsnnemercita available necessary training for m. inerim Guiam

IssUe, the Commission focused on the emergency response personnel to

particular needs of offjite exposed identity. transport and provide In Its prior stalement of policy the

Individuals for emerency medical emergency frst aid to severely exposed Comm-ssion ldentified thee factors

treatment of their radiation injury. In Individuals, and (4)a good fith which Justified an Interim policy of

this fashion, the Commission made a reasonable effort by licensees or state or gr nting applicants for ull-power

distinction between the need for ' local governments to see that ctnse an equitable exception to the

Immediate or nearterm medical care. appropriait drills and exercises am requi reent of planning standard

which was in Its view the goal of conducted which Include simulated (b)(12) unter 10 Clh 5047(c)(l) where

planning standard (b)121. and Ohe need severely-exposed individuals. If good the applicant satisfied the requiremnats

for long -term medical care. As to faith efforts are not successful In a of planning standard (b)(12) as

exposed individuals. the Commission particular case. the licensee shall Interpreted by the Commission prior to

found that. provide or arrange for adequate the GUARD decision and committed

the special hazard Isposed by the radistion compensatory measures. consistent with Itself to ful compliance With any

expOSURe to te Patient The natuef d the Commissiona intent to limit t e additional requirements Imposed by the

radition Injurytr that. wile medical need for extraordinary measures noted Commission in response to the GUARD

eatment ay e eventually reqirdIn above. The compensatory measures remand. Statement of Policy on

uses O~e~bf ft exposure, the pate are must be approved by NRC. This levelof Emergency Planning Standard 10 CFR

unliliely to aued emewrgncy m cat cOrS planning would help (2)provide 50.471b(1l2). So TR 2CaM (May ZL 2DM)

(footnoe omitted) The sonoa aCy of lb additional assurance of the cooperation The three factors wara: (13the

tratment requind for uudiatioomxpwd of medical facilities. (23 ensure proper possibility that the scope of planning

Indivd&als provides ensita ad oU its training. (3)ensure the availability of standard (b)(12) would be limited. (2)

authiiiu with an add tional "ar oft de transportation, and (4)demonstrate a the possibility that delay in complia

to aivangi for the required medica Ivic. capability to provide necessary services with the post-GUARD requirements

(17 NRC LU-.) through drills and exercis . could be found to be Insignificant due to

From thfs the Cominiuton reasoned TAe Commission has directed the staff the low probability of accidents during

that the long-term treatment needs of to develop, consistent with this the interim period and (3)the possibility

exposed Individuals could be Interpretation of the planning standU d of 'other compeling reasons JuStifyin

adequately met on odhoc basis. detailed and specific guidance on the a briefexception whe applicants had

After reconsideration In light of the aslure of the medical services to be relied In good faith upon prnor

GUARD dedslon. the Commlislon bu available to exposed Individuals and on Commiss~ion Interpretation ofplaning

concluded that snme additional planned the application of plaruning standud standard ](b12).

rrangements beyond the development rb)(21) to NRC licensees and applicants In this Stateent ofPolicy Interpretint

of a list of treatment facilities are or licenses to operate commercial planning standard (b)112) the

Necessary to provide additional nuclear power reactors The Commission directs the NRC stall to

assurance of effective management of Commission has also directed the staff develop tin Consultation with JEhA)

emergency medical services In the bow-s to consider whether and under what and issue by 12/17/68 appropriate

or days following a severe accident. criteria it is necessary or approprIate for detailed guidance on the exact contours

However, the Commisalon continues to the stat to verity the approprilatenss of of the necessary arrangements

believe that the long-term treatment training, and drills or exercises consistent with the CocrmissIon'r

needs of exposed individuals can be associatet with the handling of severely determination that planning standard

adequately met on adhoc basis. exposed persons. (b)(22) require arrangements for medical

Attacnment i.

IN 86-98 December 2, 1986 32908 Federal Regstuer I Vol. 51. No. 10 / Wednesday, September 17, 1986 J Rules end Regulation s

services (beyond the maintenance ot

list of pre-ixlsting tnatment facilties)

for oWfite exposed individual. The

Commission believes that the last two

factors. discussed In detail iA its May 21

1gs5 Statement of Policy. continue to

justify reliance on the Interim guidance

for the period necessary for the NRC

staff to issue and licensees. applicant, and state and local governments to

Implement the detailed uldance.

Therrr^Ore. until appropnoatc det ited

guldance consistent with thi policy

statement Is issued and implemented.

the Ucensin g Boards may continua to

reasonably tund that any hearing

regarding compliance with 10 CFR

So.47(b)(121 shall be limited to Issues

which could have been heard before the

Court's decision in CUAAD v. NBC.

Dated at Washlnon. DC. tis Uth day of

Septembet. 1916.

For the Nudest Reguator Commission.

Samuel 1.COiL.

SectarfryOfhe Commiueion

rFi DoMe 56258 Filed 6-2166 1:43 aml

SW. cm n1411

Attachment 1 IN 86-98 December 2, 1986 Federal Emergency Management Agency

Washington, D.C. 20472 Attachment C

November 13, 1986 OPERATIVE GUIDANCE MEMORANDA

Number Date Title

4 4/1/80 Radio Transmission Frequencies and Coverage

5 4/1/80 Agreements Among Governmental Agencies and Private

(Revised- Parties

10/19/83)

8 4/2/80 Regional Advisory Cammittee Coordination with Utilities

(Revised-

10/19/83)

16 8/7/80 Standard Regional Reviewing and Reporting Procedures for

State and Local Radiological Emergency Response Plans

17 1/8/81 Joint Exercise Procedures

18 5/21/81 FEMA Action to Qualify Alert and Notification Systems

(Revised- Against NURE3-0654/F!MA-REP-1, Rev. 1

10/19/83)

20 10/19/83 Foreiqn Language Translation of Public Education Brochures

and Safety Messages

21 2/27/84 Acceptance Criteria for Evacuation Plans

22 10/19/83 Recordkeeping Requirements for Public Meetings

24 4/5/84 Radiological Emergency Preparedness for Handicapped Persons

EX-1 7/15/85 Remedial Exercises

EX-2 7/15/85 Staff Support in Evaluating REP Exercises

PR-1 10/1./85 Policy on NUREM-0654/FEMA-REP-1 and 44 CFR 350 Periodic

Requirements

Attachment 1 IN 86-98 December 2, 1986 2 IT-i 1041/85 A Guide to Dcurments Related to the REP Program

PI1- 10/2/85 FEMA Action to Pilot Test Guidance on Public Information

Materials and Provide Technical Assistance on Its Use

FR-1 12/3/85 Federal Response Center

MS-1 11/13/86 Medical Services

EV-2 * 11,43/86 Protective Actions for School Children

  • GM-21 will be retitled as GM EY-1 when it is revised.

S I' '- . ;. 'W

Attachment 2 IN 86-98 December 2, 1986 LIST OF RECENTLY ISSUED

IE INFORMATION NOTICES

Information Date of

Notice No. Subject Issue Issued to

86-97 Emergency Communications 11/28/86 All power reactor

System facilities holding

an OL or CP and fuel

facilities

86-96 Heat Exchanger Fouling Can 11/20/86 All power reactor

Cause Inadequate Operability facilities holding

Of Service Water Systems an OL or CP

86-95 Leak Testing Iodine-125 11/14/86 All NRC licensees

Sealed Sources In Lixi, Inc. authorized to use

Imaging Devices and Bone Lixi, Inc. imaging

Mineral Analyzers devices

86-94 Hilti Contrete Expansion 11/6/86 All power reactor

Anchor Bolts facilities holding

an OL or CP

86-93 IEB 85-03 Evaluation Of 11/3/86 All power reactor

Motor-Operators Identifies facilities holding

Improper Torque Switch an OL or CP

Settings

86-82 Failures Of Scram Discharge 11/4/86 All power reactor

Rev. 1 Volume Vent And Drain Valves facilities holding

an OL or CP

86-92 Pressurizer Safety Valve 11/4/86 All PWR facilities

Reliability holding an OL or CP

86-91 Limiting Access 11/3/86 All power reactor

Authorizations facilities holding

an OL or CP; fuel

fabrication and

processing facilities

86-90 Requests To Dispose Of Very 11/3/86 All power reactor

Low-Level Radioactive Waste facilities holding

Pursuant to 10 CFR 20.302 an OL or CP

OL = Operating License

CP = Construction Permit