ML022000414

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Revised EPIP-TMI-.16, Rev. 11 - Contaminated Injuries
ML022000414
Person / Time
Site: Three Mile Island Constellation icon.png
Issue date: 07/12/2002
From:
AmerGen Energy Co
To:
Document Control Desk, Office of Nuclear Security and Incident Response
References
Download: ML022000414 (15)
v • d • e


Text

I 9:

INFO CTRL EPIP/TEP Instruction Memo

  • Backup TSC,NOB-3 B. Siebler
  • Bureau of Rad Protection
  • Control Rm-U/1 File Cony. OOB-1 M. Vyenielo S. Van Ormer Date , Ve-IA-o Z kB Box No. a0o(

06 0 7 TI &00T2 Control Rm-U/1 Shift Mars Station, OOB S. Van Ormer Please update your file with the attached listed below, destroy the superseded/cancelled document(s). Also,

  • Control Rm-U/1 Work Copy, OOB-1 S. Van Ormer 1 if Controlled Documents please sign the acknowledgment at the bottom of this memo and return to Debbie Coatesville EOF, Kennett Square R. Rogers Marshbank, Configuration Cntrl., Rm. 135, SOB
  • Document Center, NOB-2 IKON
  • Document Control Desk, Label 1 NRC 1__ TC Page TC/PROC Dosimetry, Serv. Bldg. D. College Document Number Rev NUMBER Replac. Entire CId Level EACC N. D. Brown
  • EP - NDB, Trng. Bldg. #2 N. D. Brown
  • Emerg. Prep. Dept. D. Light 1_ EPIP-7?K-.16- //

I,-

  • EOF, Trng. Bldg. N. D. Brown 1__

EOF Communicator, Tmg. Bldg. N. D. Brown EOF (PEMA Area), Tmg. Bldg. N. D. Brown

  • EP Drills, Trng. Bldg. N. D. Brown EP Rep N. D. Brown ESD, Tmg. Bldg.. N. D. Brown ESD Asst. ADDITIONAL DISTRIBUTION:

N. D. Brown Environ. Affairs-TMII, NOB-1 3H C 3H GLRE&C W. Ressler N. D. Brown o&gOkL PO j** T.ejr.

_rK I__

Kennett EOF, Kennet Square R. Rogers Logisitcal Support, Tmg. Bldg.. N. D. Brown

  • NRC - Onsite, Service Bldg. P. Sauder
  • NRC - Region 1, (Chief EP Section) N. McNama
  • PEMA - Bureau of Plans D. Fleck PI Rep N. D. Brown _!1 Personnnel/Vehicle Monitor Kit Trne Ctr.

f I T. Berstler

  • Plant Maint. (LibrarvY Serv_ Bld0_ J. Eckroth RLM, Rad Field Ops. T. Berstler Rad Con -RAC Locker, Rad Field Ops. T. Berstler Rad Con -Kit 1 PC. Rad Field Ons.

_!1 T. Berstler Rad Con -Kit 2 PC, Rad Field Ops. I hereby acknowledge receipt of this memo and have complied with the instructions. Signature and returned T. Berstler memo Rad Con-Kit 3 EOF Bld, Rad Field Ons T. Berstler 1 required ONLY if CONTROLLED.

Rad Con-Kit 4 EOF Bldg Rad Field ODs. T. Berstler Signature Date 2

Rad Con-Kit 5 EOF Bldg Rad Field Onz T. Berstler 1 Rad Con-Simulator LockerRad Field Ons T. Berstler Procedure Distribution:

  • Rad Engineers-UI, OOB T. Griffith
  • Rad Instrument, Bldg. 159 Info Copy _ Stapled, 3 Hole Punch T. Griffith Memo Distribution:

Secondary Chem Lab-, OOB-1 S. Van Ormer

  • Security Mgr., PC A Copies M. Bruecks Security U-I, PC Ctrl Copy Stapled, 3 Hole Punch M. Bruecks
  • Simulator Room/File Copy, Trng. IKON Simulator Room/Shift Supvs Office, Trng Plain Copy 2 Stapled (Central File & Record Box)

IKON

  • Simulator Room/Working Copy, Tmg.

IKON Tech Support Rep ii TC Distribution:

N. D. Brown 1

  • TSC - Unit 1, NOB-3 B. Siebler
  • Training Dept. Library, Trng . Plain Copies Stapled, 3-hole punch C. Flory
  • OSC, Rad Field Ops..

T. Berstler Record Box, SOB + History Package Plai__n Copv Plain Copy Stapled, 3-hole punch for Central File (if TC is original)

S. Zimmerman _

0*11,1.109 I ______________________________________________________________05/14/02___

I

FOR INFORMATION ONLY I Number AmerGen TMI Emergency Plan Implementing Procedure EPIP-TMI-.16 Revision No.

Title Contaminated Injuries 11 Applicability/Scope USAGE LEVEL Effective Date TMI Division 2 07/12/02 This document is within QA plan scope X Yes L_ No 50.59 Applicable [9 IjYes No List of Effective Pages Paqe Revision Page Revision Paqe Revision Page Revision 1 11 2 11 3 11 4 11 5 11 6 11 7 11 8 11 9 11 10 11 11 11 12 11 13 11 "14 11 1

Number TMI Emergency Plan Implementing Procedure EPIP-TMI-.16 Title Revision No.

Contaminated Injuries 11 1.0 PURPOSE 1.1 To define the conditions where personnel who become ill or injured and contaminated or potentially contaminated with radioactive material in excess of guidelines will be removed from site to Hershey Medical Center (HMC), Hershey, PA. and/or to the Harrisburg Hospital, Harrisburg, PA.

1.2 To further define the steps involved in notifying HMC or Harrisburg Hospital to allow time for preparation of the Radiation Emergency Area (REA) to receive the injured personnel.

1.3 To provide for several levels of treatment based on the severity of the injury(s) and the degree of contamination involved.

NOTE All personnel having injuries or illness in a radiologically contaminated area or involving radioactive material shall be considered potentially contaminated until proven otherwise.

2.0 APPLICABILITY/SCOPE All TMI Personnel 3.0 DEFINITIONS None 4.0 RESPONSIBILITIES 4.1 The Shift Manager is responsible for the implementation of this procedure and specifically for completion of Exhibit 1.

4.2 Radiological Controls personnel have responsibility for ensuring that Exhibit 2 is implemented.

5.0 PROCEDURE 5.1 Upon receiving notification of an injured or ill person, the Shift Manager shall notify:

  • The site Medical Response Team (see Exhibit 6 for instructions for paging the Medical Response Team),
  • Rad Controls (5444 or page phone) 5.2 If, based on the report from the scene, the Shift Manager determines that an ambulance may be needed he/she should ensure that the Dauphin County Emergency Operations Center (dial 9-911) is notified without delay.

5.3 The Shift Manager shall determine from Rad Controls if the person is contaminated or potentially contaminated.

2

Number TMI Emergency Plan Imnpleme.ntina Procedure EPIP-TMI-.16 Title Revision No.

Contaminated Injuries 11 5.4 If the injured or ill person is either contaminated or potentially contaminated and must be transported to an off-site medical facility prior to decontamination:

The Shift Manager shall ensure that Exhibit 1 is implemented.

Rad Control shall ensure that Exhibit 2 is implemented.

5.5 Final Conditions A. The person(s) has been entered into the bioassay program for whole body counting per Reference 6.2 (RP-AA-220, Bioassay Program).

B. The patient has been transported to the hospital and has been admitted or released, and all radioactive waste/used protective clothing has been removed to TMI.

C. The Radiological Controls Technician(s) who accompanied the patient to the hospital has coordinated the Radiation Safety actions at the emergency room. The Hospital Health Physicist (if available) has relieved the Radiological Controls Technician(s).

D. The Radiation Emergency Area and ambulance(s) used for transportation of the patient(s) have been surveyed and cleared or decontaminated and cleared by the TMI Radiological Controls Technician(s).

6.0 REFERENCES

6.1 EPIP-TMI-.19, Emergency Dosimetry/Security Badge Issuance 6.2 RP-AA-220, Bioassay Program 6.3 6610-ADM-4241.05, Dosimetry Investigative Report 6.4 6610-ADM-4330.02, Personnel Contamination Monitoring and Decontamination 6.5 1044, Event Review and Reporting Requirements 7.0 EXHIBITS 7.1 Exhibit 1, Shift Manager Checklist for Contaminated Injuries 7.2 Exhibit 2, Rad Controls Checklist for Contaminated Injured Persons 7.3 Exhibit 3, Messages to the Hospital 7.4 Exhibit 4, Hershey Medical Center Emergency Department Floor Plan 7.5 Exhibit 5, Harrisburg Hospital Emergency Dept. Floor Plan 7.6 Exhibit 6, Instructions for Paging the Medical Response Team 3

Number TMI Emergency Plan Implementinq Procedure EPIP-TMI-.16 Title Revision No.

Contaminated Injuries 11 EXHIBIT 1 Page 1 of 2 Shift Manager Checklist for Contaminated Injuries NOTE The following steps may be performed concurrently. Conditional steps (i.e., steps containing an "if" statement) should be marked "N/A" and skipped if the condition is not met.

Check A. The Shift Manager should consult with Radiological Controls to determine if radiological conditions warrant a specific route for access to the patient and for patient transfer.

  • If so, provide this information to Medical Response Team.

_ B. Obtain Medical Response Team's assessment of the medical needs of the patient.

_ C. Obtain Radiological Controls assessment of the radiological condition of the patient.

_ D. If off-site medical assistance is required:

___

  • Call Security Central Alarm Station at Extension 8039, 8040 to inform them of off-site medical assistance arrival so that they can direct off-site medical personnel to the patient.
  • _ The Shift Manager shall initiate the requirements of Reference 6.1 (EPIP-TMI-.19, "Emergency Dosimetry/Security Badge Issuance").

_ E. If the decision is made to transport the patient to an offsite medical facility, the Shift Manager or his designee shall call the appropriate hospital (determine hospital from the Medical Response Team or Ambulance Crew), and using Exhibit 3 alert the hospital of the arrival of the injured patient.

_ F. If contact with HMC or Harrisburg Hospital cannot be made by telephone, relay the message through the Dauphin County EOC by dialing 9-911 or by using the Notification Line in the Control Room.

_ G. With concurrence of the Medical Response Team and Radiological Controls personnel, have the patient transported outside of the radiologically controlled area for further treatment and surveys if the injury/illness and contamination levels will allow movement.

_ H. To prevent the possible spread of contamination, the Shift Manager should consider having the contaminated person's evacuation route announced on the page system, as appropriate.

NOTE By agreements with the Hershey Medical Center (HMC) Hershey, PA and Harrisburg Hospital, Harrisburg, PA., all contaminated persons with injuries too severe to be treated on-site shall be sent to HMC and/or Harrisburg Hospital for decontamination and treatment.

4

Number TMI Emergency Plan ImplementinQ Procedure EPIP-TMI-.16 Title Revision No.

Contaminated Injuries 11 EXHIBIT I Page 2 of 2

1. Report this event to the NRC via the ENS in accordance with 10 CFR 50.72(b)(2)(v). Notification shall be made as soon as practical and, in all cases, within four (4) hours.

J. Declare an Event of Potential Public Interest in accordance with Reference 6.5, (1044, Event Review and Reporting Requirements).

5

Number TMI Emergency Plan Implementing Procedure EPIP-TMI-.16 Title Revision No.

Contaminated Injuries 11 EXHIBIT 2 Page 1 of 3 Radiological Controls Checklist for Contaminated Injured Persons NOTE The following actions should be performed or considered while handling a contaminated injured person. These actions must not interfere with proper medical treatment of the person.

NOTE The steps in this exhibit may be performed concurrently. Conditional steps (i.e., steps containing an "if' statement) should be marked "N/A" and skipped if the condition is not met.

Check

_ A. If the patient's condition permits, assess radiation exposure/contamination levels prior to removal of the patient from TMI.

_ B. If the patient is contaminated or potentially contaminated, accompany the patient to the hospital to provide radiological controls support.

0 If the patient is transported by helicopter (i.e., Life Lion), travel by vehicle to the hospital.

NOTE By agreements with the Hershey Medical Center (HMC) Hershey, PA and Harrisburg Hospital, all contaminated persons with injuries too severe to be treated on-site shall be sent to HMC and/or Harrisburg Hospital for decontamination and treatment.

C. Consider the following contamination control measures and implement them if they are practicable and will not interfere with patient treatment.

Covering the stretcher with plastic Wrapping the patient in a blanket 0 Providing P.C.'s to stretcher bearers 0 keeping unnecessary personnel out of the transfer path, etc.

6

Number TMI Emergency Plan Imolementing Procedure EPIP-TMI-.16 Title Revision No.

Contaminated Injuries 11 EXHIBIT 2 Page 2 of 3 D. If the ambulance crew has not been issued TLDs, request or obtain TLDs for them.

  • Allow the ambulance crew immediate access to the patient.
  • _ Issue TLDs if/when conditions permit.
  • If TLDs were not issued, document this fact.

E. Limit contamination of the ambulance and crew by appropriate measures such as:

  • Providing P.C.'s to the crew and/or
  • Laying plastic on the floor of the ambulance.

F. Take a radiation survey meter, a frisker and the ambulance response bag (located in the 305' Control Tower Stairwell) with you to the hospital.

G. Ensure that ambulance personnel do not turn in their dosimetry as they leave the site. They should retain it until they turn the patient over to hospital personnel.

H. If possible, verify contamination and radiation levels on the patient enroute to the hospital.

1. Upon arrival at the hospital and subsequently, provide periodic updates to the Control Room.

J. Provide radiological controls support to the Emergency Department staff in the following areas:

  • Contamination Control
  • Exposure Control
  • Patient Decontamination
  • Access Control
  • Personnel Monitoring
  • Dosimetry K. Survey the path from the ambulance to the treatment room. Refer to Exhibits 4 or 5 for the appropriate hospital floor plan.

L. Request that the ambulance and crew are not released until:

  • The ambulance and crew have been verified to be free of contamination and
  • TLD's (if issued) have been collected.

NOTE With permission from the Shift Manager, the ambulance and crew can return to TMI for survey and decontamination as needed.

M. Obtain necessary information as appropriate for any Dosimetry Investigative Reports per Reference 6.3 (6610-ADM-4241.05, Dosimetry Investigative Report).

7

Number TMI Emergency Plan Implementing Procedure EPIP-TMI-.16 Title Revision No.

Contaminated Injuries 11 EXHIBIT 2 Page 3 of 3 N. Remain at the hospital until:

____ Rad Con responsibilities are turned over to hospital health physics (HMC only) or

  • _ Patient and hospital emergency room area are decontaminated or
  • _ Patient is released or
  • _ You are properly relieved by another technician.

NOTE Harrisburg Hospital does not have a health physicist; TMI Rad Controls personnel must continue to provide radiological controls assistance, as needed.

0. Before leaving the hospital:
  • Ensure all contaminated trash and used P.C.'s are collected and
  • A thorough survey of the hospital emergency room and adjacent areas, as applicable, has been completed and documented.

_ P. Any material that is above release limits should be securely sealed in plastic, marked "Radioactive",

and returned to the site.

Prior to transporting material marked "Radioactive", consult with a representative of the TMI Waste Disposal Group, if possible.

Q. Ensure the Control Room is informed of the status.

8

Number TMI Emergency Plan Imnl*.mentina Procedure EPIP-TMI-.16 Title Revision No.

Contaminated Injuries 11 EXHIBIT 3 Page 1 of 3 Messages to the Hospital MessaQe #1 To: (For Hershey Medical Center) Charge Nurse, Emergency Room, Dial 9-531-8333 (For Harrisburg Hospital) Senior Attending Physician on Duty, Dial 9-782-3131 "This is at TMI Nuclear Station.

Name/Title TMI is transferring a (potentially) contaminated patient with injuries to Hershey Medical Center/Harrisburg Hospital (circle one).

The Radiation Emergency Area should be prepared to receive the patient."

(Cont'd next page) 9

Number TMI Emergency Plan Implementinq Procedure EPIP-TMI-.16 Title Revision No.

Contaminated Injuries 11 EXHIBIT 3 Page 2 of 3 Please take down the following information:

Patient's Name(s):

Nature of injury/illness(s):

Contamination Levels (if known):______________________________

Estimated Time of Arrival:

Method of Transport:

Additional Misc. Info.

r -Thissectionfor Htershey Medaical -Center O-NLY ...........................

Please provide me with the following information either now or when you call back to verify this message:

Will HMC Health Physics Personnel be available in the Emergency Room?

Yes/No (inform TMI Rad Con of Response) .

(Cont'd next page) 10

Number TMI Emergency Plan Imolementina Procedure EPIP-TMI-.16 Title Revision No.

Contaminated Injuries 11 EXHIBIT 3 Page 3 of 3 Name and title of person receiving this call I

Name/Title Time Please acknowledge and verify this message by calling back at 948-8069 (8070 / 8071) and ask for (circle appropriate number) the Shift Manager.

(If contact with the hospital cannot be made by telephone, relay the message through the Dauphin County EOC by dialing 9-911 or by using the Notification Line in the Control Room).

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EPIP-TMI-.16 Revision 11 EXHIBIT 4 Page 1 of 1 Hershey Med Center Emergency Department Floor Plan 12

EPIP-TMI-.16 Revision 11 EXHIBIT 5 Page 1 of 1 Harrisburg Hospital Emergency Department Floor Plan 13

Number TM Emergency Plan Implementing Procedure EPIP-TMI-.16 Title Revision No.

Contaminated Injuries 11 EXHIBIT 6 Page 1 of 1 Instructions for Paging the Medical Response Team PRIMARY METHOD

1. Lift the EP Pager Call Out Phone receiver or press the "SPEAKER" button.
2. Press the "EMT Group Pagers" button.
3. After the third set of dialing tones is heard (the first set of dialing tones will occur immediately after you press the "EMT Group Pagers" button), THEN press the "LOCATION CODE" followed by the pound (#) key.
4. After you hear the rapid "beeps", hang-up the receiver or press the "SPEAKER" button.

Patient Location Location Code U-1 Service Building 1 U-1 Turbine Building 2 U-1 Aux. Building 3 U-1 Control Building 4 OSF 5 NOB 6 Warehouse 1 7 Screen House 8 SOB 9 Unit 2 (all areas) 10 Training Center/Simulator Building 11 OESB 12 TEST 13 OOB 14 North Gate 15 SECONDARY METHOD (use if the Primary Process Fails)

1. From any functional touch-tone plant extension telephone, Dial the Medical Response Team group pager number: 9-213-8899.
2. When prompted for the password, dial "9110" and immediately dial "911"" plus the location code from the table above. (For drills, dial "912"" plus the location code.)

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