ML020500183
| ML020500183 | |
| Person / Time | |
|---|---|
| Site: | Davis Besse  |
| Issue date: | 01/10/2002 |
| From: | FirstEnergy Nuclear Operating Co |
| To: | Document Control Desk, Office of Nuclear Security and Incident Response |
| References | |
| Download: ML020500183 (16) | |
Text
Davis Besse Power Station Control Copy Number: 1665 Transmittal / Receipt Acknowledgement Transmittal Number: 0201-01868 Transmittal Date: 01-31-2002 To: DOC. CONTROL DESK Mail Stop / Address: USNRC DIVISION OF EMERGENCY PREPARDNESS WASHINGTON, D.C. 20555 Document holders are responsible for control and maintenance of documents in accordance with the actions specified by this transmittal. Outdated material shall either be removed and destroyed or marked to reflect that it is superseded or voided and is no longer considered controlled.
Note: Destroy Safeguard information by shredding.
File documents in tab order as identified on the Table of Contents Contact Document Control with any questions at (419)-321-7483
Davis Besse Power Station Control Copy Number: 1665 Transmittal / Receipt Acknowledgement Transmittal Number: 0201-01868 Transmittal Date: 01-31-2002 LA--,
TOC* 1 TflC'* Tvmna J1 Niimher Sht/Sec Changes Rev Status TOC00 Nube APPROVED-old EPON PROC RA-EP-02000 0000 APPROVED 0001 APPROVED new EPON PROC RA-EP-02000
Page 1 of 14 Davis-Besse Nuclear Power Station EMERGENCY PLAN OFF NORMAL PROCEDURE RA-EP-02000 (Supersedes RA-EP-02000 RO)
MEDICAL EMERGENCIES REVISION 01 Prepared by: L " D0aoteC, Date Sponsor:
Date Approved by:
Date
- 0ý Effective Date
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-1kb Procedure Classification: LEVEL OF USE:
Safety Related IN-FIELD REFERENCE Quality Related X Non-Quality Related
2 RA-EP-02000 Revision 01 LTST OF EFFPCTTVP. PAflP LIST OFEFChangPAGE Page Change No. Page Change No. Page Change No.
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3 RA-EP-02000 Revision 01 TABLE OF CONTENTS Pagze 1.0 PURPOSE ................................................................................................................. 4
2.0 REFERENCES
............................................................................................................. 4 3.0 DEFINITIONS ............................................................................................................. 4 4.0 RESPONSIBILITIES ................................................................................................. 4 5.0 INITIATING CONDITIONS ....................................................................................... 6 6.0 PROCEDURE ........................................................................................................... 7 6.1 Actions of Injured or IIl Person or Their Discoverer ...................................... 7 6.2 Actions of Control Room ............................................................................... 7 6.3 Actions of The First Aid Team and First Aid Team Leader ............... 8 6.4 Actions of Radiation Protection Personnel ...................................................... 10 6.5 Actions of Secondary Alarm System ............................................................... 10 6.6 Actions of Nuclear Security ............................................................................. 10 6.7 Actions of Supervisor - Safety ........................................................................ 10 6.8 Actions of Patient's Supervisor .................................... 10 7.0 RECORD S ..................................................................................................................... 10 ATTACHM ENT 1. Davis-Besse First Aid Team Response Form ........................................... 12 ATTACHM ENT 2. Davis-Besse Patient Refusal Form ........................................................... 13 COM M ITMENTS ................................................................................................................. 14
4 RA-EP-02000 Revision 01 1.0 PURPOSE This procedure describes and implements emergency treatment of an injured or ill person in the Davis-Besse Nuclear Power Station Protected Area.
2.0 REFERENCES
2.1 Developmental 2.1.1 , 29 CFR 1910.151 2.1.2 Davis-Besse Nuclear Power Station (DBNPS) Emergency Plan 2.1.3 Davis-Besse Nuclear Power Station Emergency Medical Technician Unit Charter and By-laws 2.2 Implementation 2.2.1 NOP-LP-3001, Safety and Health Program 2.2.2 RA-EP-02800, Preparation and Transport of Contaminated Injured Personnel 2.2.3 RA-EP-02807, Emergency Helicopter Landing Zone 2.2.4 IS-DP-00504, Personnel Control for Protected/Vital Areas 2.2.5 IS-DP-00026, Guidelines for Alarm Station Operation 2.2.6 HS-SF-04010, Emergency Medical Response Equipment 3.0 DEFINITIONS 3.1 EMERGENCY MEDICAL TECHNICIAN (EMT) - A person certified by the State of Ohio as an Emergency Medical Technician and is an active member of the DBNPS EMT Unit.
3.2 FIRST AID TEAM (FAT) - Pre-designated site personnel who have received training in handling medical emergencies.
3.3 FIRST AID TEAM (FAT) LEADER - A team member who coordinates and directs the First Aid Team.
3.4 MANAGEMENT REPRESENTATIVE - This shall be the patient's supervisor or someone designated by the supervisor.
4.0 RESPONSIBILITIES 4.1 The Control Room shall be responsible for:
4.1.1 Providing required communications and support.
S5 RA-EP-02000 Revision 01 4.2 The Secondary Alarm Station (SAS) Operator shall be responsible for:
4.2.1 Providing required communications and support in accordance with IS-DP-00026, Guidelines for Station Alarm Operation.
4.2.2 Initiating EMT pagers.
4.3 The Central Alarm Station (CAS) shall be responsible for:
4.3.1 Providing required communications and support, as directed, if SAS is not available.
4.4 Nuclear Security shall be responsible for:
4.4.1 Providing escort and transportation support.
4.5 The FAT Leader shall be responsible for:
4.5.1 Coordinating overall activities of the medical emergency 4.5.2 Determining the severity of injury or illness.
4.6 The FAT shall be responsible for:
4.6.1 Responding to a medical emergency 4.6.2 Performing required first aid treatment.
4.7 Radiation Protection (RP) personnel shall be responsible for:
4.7.1 Providing applicable surveys and support, as needed, if injury or illness occurs in a Radiologically Restricted Area (RRA).
4.8 Emergency Medical Technicians (EMTs) shall be responsible for:
4.8.1 Responding to a medical emergency.
4.8.2 Performing their duties in accordance with the DBNPS EMT Unit Charter and By-laws.
4.9 The patient's supervisor or designated company management representative shall be responsible for:
4.9.1 Accompanying the injured or ill individual when transported offsite or meet the individual at the offsite medical treatment facility.
4.9.2 Documenting the work related injury or illness in accordance with NOP-LP-3001, Safety and Health Program.
6 RA-EP-02000 Revision 01 4.10 All Protected Area Personnel shall be responsible for:
4.10.1 Complying with this procedure in a medical emergency.
4.11 The Supervisor - Safety is responsible for:
4.11.1 Maintaining any written reports of injury or illness.
5.0 INITIATING CONDITIONS There is an injured or ill individual at DBNPS requiring medical assistance.
7 RA-EP-02000 Revision 01 Note 6.0 EMTs may not be available on all shifts 6.0 PROCEDURE 6.1 Actions of Injured or Ill Person or Their Discoverer CAUTION 6. 1.1 Preserving human life takes priority over any other considerations.
Protective measures shall be used by persons assisting injured or ill (e.g., Self-Contained Breathing Apparatus, protective clothing, etc.) as conditions dictate.
6.1.1 If injured or ill person is discovered inside the Protected Area, contact the Control Room using the Gai-Tronics line 5 or dial 7911 on the nearest I telephone.
6.1.2 Describe the situation to the Control Room (e.g., location, number and type of injuries, etc.). Remain on the line until dismissed by the operator.
6.1.3 Listen to "Initiate Emergency Procedures" Alarm to ensure correct location is announced.
6.1.4 Maintain contact with the Control Room and keep them informed of the injured or ill individual's status.
6.1.5 Upon FAT arrival, tell how patient was found and what actions were taken prior to their arrival.
6.1.6 Standby to assist the FAT or to maintain contact with the Control Room if requested by FAT Leader.
6.2 Actions of Control Room 6.2.1 Under normal plant conditions, summon FAT to location of injured or ill person via Gai-Tronics.
- a. Sound "Initiate Emergency Procedures" alarm.
8 RA-EP-02000 Revision 01
- b. Announce the following twice:
"Attention Station personnel. A medical emergency exists at (location). First Aid Team report to (location). All unaffected personnel stay clear of the area."
NOTE 6.2.2 When activated, the Operations Support Center may provide FAT/EMT members and additional resources as required.
6.2.2 If the Operations Support Center (OSC) is activated, advise the OSC Manager.
6.2.3 Summon additional help as requested by the FAT Leader.
6.2.4 If injury or illness occurs in a Radiologically Restricted Area (RRA), request RP assistance.
6.2.5 If patient is being treated for a chemical exposure, a copy of the Material Safety Data Sheet (MSDS) should be provided to the attending medical personnel. The MSDS's are available from Control Room personnel, or Station Document Control.
6.2.6 Notify SAS immediately when offsite transportation or Life Flight is needed.
6.2.7 Notify injured or ill person's supervisor.
6.2.8 If treatment is necessary when on-duty manning is minimal, a Management Representative shall be called to meet the patient at the treatment facility.
6.3 Actions of the First Aid Team and First Aid Team Leader CAUTION 6.3.1 Protective measures shall be used by persons assisting injured or ill (e.g., Self Contained Breathing Apparatus, protective clothing, etc.) as conditions dictate.
6.3.1 Upon notification from Control Room, proceed immediately to injured or ill person with First Aid Response Equipment. (See HS-SF-04010, Emergency Medical Response Equipment, for equipment locations.)
9 RA-EP-02000 Revision 01 6.3.2 The FAT Leader shall initiate a Davis-Besse Nuclear Power Station Medical Response Form, (Attachment 1).
6.3.3 The FAT Leader shall evaluate injury or illness and notify the Control Room if offsite transportation is required and provide additional information on number and type of injuries which may be helpful to expedite offsite emergency assistance.
- a. Render emergency medical treatment appropriate for their level of training and/or qualification and keep Control Room informed of status and degree of injury or illness.
- b. If patient refuses a degree of treatment or transportation to an offsite medical facility, complete a patient refusal form (Attachment 2).
6.3.4 If patient is radiologically contaminated and requires transportation offsite, refer to RA-EP-02800, Preparation and Transport of Contaminated Injured Personnel.
6.3.5 Emergency Air Ambulance Service (if required) will be requested following their current protocol and landed following RA-EP-02807, Emergency Helicopter Landing Zone.
6.3.6 Render Basic First Aid and keep Control Room informed of status and degree of injury or illness.
6.3.7 The FAT Leader shall be responsible for:
- a. Requesting RP assistance outside the RRA.
- b. Determining the need to move the patient (to prevent further injury or to facilitate transport).
- c. Directing transport of patient to nearest accessible location for Emergency Medical Service (EMS) or Supervisor transport.
- d. Informing Control Room from which exit the individual is to be transported.
- e. Providing information to EMS squad leader on patient's condition.
- f. Ensuring a Davis-Besse Nuclear Power Station Medical Response Form, (Attachment 1), is completed, and forwarded to the Supervisor
- Safety.
- g. Ensuring a Davis-Besse Patient Refusal Form, (Attachment 2), is completed, and forwarded to the Supervisor.- Safety (if applicable).
10 RA-EP-02000 Revision 01
- g. Ensuring a Davis-Besse Patient Refusal Form, (Attachment 2), is completed, and forwarded to the Supervisor - Safety (if applicable).
6.4 Actions of Radiation Protection Personnel 6.4.1 If the injured or ill person is potentially contaminated, and offsite transportation is needed, refer to RA-EP-02800, Preparation and Transport of Contaminated Injured Personnel, for additional information.
6.4.2 If EMS personnel enter a RRA, RP personnel shall advise them of necessary radiological precautions.
6.5 Actions of Secondary Alarm System 6.5.1 The SAS Operator shall request offsite assistance according to IS-DP-00026, Guidelines for Station Alarm Operation, when directed by the Control Room.
6.5.2 The SAS Operator shall initiate the EMT Group Page.
6.6 Actions of Nuclear Security 6.6.1 Nuclear Security shall provide emergency kits to the EMS and escort EMS personnel following guidelines provided in IS-DP-00504, Personnel Control for Protected/Vital Areas.
6.7 Actions of Supervisor - Safety 6.7.1 Ensure the DBNPS Medical Response Form and Davis-Besse Patient Refusal Form (if required) are completed and distributed.
6.8 Actions of Patient's Supervisor 6.8.1 The patient's supervisor shall document the work related injury or illness in accordance with NOP-LP-300 1, Safety and Health Program.
7.0 RECORDS 7.1 The following quality assurance records are completed by this procedure and shall be listed on the Nuclear Records List, captured, and submitted to Nuclear Records Management in accordance with NG-NA-00 106:
7.1.1 None
11 RA-EP-02000 Revision 01 7.2 The following non-quality assurance-records are completed by this procedure and may be captured and submitted to Nuclear Records management, in accordance with NG-NA-00106:
.7.2.1 Davis-Besse Nuclear Power Station Medical Response Form (submit as "confidential").
7.2.2 Davis-Besse Patient Refusal Form (submit as "confidential").
12 RA-EP-02000 Revision 0F1OR ATTACHMENT 1: DAVIS-BESSE NUCLEAR POWER, STATION MEDICAL RESPONSE FORM NAME AGE _ SEX _ BADGE NUMBER __ DATE .
COMPANY/DEPARTMENT SUPERVISOR LOCATION OF EMERGENCY CONTAMINATED? __ RP ASSISTANT CONTROL ROOM NOTIFIED (NAME) (TEAM LEADER)
TREATMENT PROVIDED BY: El FIRST AID TEAM [1 EMT 13 HEALTH CENTER El OTHER TRANSPORTED BY:- SUPERVISOR U EMS WHERE:_ _ _ LIFE FLIGHT RESPONDERS: 2.
~~~_ [8, 1.4, A-m
- [6z; i L NATURE OF PROBLEM PUPILS 0 HEAT RELATED ILLNESS Left Right Left Right 0 DIFFICULT BREATHING [I PSYCHIATRIC 1st 2nd 0 CHEST PAINS 0 PREGNANCY SIZE 0 FULL ARREST 0 INDUSTRIAL 0 UNCONSCIOUS 0 FALL 0 0 REACTIVE 00 0 0 NON-REACTIVE 0 0 0 C.V.A. (Stroke) 0 BURNS DILATED 0 0 0 0 0 DIABETIC 0 ILL CONSTRICTED 0 OVERDOSE 0 VEHICUIIt A 0 0 0 0 0 SEIZURES 0 0 SLUGGISH 0 0 0 OTHER BLOOD PRESSURE PULSE RESPIRATION SKIN PUPIL SIZE TIME READING lst2nd 3rd 4th lst2nd 3rd 4th 1st 2nd
/ - - -- -- 0 WARM 0 00 [] REGULAR " C 0 0 REGULAR 0 0 0 COOL 0
/ []0 0 IRREGULAR 0 00 5 6 0 0 WEAK 00 [] IRREGULAROC) 0 DRY 0 34 S S0] 0"I BOUNDINGr-0 0 3 O0SHALLOW O0 0 MOIST 0
- / OBTAIN TO RUNABLE 00 DIFFICULT 000 C]
DEEP 0 CYANOTIC 0 0T E 0 0 PALE []
DUETOCLOTHING -ORAL -AX. OTIMPANIC 0 0 NOISY 0] [0] 0 FLUSHED 0.
MEDICAL HISTORY STABILIZATION MEASURES 0 ASTHMA MED. ALLERGIES AIRWAYMANAGEMENT CIRCULATORY MANAGEMENT 0 CARDIAC [] Hyperextension U Bleeding Control D_Nasal / Oropharygeal cCompress HotCold DIABETES "0EMPHYSEMA MED. PT. IS TAKING:
I Moth to Moath Sutcon 0 CPR manuadmech 0 Drssin apled SEIZURE HYP DISORDER N Bag Mask I Demand Valve 0Shock Trousers__p ____
[] HYPERTENSION _ _ 00 Umin MaskiCannula 03Trendelenberg
[] ABDOMINAL DISORDERS Jlav haostu FRACTURE MANAGEMENT Endracheal lotub Other 0 acbordFal/al 0
0 C.V.A. (Stroke) 00 aCerial FColar 0 CANCER PATIENTSTATUS []Splint Vacihoard 0 OTHER FAMILY DR. __ 0 Unchanged 0 Improved 0l ibrsened LI D]Traction C.L.D. Thomas/Hare i d'.l IIl* l[*Iedl)]/ / oO D Attachment 1 Page 1 of 1
13 RA-EP-02000 Revision 01 ATTACHMENT 2: DAVIS-BESSE PATIENT REFUSAL FORM PATIENT REFUSAL The possible grave nature of my illness and/or injury has been explained tome and I understand that my refusal of treatment by First Aid Team Members and/or transport by an emergency medical service is against medical advice and could cause temporary or permanent disability and/or death. The undersigned hereby releases FirstEnergy, and its officers, agents, and employees from any and all claims and damages resulting directly or indirectly in connection with the undersignee's refusal.
Name (print):
Signature: Date:
Team Leader: Date:
Witness Signature: Date:
Notice to First Aid Team Member:
- 1. Provide the patient with a copy of the refusal for his/her record.
- 2. Attach the original refusal form to the completed First Aid Team Response Form.
Attachment 2 Page 1 of 1
14 RA-EP-02000 Revision 01 COMMITMENTS Section Reference Comments NONE END