ML041260186

Document Update Notification for Document No. OP-1903.023, Personnel Emergency.

ML041260186
Person / Time
Site:	Arkansas Nuclear
Issue date:	04/20/2004
From:	Entergy Operations
To:	Document Control Desk, Office of Nuclear Reactor Regulation
References
035-00-0 OP-1903.023
Download: ML041260186 (27)

Text

Arkansas Nuclear One - Administrative Services Document Control Tuesday, April 20, 2004 Document Update Notification COPYHOLDER NO: 103 TO: ANO-NRC (EMERGENCY RESPONSE COORD.) - WASHINGTON OS-DOC~~~~.

CNTR DEKMI TPOi ADDRESS. OS-DOC CNTRL DESK MAIL STOP OPI-17 WASHINGTON.DC 20555-DC DOCUMENTNO: OP-1903.023 TITLE: PERSONNEL EMERGENCY CHANGE NO: 035-00-0 ADDITIONAL INFO:

Ca lf this box is checked, please sign, date, and return within S days.

[f ANO-1 Docket 50-313

[] ANO-2 Docket 50-368 Signature Date SIGNATURE CONFIRMS UPDATE HAS BEEN MADE RETURN TO:

ATTN: DOCUMENT CONTROL-(N-MNTC-36)

ARKANSAS NUCLEAR ONE 1448 SR 333 RUSSELLVILLE, AR 72802

1. cYAS5

ENTERGY OPERATIONS INCORPORATED ARKANSAS NUCLEAR ONE TITLE: PERSONNEL EMERGENCY DOCUMENT NO. CHANGE NO.

1903.023 035-OD-0 WORK PLAN EXP. DATE TC EXP. DATE N/A N/A SET# 103 SAFETY-RELATED IPTE

/YES ENO [YES DNO TEMP ALT

.D BYES ONO When you see these TRAPS Get these TOOLS Time Pressure Effective Communication Distraction/lnterruption Questioning Attitude Multiple Tasks Placekeeping Overconfidence Self Check Vague or Interpretive Guidance Peer Check First ShiftlLast Shift Knowledge Peer Pressure Procedures Change/Off Normal Job Briefing Physical Environment Coaching Mental Stress (Home or Work) Turnover VERIFIED BY DATE TIME FORM TITLE: FORM NO. CHANGE NO.

VERIFICATION COVER SHEET 1000.006A 050-00-0

ENTERGY OPERATIONS INCORPORATED ARKANSAS NUCLEAR ONE Page 1 TITLE:PERSONNEL EMERGENCY DOCUMENT NO. CHANGE NO.

7 1903.023 I 035-00-0 AFFECTED UNIT: D9 PROCEDURE a ELECTRONIC DOCUMENT SAFETY-RELATED 0 UNIT I 01 UNIT2 El WORK PLAN, EXP. DATE 0 YES El NO TYPE OF CHANGE:

O NEW E PC ] TC E DELETION 0 REVISION. El EZ EXP. DATE:

DOES THIS DOCUMENT:

1. Supersede or replace another procedure? 0YES ED NO (If YES, complete 1000.006B for deleted procedure.)

2. Alter or delete an existing regulatory commitment? El YES 0D NO (If YES, coordinate with Licensing before Implementing.)

3. Require a 50.59 review per LI-101? (See also 1000.006, Attachment 15) 0 YES E NO (If 50.59 evaluation, OSRC review required.)

4. Cause the MTCL to be untrue? (See Step 7.5 for details.) Cl YES ONO (If YES, complete 1000.009A)

5. Create an Intent Change? El YES ONO (If YES, Standard Approval Process required.)

6. Implement or change IPTE requirements? El YES ONO (If YES, complete 1000.143A OSRC review required.)

7. Implement or change a Temporary Alteration? E YES O0 NO (If YES, then OSRC review required.)

Was the Master Electronic File used as the source document? CYES O NO INTERIM APPROVAL PROCESS STANDARD APPROVAL PROCESS ORIGINATOR SIGNATURE: (includes review of Att. 13) DATE: OR!PitATORSIGNA REU.y4tdes review ofAt. 13) DATE: d_/,2-ac Print and Sign name: PHONE #: Print and Sign name: enisC Hams PHONE #: 4996 SUPERVISOR APPROVAL

• DATE: IN ENDENT REVI . DATE:

_ t g0 c o -/,J'--

SRO UNIT ONE:- DATE: GGINERING: DATE:

SRO UNIT TWO:- DATE: QUALITY: DATE:

Interim approval allowed for non-intent changes requiring no UNIT SURVEILLANCE CO R INATOR: DATE:

50.59 evaluation that are stopping work In progress. At //

Standard Approval required for Intent changes or changes requiring a 50.59 evaluation.

S ON LEAD R n 7 DATE,

!j jLj

• Ifchange not required to support work Inprogress, QUAuTY ASSURANCE: DATE:

Department Head must sign. __

• • If both units are affected by change, both SRO signatures OTHER SECTION LEADERS! / DATE:

are required. (SRO signature required for safety related . //

procedures only.) OTHER SECTION LEADERS: DATE:

OTHER SECTION LEADERS: DATE:

OTHER SECTION LEADERS: / DATE:

OSRC CHAIRMAVAT OTHER SECTION LEADERS: DATE:

D E: OTHER SECTION LEADERS: </I DATE:

REQUIRED EFFECTIV A jao a X ' OTHER SECTION LEADERS: o DATE:

FORM TITLE: / FORM NO. CHANGE NO.

PROCEDURE/WORK PLAN APPROVAL REQUEST 1000.006B 052-00-0

ENTERGY OPERATIONS INCORPORATED ARKANSAS NUCLEAR ONE TITLE:PERSONNEL EMERGENCY DOCUMENT NO. CHANGE NO.

1903.023 035-00-0 OPROCEDURE EWORK PLAN, EXP. DATE _ PAGE 1 OF 3 al ELECTRONIC DOCUMENT TYPE OF CHANGE:

E NEW 0 PC El TC El DELETION ED REVISION O EZ EXP. DATE:

AFFECTED SECTION: DESCRIPTION OF CHANGE: (For each change made, Include sufficient detail to describe (Include step # if reason for the change.)

applicable)

Page 1 of 21 Attachment I in section 10.1.1 changed from page 13 to page 12, form 1903.023B in section Table of contents 10.2.1 changed from page 14 to page 13. Changes due to revisions made on procedure Page 2 of 21 Changed Health Physics to Radiation Protection in the purpose and throughout procedure Purpose Page 2 of 21 Added NMM procedure reference for ENS-RP-105, PCE Events Step 3.1.2 Page 2 of 21 Added NMM and ENS to existing RP-104 reference Step 3.2.1 Page 2 of 21 Deleted obsolete procedure 1000.104 and added reference of Industrial Safety Rulebook as Step 3.2.4 Step 3.2.4 Page 2 of 21 Added NMM and ENS to existing LI-102 reference Step 3.2.5 Page 2 of 21 Removed obsolete Station Directive A6.202 as step 3.2.7 and renumbered Emergency Step 3.2.7 Telephone Directory from 3.2.8 to 3.2.7 Page 2 of 21 Old Step 3.3.2 deleted; Procedure 1000.128 (Industrial Safety & Occupational Health) is no Step 3.3.2 longer a procedure. The Industrial Safety Rulebook was added as a reference under Step 3.2.4 Page 4 of 21 Revised 5.2.1 Into 2 new steps to improve flow, renumbered old 5.2.2 to 5.2.3 Step 5.2.2 & 5.2.3 Page 7 of 21 The instructions In the old steps 8.2.3, 8.2.4, & 8.2.5 are contained in the Shift Manager's Step 8.2.3 & 8.2.5 Checklist (form 1903.023 B) these three steps were removed.

Page 7 & 8 of 21 The remaining steps in Section 8.2 were renumbered from 8.2.3 - 8.2.7 and ordesignee was Steps 8.2.4 - 8.2.8 added to new steps 8.2.4 and 8.2.5 Page 8 of 21 Steps 8.2.7 Added reference to 1903.023B steps 11.0 & 12.0 also added "or meet7 to 8.2.7.

Steps A & B (contaminated or uncontaminated) were removed since these steps are contained in 1903.023B.

FORM TITLE: FORM NO. CHANGE NO.

DESCRIPTION OF CHANGE 1 000.006C 050-00-0

ENTERGY OPERATIONS INCORPORATED ARKANSAS NUCLEAR ONE TITLE:PERSONNEL EMERGENCY DOCUMENT NO. CHANGE NO.

1903.023 1 035-00-0 OPROCEDURE D3WORK PLAN, EXP. DATE PAGE 2 OF 3 El ELECTRONIC DOCUMENT TYPE OF CHANGE:

El NEW El PC 0 TC El DELETION ED REVISION O EZ EXP. DATE: E AFFECTED SECTION: DESCRIPTION OF CHANGE: (For each change made, include sufficient detail to describe (Include step # if reason for the change.)

applicable)

Page 8 of 21 1000.128 was removed from the old Step 8.2.10 and renumbered as Step 8.2.8. The Industrial Step 8.2.8 Safety Rule Book is no longer a procedure.

Page 8 of 21 Changed Note to procedure step 8.3.1, renumbered old 8.3.1 to 8.3.2 Step 8.3.1 Page 9 of 21 Added NMM-ENS to existing RP-104 reference Step 8.4.3.E Page 11 of 21 1000.128 was removed from Step 9.1 since the Industrial Safety Rule Book Is no longer a Step 9.1 procedure Page 11 of 21 Added Form 1903.023D should be forwarded to the Manager, Emergency Planning.

Step 9.5 Page 12 of 21 Changed HP to RP and changed reference of obsolete procedure 1012.023 to Attachment I NMM-ENS-RP-104 Page 13 of 21 Added header to form 1903.023B Form 1903.023B Personnel Emergency Checklist - Shift Manager Page 13 of 21 Added new step 1.0 if you know and have verified that the EMT or the shift medical team has Step 1.0 of 1903.023B been alerted and are in route to the injured person you may skip to step 5.0O Per CR-ANO-C-2003-00778 CA #8 Page 13-17 of 21 Added check boxes to form 1903.023B, renumbered all the steps, corrected step references Form 1903.023 Page 13 of 21 Added second telephone number 3094 to reach RP at CA-1 per CR-ANO-C-2003-00778 CA #8 Step 2.1 FORM TITLE: FORM NO. CHANGE NO.

DESCRIPTION OF CHANGE l1000.006C 050-00-0

ENTERGY OPERATIONS INCORPORATED ARKANSAS NUCLEAR ONE TITLE:PERSONNEL EMERGENCY (DOCUMENT NO. #CHANGE NO.

I 1903.023 I 035-00-0 OPROCEDURE OWORK PLAN, EXP. DATE PAGE 3 OF 3 E ELECTRONIC DOCUMENT TYPE OF CHANGE:

a NEW E PC E TC El DELETION 0 REVISION 0 EZ EXP. DATE:_

AFFECTED SECTION: DESCRIPTION OF CHANGE: (For each change made, include sufficient detail to describe (Include step # if reason for the change.)

applicable)

Page 13 of 21 Added instructions on how the SM should proceed if RP phone lines are busy or if no one Step 2.1 answers (Added the IF - THEN step) per CR-ANO-C-2003-00778 CA #8 Page 13 of 21 Additional detail was added to the announcement (Emergency Medical Team response and Step 3.2 establish communications with the control room)

Announcement Page 14 of 21 Plant Nurse added to paging Instructions Step 4.0 Page 17 of 21 Revised OMC reference (Made more general) so that OMC is not the only company that can be Step 11.4 called. Per CR-ANO-C-2003-0007 Page 17 of 21 New Step 12.0 added to give Instructions in case the injured person is not contaminated.

Step 12.0 Page 17 of 21 Old step 11.0 (follow-up actions) renumbered to step 13.0 Step 13.0 Page 17 of 21 Added step 13.5 that instructs user to forward form 1903.023B to EP manager when form Is Step 13.5 completed.

Page 18 of 21 Improved form format (box indentions) to improve task assignment clarity. Added additional Form 1903.023C instructions for the communicator.

Page 18 of 21 Added Attachment 1 reference for the patient Information form for box # 8.

Form 1903.023C Page 19 of 21 Added check box step, Just before signature line, to forward form 19023C to EP Manager Form 1903.023C Page 20 of 21 Form header added; Personnel Emergency Checklist - OSC Director Form 1903.023D Page 21 of 21 Added step 11.2 to have completed form 1903.023D sent to EP Manager Step 11.2 FORM TITLE: FORM NO. CHANGE NO.

DESCRIPTION OF CHANGE 1000.006C 050-00-0

PROCJWORK PLAN NO. PROCEDUREIWORK PLAN TITLE: PAGE: 1 of 21 1903.023 PERSONNEL EMERGENCY CHANGE: 035-00-0 TABLE OF CONTENTS SECTIONS PAGE NO.

1.0 Purpose.. 2 2.0 Scope .. 2 3.0 References.. 2 4.0 Definitions.. 3 5.0 Responsibility and Authority.. 4 6.0 Limits and Precautions.. 5 7.0 First Aid Supplies and Equipment. 5 8.0 Instructions.. 6 9.0 Reporting and Records Management .. 11 10.0 Attachments and Forms 10.1 Attachments 10.1.1 Attachment 1 - "Patient Information Form" (Example) ............... 12 10.2 Forms 10.2.1 Form 1903.023B - "Personnel Emergency Checklist -

Shift Manager" ...... .. ...... 13 10.2.2 Form 1903.023C - "Emergency Medical Team Scene Leader Check List"................... 18 10.2.3 Form 1903.023D - "Personnel Emergency Checklist -

OSC Director ............ 20

1.0 PURPOSE The purpose of this procedure is to provide for the proper response to a personnel emergency. Guidance is provided for general ANO personnel, Operations Personnel, ANO Emergency Medical Team Personnel and Radiation Protection Personnel.

2.0 SCOPE This procedure outlines the general response to be taken during a personnel emergency. The emergency may be medical or contamination related medical and may require that offsite medical assistance be utilized. This procedure is not intended to give medical guidance for use during the emergency.

3.1 REFERENCES

USED IN PROCEDURE PREPARATION:

3.1.1 Emergency Plan 3.1.2 NMM-ENS-RP-105, "Radiation Work Permits" 3.1.3 Red Cross First Aid Instruction Pamphlets 3.1.4 NCRP Report No. 39, "Basic Radiation Protection Criteria" 3.1.5 NCRP Report No. 65, "Management of Persons Accidentally Contaminated with Radionuclides" 3.1.6 10CFR50.72(b)(2)(v)

3.2 REFERENCES

USED IN CONJUNCTION WITH THIS PROCEDURE:

3.2.1 NMM-ENS-RP-104, "Personnel Contamination Events" (PCE) 3.2.2 1903.033, "Protective Action Guidelines for Rescue/Repair and Damage Control Teams" 3.2.3 1905.001, "Emergency Radiological Controls" 3.2.4 The "Industrial Safety Rule Book" 3.2.5 NMM-ENS-LI-102, "Corrective Action Process" 3.2.6 1000.031, "Radiation Protection Manual" 3.2.7 Emergency Telephone Directory 3.3 RELATED ANO PROCEDURES:

3.3.1 1903.042, "Duties of the Emergency Medical Team"

3.4 REGULATORY CORRESPONDENCE CONTAINING NRC COMMITMENTS WHICH ARE IMPLEMENTED IN THIS PROCEDURE INCLUDE:[BOLD] DENOTES COMMITMENTS 3.4.1 LIC 12-74 (P-2880)

A. Form 1903.023C 3.4.2 OCAN058411 (P-9460)

A. Form 1903.023B, Section 1.0, 2.0 and 3.0 3.4.3 LIC 94-226 (P-14029)

A. 8.3 Note 4.0 DEFINITIONS 4.1 EMERGENCY MEDICAL TEAM - Personnel employed at ANO who are trained to respond to personnel emergencies and provide first aid/rescue.

4.1.1 The Emergency Medical Team (EMT) consists of two groups of employees:

A. Radiation Protection Technicians who respond to personnel emergencies in support of the volunteer EMT, and provide 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> on-shift first aid/rescue coverage.

B. Volunteer Emergency Medical Team Members who respond to personnel emergencies when on-site, and provide emergency medical support during emergency class declarations which require emergency response organization activation.

4.2 SERIOUS INJURY - An injury that requires action'specified in this procedure is defined as an injury to any person that has resulted in one or more of the following:

4.2.1 More than a momentary loss of consciousness.

4.2.2 An actual or suspected fracture.

4.2.3 A head injury.

4.2.4 An injury that may have damaged internal organs.

4.2.5 A serious burn.

4.2.6 Hemorrhaging.

4.2.7 Receipt of a large dose of radiation (i.e., greater than 50 R).

4.3 PROTECTED AREA - An area encompassed by physical barriers (i.e., the security fence) and to which access is controlled.

4.4 PATIENT INFORMATION FORM - A form used to record information gathered by emergency response personnel in a personnel emergency. This form shall contain as a minimum space for the following information:

4.4.1 Name of the injured person.

4.4.2 Company that the injured person works for.

4.4.3 Date and time the incident occurred.

4.4.4 Badge number of the injured person.

4.4.5 General description of the occurrence.

4.4.6 Injuries noted by the Emergency Medical Team.

4.4.7 Treatment or aid given by the Emergency Medical Team.

4.4.8 Names of Emergency Medical Personnel responding to the incident.

4.4.9 Location for recording more than one set of vital signs (pulse, blood pressure, respirations).

4.4.10 Location for recording dosimeter readings.

4.4.11 Action levels based on the amount of contamination the injured person may have sustained.

4.4.12 Signature-blank for person completing form with date and time.

4.4.13 Form distribution instructions.

4.4.14 The name of the form.

4.5 FIRST AID/RESCUE - First Aid/Rescue is defined as those activities which involve assessment of patient condition, and treatment for those conditions. This includes actions taken to stabilize the patient, determine if additional assistance is needed, and transfer the patient to the next level of care.

5.0 RESPONSIBILITY AND AUTHORITY 5.1 ANO EMPLOYEES - as described in Section 8.1 of this procedure.

5.2 SHIFT MANAGER 5.2.1 Responsible for ensuring that ANO Emergency Medical Team Members are dispatched to the scene of a medical emergency.

5.2.2 Responsible for dispatching additional Radiation Protection Personnel, if needed, for radiological concerns.

5.2.3 Responsible for coordinating offsite medical assistance.

PROCJWORK PLAN NO. PROCEDUREIWORK PLAN TITLE: PAGE: 5 of 21 1903.023 PERSONNEL EMERGENCY CHANGE: 035-00-0 5.3 OPERATIONAL SUPPORT CENTER DIRECTOR 5.3.1 May relieve the Shift Manager of responsibility for steps 5.2.1 and 5.2.2 above.

5.4 EMERGENCY MEDICAL TEAM - as described in procedure 1903.042, "Duties of the Emergency Medical Team".

5.5 ANO NURSE - as described in procedure 1903.042, "Duties of the Emergency Medical Team".

5.6 RADIATION PROTECTION PERSONNEL 5.6.1 Responsible for determining the level of contamination, if involved.

5.6.2 Responsible for ensuring personnel are surveyed prior to exiting the protected area.

5.6.3 Responsible for monitoring dose rates and time in Radiologically Controlled Areas.

5.6.4 Responsible for providing radiological instructions if time did not permit Emergency Medical Team members to read and sign in on an RWP prior to entering a Radiologically Controlled Area.

6.0 LIMITS AND PRECAUTIONS 6.1 Personnel administering first aid to an injured person in a suspected or undefined radiation field should be joined by a Radiation Protection representative (in addition to any Radiation Protection representatives on the Emergency Medical Team, if needed) with the appropriate radiation monitoring equipment as soon as possible.

6.2 Entry into evacuated or high radiation areas for the purpose of attending to injured individuals shall be in accordance with 1903.033, "Protective Action Guidelines for Rescue/Repair and Damage Control Teams".

6.3 If it is not clear that the individual can be moved without harm, he or she should not be moved until further help arrives, unless the individual would be in danger of loss of life or limb or is in a life threatening radiation field. If questions arise, contact the Radiation Protection Supervisor or the Shift Manager.

6.4 Individuals who have suffered any of the conditions described in Section 4.2 should receive a medical examination prior to returning to work.

7.0 FIRST AID SUPPLIES AND EQUIPMENT 7.1 First Aid Supplies are maintained in various locations within the protected area. These supplies are located so that they are readily available in an emergency situation.

7.2 To assist St. Mary's Regional Medical Center in the treatment of radiologically contaminated individuals, ANO maintains an emergency kit at St. Mary's Regional Medical Center for use in these situations.

7.3 Equipment or supplies may be provided to assist ambulance personnel.

8.0 INSTRUCTIONS 8.1 ANO PERSONNEL 8.1.1 In the event of a personnel emergency, personnel in the vicinity of the affected individual should:

A. Notify either unit's Shift Manager and provide the following information:

• Location in plant and number of injured people.

• Type of injury.

• If radiation/contamination is involved.

• Name(s) of injured individuals and employer, if known.

NOTE The injured individual should only be moved by trained personnel, unless the individual is in danger of loss of life or limb or is in a known high radiation field.

B. Administer immediate first aid and attention within the limits of their training. This attention should consist of but is not limited to the following:

• Stopping bleeding by applying pressure.

• Using resuscitation techniques if known.

• Keeping the individual calm and comfortable until further help arrives.

C. Remain available at the scene of the accident to provide information to the appropriate medical personnel.

8.2 OPERATIONS PERSONNEL 8.2.1 For minor and/or non-emergency situations, Operations personnel should direct any requests for medical attention to the ANO Nurse in the Nurse's Station or ANO Medical Facility. If the ANO nurse is not available, treatment of minor injuries (nicks, cuts, etc.) should be determined by the individual and his/her supervisor.

8.2.2 The Shift Manager or his designee shall see that emergency assistance is dispatched to seriously ill/injured individuals utilizing the instructions and documentation in Form 1903.023B, "Personnel Emergency Checklist - Shift Manager".

8.2.3 The Shift Manager shall see that arrangements are made for treatment based upon the assessment of the emergency medical personnel at the scene. This may include:

A. Notification of Pope County Emergency Medical Services if an ambulance is needed.

B. Guidance on Excessive Radiation Dose If the injured individual or individual(s) attending to the injured individual are suspected of having received a radiation dose in excess of 50 Rem (TEDE),

arrangements should be made between the initial attending physician and ANO Management (Vice President, Operations - ANO or Shift Manager/TSC Director/EOF Director or designee) to transport those individuals to the University of Arkansas Medical Sciences Center in Little Rock for treatment, as necessary, after examination at St. Mary's Regional Medical Center.

8.2.4 If the injured individual will be transported to a medical facility, the Shift Manager, OSC Director or designee shall call the appropriate medical facility and advise them of the number of individuals involved, whether or not contamination is involved and the nature of the injuries.

• St. Mary's Regional Medical Center (include the appropriate action level - refer to Step 8.4.2)

• University of Arkansas Medical Sciences Hospital 8.2.5 If an ambulance has been requested to come onsite, the Security Shift Commander shall be notified so that Security personnel will be ready to receive and escort the ambulance personnel. (Routine ambulance access point - North Gate; routine ambulance receiving area - Maintenance Facility Breezeway unless otherwise directed.)

PROCJWORK PLAN NO. PROCEDUREIWORK PLAN TITLE: PAGE: 8 of21 1903.023 PERSONNEL EMERGENCY CHANGE: 035-00-0 8.2.6 An escort (1903.023B steps 11.0 and 12.0), should accompany or meet the injured individual(s) at the offsite hospital in order to provide any necessary information or assistance to the offsite medical personnel and provide periodic updates to the Shift Manager (or other individual(s), as directed).

8.2.7 The injured employee's supervisor should respond in accordance with the "Industrial Safety Rule Book."

8.3 EMERGENCY MEDICAL PERSONNEL

[8.3.1 During a "Personnel Emergency" the Emergency Medical Team may enter Radiologically Controlled Areas without SRDs or Alarming Dosimeters as long as an Radiation Protection Technician is providing radiological instructions and is monitoring dose rates and time in the area. Prompt medical attention shall take precedence over Radiation Protection procedures when an individual is seriously injured.]

8.3.2 Emergency Medical Personnel should respond per procedure 1903.042, "Duties of the Emergency Medical Team".

8.4 RADIATION PROTECTION PERSONNEL (If radiation/contamination is known or suspected)

NOTE Medical attention and transportation to an offsite medical facility take precedence over decontamination measures for seriously injured individualCs).

8.4.1 IF the injured individual is contaminated and will require transport to the hospital, THEN a Radiation Protection Technician shall be IMMEDIATELY dispatched to the Emergency Department at St. Mary's Regional Medical Center to assist the hospital staff in preparing to receive a contaminated patient.

8.4.2 The following action levels for St. Mary's Regional Medical Center shall be referenced and provided to the Shift Manager or the OSC Director.

Level of Response for St. Mary's Regional Action Medical Center Levels Contamination Control A. LEVEL I No contamination None involved B. LEVEL II Any contamination Routine sterile above ANO's procedures for septic release limits and situations

<1000 counts per minute above background as measured by a frisker C. LEVEL III 21000 counts per Full-scale response minute above background as measured by a frisker 8.4.3 The following precautionary measures should be taken at the scene of the accident (as allowed by the nature of the injury):

A. Take precautions (coverings, use of stretcher, etc.)

to prevent the spread of contamination during movement and transport of the individual.

B. Move the individual to a "clean" area, as allowed by procedure step 6.3.

C. Remove contaminated clothing.

D. Survey the individual for surface contamination.

E. Decontaminate the affected areas removing as much contamination as possible per NMM-ENS-RP-104, "Personnel Contamination Events" (PCE).

F. Cover remaining areas.

PROCJWORK PLAN NO. PROCEDURE/WORK PLAN TITLE: PAGE: 10 of 21 1903.023 PERSONNEL EMERGENCY CHANGE: 035-00-0 8.4.4 If the situation requires an ambulance and Pope County Emergency Medical Service personnel must enter a potentially contaminated area, the following assistance should be provided by Radiation Protection personnel:

NOTE Prompt medical attention shall take precedence over Radiation Protection procedures when an individual is seriously injured.

A. Assist in donning protective clothing.

B. Provide dosimetry devices (these may be obtained from the Control Room emergency kit if necessary).

C. Provide a brief description of radiological conditions they will encounter during the response.

D. Provide special information to perform the task.

E. Bag equipment (to reduce chances of contamination).

F. Provide Radiation Protection escort.

G. Assist in exiting the Controlled Access Area (to include any necessary decontamination).

8.4.5 A Radiation Protection representative, in addition to the one dispatched to St. Mary's Regional Medical Center, shall accompany an injured and contaminated patient both onsite and to offsite medical facilities. The representative should:

A. Remain with the victim from the scene of the accident to the Emergency Department and provide advice and assistance concerning radiological controls.

B. Attempt to answer any questions the attending physician may have concerning the victim.

C. After decontamination efforts are complete at the hospital, remove the injured person's TLD for further dose determination and coordinate as necessary with Dosimetry and Radwaste.

8.4.6 The Radiation Protection representative that assisted the hospital staff in the set-up of the emergency room shall ensure that the ambulance and Pope County Emergency Medical Services personnel are surveyed after the victim(s) has been transported into the emergency room.

8.4.7 Both of the Radiation Protection representatives at the hospital should provide assistance and offer advice concerning the clean-up and decontamination of the facilities and equipment.

PROCJWORK PLAN NO. PROCEDURE/WORK PLAN TITLE: PAGE: 11 of 21 1903.023 PERSONNEL EMERGENCY CHANGE: 035-00-0 8.5 RADIATION PROTECTION PERSONNEL(If radiation/contamination is not suspected) 8.5.1 If a personnel injury occurs within the protected area and contamination is not suspected, Radiation Protection personnel shall ensure that the individual is surveyed prior to exiting the site.

8.5.2 Personnel leaving the protected area will normally exit through a portal monitor. If a portal monitor and/or frisker is not available at an exit point from the protected area, Radiation Protection shall provide a portal monitor or frisker for the period of time that the exit is open.

9.0 REPORTING AND RECORDS MANAGEMENT 9.1 A written report of the personnel injury or accident should be completed in accordance with the "Industrial Safety Rule Book."

9.2 The "Patient Information Form" should be distributed in the following manner:

9.2.1 Forward the original to the Manager, Emergency Planning, for records entry.

9.2.2 Forward a copy to the ANO Medical Department.

9.3 Form 1903.023B should be forwarded to the Manager, Emergency Planning, for records entry.

9.4 Form 1903.023C should be forwarded to the Manager, Emergency Planning, for records entry.

9.5 Form 1903.023D should be forwarded to the Manager, Emergency Planning, for records entry.

10.0 ATTACHMENTS AND FORMS 10.1 ATTACHMENTS 10.1.1 Attachment 1 - "Patient Information Form" (Example) 10.2 FORMS 10.2.1 Form 1903.023A - Deleted 10.2.2 Form 1903.023B - "Personnel Emergency Checklist - Shift Manager" 10.2.3 Form 1903.023C - "Emergency Medical Team Scene Leader Check List" 10.2.4 Form 1903.023D.- "Personnel Emergency Checklist - OSC Director"

ATTACHMENT 1 PATIENT INFORMATION FORM (EXAMPLE)

PATIENT INFORMATION FORM

• PATIENT'S NAME *BADGE #

• PATIENT'S SUPERVISOR *COMPANY

• DATE/TIME OF INJURY / *LOCATION

• DESCRIPTION OF OCCURRENCE:

• INJURIES NOTED:

MEDICAL TEAM TREATMENT:

MEDICAL PERSONNEL RESPONDING_ VITAL SIGNS Time = = =_ =

B/P _ _ _ _ _ _ _ _ _

Pulse = __=

Resp. = = _ =

Dosimeter Reading

• Action Level: Check appropriate box U Level I No contamination involved Notify Shift Manager/OSC Director o Level II Contamination above ANO's of action level. If transported release limits and <1000 to hospital, the RP escort is counts per minute above responsible for reporting background as measured by a contamination levels. For frisker. contamination levels and decontamination records, refer to o Level III 21000 counts per minute above Procedure NMM-ENS-RP-104, background as measured by a Personnel Contamination Events.

frisker FORM COMPLETED BY DATE/TIME

• Information to be provided to the Control Room.

DISTRIBUTION: Original - Emergency Planning Copy - ANO Medical Department

Page 13 of 21 PERSONNEL EMERGENCY CHECKLIST - SHIFT MANAGER Page 1 of 5 NOTE Emergency telephone numbers are contained in the Emergency Telephone Directory.

Ell.0 [If you know and have verified that the EMT or the shift medical team has been alerted and are in route to the injured person you may skip to step 5.0

[]2.0 Notify the Emergency Medical Team by performing the following:

E]2.1 Call extension 5166 or 3094 (CA-1 Radiation Protection Office)

If phones are busy or no one answers Then proceed to step 3.0 El2.2 Provide the following information Dl Location of injured person(s) al Type of emergency (if known) al Special access routes (if applicable)

El Personnel hazards (if applicable)

Dl Establish communications with the Control Room using channel

[D3.0 Notify plant personnel and response team members by performing the following:

0]3.1 Momentarily press the Fire and Medical tone push-button El3.2 Make the following announcement using the plant paging system:

"ATTENTION ALL PERSONNEL. ATTENTION ALL PERSONNEL. A PERSONNEL EMERGENCY HAS OCCURRED AT (give location). EMERGENCY MEDICAL TEAM MEMBERS PLEASE RESPOND TO (give location) AND ESTABLISH COMMUNICATIONS WITH THE UNIT (1) - (2) CONTROL ROOM. ALL OTHER PERSONNEL STAY CLEAR OF THE AREA."

FORM TITLE: FORM NO. REV.

PERSONNEL EMERGENCY CHECKLIST - SHIFT MANAGER 1903.023B 035-00-0

Page 14 of 21 PERSONNEL EMERGENCY CHECKLIST - SHIFT MANAGER Page 2 of 5 NOTE The Internet Method of notification is preferred. The Outlook Method may be delayed based upon back log of messages queued to be sent. If Internet and Outlook is unavailable, repeat Step 3.0.

54.0 Notify the Volunteer Emergency Medical Team members and Plant Nurse by activating the Alpha Numeric pagers using one of the following methods:

54.1 Internet Method Fa. Access the Teletouch web page by performing one of the following:

5 Type in or select "www.teletouch.com' in the address bar of any web page D From the Operations Department Home page

- Select Management

- Select General

- Select Alpha/Numeric page 5b. Fill out the following information 5 10 Digit.Pager Number 479-964-3333 5 Your Name (Unit Performing Page) 5 Message 5 First Line type "MEDICAL EMERGENCY" 5 Location of injured person a Special access routes (if applicable)

E5 Personnel hazards (if applicable)

Ec. Send message FORM TITLE: FORM NO. REV.

PERSONNEL EMERGENCY CHECKLIST - SHIFT MANAGER I1903.02313 035-00-0

Page 15 of 21 PERSONNEL EMERGENCY CHECKLIST -SHIFT MANAGER Page 3 of 5 E]4.2 Outlook Method Da. Select New (message)

Elb. In the 'TO' field, type 479-964-3333@pageme.teletouch.com 0C. In the 'Subject' field type "MEDICAL EMERGENCY" Eld. In the 'Message' field, provide the following:

n Location of injured person D] Type of injury (if known)

El Special access routes (if applicable)

ED Personnel hazards (if applicable)]

NOTE Radio communication between the Control Room and the emergency scene should be done on Channel 1.

Telephone or GAI-tronics may be used as a back-up method of communications if needed.

[D5.0 Dispatch an Operator to the scene to perform the following:

El Obtain a radio switched to Channel 1.

El Assist the Emergency Medical Team as needed.

E Take actions to ensure plant conditions and/or job site activities remain in a safe condition.

E06.0 Has the Emergency Medical Team requested an ambulance?

El Yes (GO TO step 7.0)

El No (GO TO step 13.0)

FORM TITLE: FORM NO. REV.

PERSONNEL EMERGENCY CHECKLIST - SHIFT MANAGER I 1903.02313B 035-00-0

Page 16 of 21 PERSONNEL EMERGENCY CHECKLIST - SHIFT MANAGER Page 4 of 5 El7.0 IF an ambulance is needed, THEN gather the following information:

[]7.1 Number of injured personnel:

0l7.2 Nature of injuries:_

57.3 Contamination level (check appropriate box):

al Level 1 No contamination involved a Level 2 Any contamination above ANO's release limits and <

1000 counts per minute above background as measured by a frisker.

Ea Level 3 2 1000 counts per minute above background as measured by a frisker.

57.4 Is an Automated External Defibrillator (AED) in use?

Ea Yes E No 57.5 Direct the ambulance to:

017.6 Name(s) and badge number(s) of injured personnel:

Name (s) Badge (s) 58.0 Notify Pope County Emergency Medical Services (use a direct commercial telephone line and dial 9-1-1). Provide the dispatcher with the information in Step 7.1 - 7.4.

59.0 Notify St. Mary's Regional Medical Center Emergency Department (968-6211),

and provide them with the information in step 7.1 - 7.4. .

510.0 Notify Security (3383) that an ambulance is responding to the site and the location to where the ambulance is to report (see step 7.5).

FORM TITLE: FOR M NO. REV.

PERSONNEL EMERGENCY CHECKLIST - SHIFT MANAGER I1903.02313 035-00-0

Page 17 of 21 PERSONNEL EMERGENCY CHECKLIST - SHIFT MANAGER Page 5 of 5 0[11.0 IF contamination is known or suspected (level 2 or 3),

AND injured personnel are to be transported offsite, THEN perform the following:

711.1 Dispatch at least one Radiation Protection Technician to the hospital immediately to assist the hospital staff.

[711.2 Verify that EMT scene leader or Radiation Protection Supervisor designates one RP representative to accompany the patient onsite and to the hospital.

[711.3 Notify the Radiation Protection Supervisor to ensure that onsite RP staffing needs are met.

[011.4 Have St. Mary's Emergency Department staff (968-6211) notify a physician familiar with the treatment of a contaminated patient.

(i.e. a physician from Occupational Medical Consultants (OMC) or River Valley Occupational Health, (RVOH)).

[011.5 Go to step 13.0

[712.0 IF the injured person(s)is/are not contaminated THEN the EMT Scene Leader shall designate an Entergy Employee to meet the ambulance at the hospital to provide assistance to the offsite medical personnel and provide updates to the Shift Manager (or other individuals, as directed).

[713.0 FOLLOW-UP ACTIONS

[713.1 Notify the supervisor of the injured personnel.

[713.2 IF injured personnel are transported to the hospital, THEN notify the General Manager, Plant Operations (if not available, notify the Duty EOF Director).

013.3 Initiate a condition report in accordance with Procedure LI-102, " Corrective Action Process."

[713.4 Determine if the event is reportable in accordance with 10CFR50.72.

0713.5 When complete, forward this form to the Manager, Emergency Planning.

Signed: Date:

Shift Manager FORM TITLE: FORM NO. REV.

PERSONNEL EMERGENCY CHECKLIST - SHIFT MANAGER 1903.023B 035-00-0

Page 18 of 21

[EMERGENCY - MEDICAL TEAM SCENE LEADER CHECKLIST]

Page 1 of 2 CALL OUT RESPONSE 5 Verify scene safe.

D Assign scene responsibilities.

5 Assign patient care responsibilities. Name 5 Appoint communicator. Name I Instruct communicator to use channel #1, maintenance/emergency channel, to communicate with the Control Room.

5 Instruct communicator to notify Control Room when EMT personnel are with the patient.

5 Appoint RP to perform radiological controls. Name 5 Assign 1 team member to complete Patient Information Form (Attachment 1). Name 5 Determine if ambulance is needed. YES a NO 5 5 If yes, instruct Control Room/OSC to call 9-1-1 to dispatch Pope County Emergency Medical Services. Time 5 Direct the Control Room/OSC to have the ambulance respond to:

5 Have Communicator provide Control Room with information from the Patient Information Form.

E Request H.P. to the scene if none have arrived. Name a Assign a security officer to clear the area if necessary. Name -

5 If the patient is contaminated and stable, Check which steps were perform the following: performed (0)

a. If the scene is safe, decon patient at scene. D

b. Move patient to CA-1 for decontamination. D

c. Decon as time permits while waiting on the ambulance. El FORM TITLE: FORM NO. REV.

EMERGENCY MEDICAL TEAM SCENE LEADER CHECKLIST F 1903.023C 035-00-0

Page 19 of 21

[EMERGENCY MEDICAL TEAM SCENE LEADER CHECKLIST]

Page 2 of 2 Ea If transporting a contaminated injured patient, wrap the patient or place the patient in a body bag to contain contamination. Name El Assign an RP Technician to accompany the patient to the receiving hospital Name ED If the patient is contaminated, ensure that the patient's dosimetry remains with the patient.

E Dispatch an Entergy employee to the receiving hospital to provide updates on patient status to the Shift Manager or OSC Director. Name _

Ea If the patient is contaminated, notify the Radwaste Supervisor for transportation of radioactive material from the hospital back to ANO. Name al Notify Control Room or OSC that patient has left ANO en route to Hospital, and that Time Personnel Emergency is terminated. Notified El Confirm plant status with Control Room Normal Conditions El or OSC. NUE El Alert El Site Area Emergency El General Emergency El El Assign EMT members to restore Medical Kits to service, and complete Kit inventory form. Name El As soon as possible provide Shift Manager or OSC Director with details of incident.

NARRATIVE

SUMMARY

OF INCIDENT RESPONSE:

Name of Injured Person_ Badge Number_

El When complete, forward this form to the Manager, Emergency Planning.

Signature Date Scene Leader FORM TITLE: FORM NO. REV.

EMERGENCY MEDICAL TEAM SCENE LEADER CHECKLIST 1903.023C 035-00-0

Page 20 of 21 PERSONNEL EMERGENCY CHECKLIST - OSC DIRECTOR Page 1 of 2 D 1.0 Dispatch the Emergency Medical Team from the OSC Assembly Area.

a 2.0 Dispatch a Radiation Protection Technician to the scene.

D 3.0 Dispatch an Operator to the scene with a hand held radio.

a 3.1 IF there is no operator available in the OSC, THEN have the Control Room dispatch an operator.

E 3.2 Instruct the Operator to switch to radio Channel 1.

E 3.3 Instruct the Operator to assist the Emergency Medical Team as needed.

E Instruct the Operator to take actions to ensure plant conditions and/or job site activities remain in a safe condition.

al 4.0 Notify the ANO Medical Department.

El 4.1 ANO Duty Nurse (pager 964-3936)

E 5.0 Has the Emergency Medical Team requested an ambulance?

D Yes(GO TO step 6.0)

Dl No (GO TO step 11.0)

E 6.0 IF an ambulance is needed, THEN gather the following information:

E 6.1 Number of injured personnel:

D 6.2 Nature of injuries:

E 6.3 Contamination level (check appropriate box):

El Level 1: No contamination involved E Level 2: Any contamination above ANO's release limits and

<1000 counts per minute above background as measured by a frisker.

El Level 3: 21000 counts per minute above background as measured by a frisker.

E 6.4 Is an Automated External Defibrillator (AED) in use?

D Yes a No a 6.5 Direct the ambulance to:

FORM TITLE: FORM NO. REV.

PERSONNEL EMERGENCY CHECKLIST - OSC DIRECTOR 1903.023D 035 Page 21 of 21 PERSONNEL EMERGENCY CHECKLIST - OSC DIRECTOR Page 2 of 2 Ea 6.6 Name(s) and badge number(s) of injured personnel:

Name (s) Badge (s)

El 7.0 Notify Pope County Emergency Medical Services (dial 9,911 on the OSC Director's phone). Provide the dispatcher with the information in Steps 6.1 through 6.4.

a 8.0 Notify St. Mary's Regional Medical Center Emergency Department (968-6211),

and provide them with the information in 6.1 through 6.4.

a 9.0 Notify Security (3383) that an ambulance is responding to the site and the location to where the ambulance is to report (see 6.5).

Ea 10.0 IF contamination is known or suspected (level 2 or 3),

AND injured personnel are. to be transported offsite, THEN perform the following:

ED 10.1 Dispatch at least one Radiation Protection Technician to the hospital immediately.

E 10.2 Verify that EMT scene leader or RP supervisor designates one RP Technician to accompany the patient onsite and to the hospital.

El 10.3 Have St. Mary's Emergency Department staff (968-6211) notify a physician familiar with the treatment of a contaminated patient.

a 11.0 FOLLOW-UP ACTIONS E 11.1 IF injured personnel are transported to the hospital, THEN notify the TSC Director.

E 11.2 When complete, forward this form to the Manager, Emergency Planning.

Signed:_ Date:

OSC Director FORM TITLE: FORM NO. REV.

PERSONNEL EMERGENCY CHECKLIST - OSC DIRECTOR I1903.023D 035-00-0