ML111320320
| ML111320320 | |
| Person / Time | |
|---|---|
| Site: | South Texas  |
| Issue date: | 05/06/2011 |
| From: | Lawrence Hammond Federal Emergency Management Agency |
| To: | Collins E NRC Region 4 |
| cecere, Bethany NSIR/DPR 415-6754 | |
| References | |
| Download: ML111320320 (55) | |
Text
South Texas Project Drill Date - March 17, 2011 Radiological Emergency Preparedness (REP) Program After Action Report/
Improvement Plan Published May 02, 2011
Unclassified Radiological Emergency Preparedness Program (REP)
After Action Report/Improvement Plan South Texas Project This page is intentionally blank.
South Texas Project After Action Report/Improvement Plan Published May 02, 2011 Contents Executive Summary 3
Section 1: Exercise Overview 4
1.1 Exercise Details 4
1.2 Exercise Planning Team Leadership 4
1.3 Participating Organizations 5
Section 2: Exercise Design Summary 6
2.1 Exercise Purpose and Design 6
2.2 Exercise Objectives, Capabilities and Activities 6
2.3 Scenario Summary 6
Section 3: Analysis of Capabilities 7
3.1 Drill Evaluation and Results 7
3.2 Summary Results of Drill Evaluation 7
3.3 Criteria Evaluation Summaries 10 3.3.1 Support Jurisdictions 10 3.3.1.1 Matagorda Regional Medical Center 10 3.3.2 Private Organizations 11 3.3.2.1 Matagorda County EMS 11 Section 4: Conclusion 13 Appendix A: Improvement Plan 14 Appendix B: Best Practices 15 Appendix C: Drill Evaluators and Team Leaders 16 Appendix D: Acronyms and Abbreviations 17 Appendix E: Exercise Plan 18 1
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EXECUTIVE
SUMMARY
On March 17, 2011, an out-of-sequence medical drill was conducted for the South Texas Project (STP) located near Wadsworth, Matagorda County, Texas. Personnel from the U.S. Department of Homeland Security/Federal Emergency Management Agency (DHS/FEMA), Region VI, evaluated the drill. The purpose was to assess the level of preparedness of state and local responders to react to a simulated radiological emergency at STP. The previous medical drill at this site was conducted February 25, 2009.
Personnel from the Texas Department of State Health Services, STP, Matagorda County Emergency Medical Services, and Matagorda Regional Medical Center participated in the drill.
Evaluation Areas demonstrated included: Emergency Operations Management, Protective Action Implementation, and Support Operations/Facilities. Cooperation and teamwork of all the participants was evident during this drill, and DHS/FEMA wishes to acknowledge these efforts.
This report contains the final written evaluation of this out-of-sequence drill. The participants demonstrated knowledge of their emergency response plans and procedures and adequately implemented them. There were no Deficiencies, no Area Requiring Corrective Actions (ARCA),
and one Plan Issues identified as a result of this drill.
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SECTION 1: EXERCISE OVERVIEW 1.1 Exercise Details Exercise Name South Texas Project Type of Exercise Drill Exercise Date March 17, 2011 Program Department of Homeland Security/FEMA Radiological Emergency Preparedness Program Scenario Type Radiological Emergency 1.2 Exercise Planning Team Leadership Lisa Hammond RAC Chair FEMA Region VI Technological Hazards Branch Cheif 800 Norht Loop 288 Denton, Texas, 76209 940-898-5199 lisa.hammond@dhs.gov Nan Calhoun Federal Planning Team Lead FEMA Region VI Technological Hazards Program Specialist 800 North Loop 288 4
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Denton, Texas, 76209 940-898-5398 nan.calhoun@dhs.gov Rae Walker State Planning Team Lead Texas Department of State Health Services Emergency Planner P.O. Box 149347 Austin, Texas, 78714 512-834-6770 rae.walker@dshs.state.tx.us Vivian Wagnon Utility Planning Team Lead South Texas Project Emergency Planner P.O. Box 289 Wadsworth, Texas, 77483 361-972-8948 vtwagnon@stpegs.com 1.3 Participating Organizations Agencies and organizations of the following jurisdictions participated in the South Texas Project drill:
State Jurisdictions Texas Department of State Health Services, Radiation Control Program Support Jurisdictions Matagorda Regional Medical Center Private Organizations South Texas Project Electric Generating Station Matagorda County Emergency Medical Services 5
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SECTION 2: EXERCISE DESIGN
SUMMARY
2.1 Exercise Purpose and Design The DHS/FEMA Region VI Office evaluated the drill on March 17, 2011 to assess the capabilities of local emergency preparedness organizations in implementing their Radiological Emergency Response Plans and procedures to protect the public health and safety during a radiological emergency involving the South Texas Project (STP). The purpose of this report is to present the results and findings on the performance of the offsite response organizations during a simulated radiological emergency.
2.2 Exercise Objectives, Capabilities and Activities Exercise objectives and identified Capabilities/REP Criteria selected to be exercised are discussed in the Exercise Plan (EXPLAN), Appendix E.
2.3 Scenario Summary The drill scenario was developed to evaluate the response of drill participants to an incident at the South Texas Project requiring the transportation, treatment and decontamination of a radiologically contaminated injured individual. The drill scenario provided for the evaluation of the Matagorda County Emergency Medical Services and Matagorda Regional Medical Center staff.
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SECTION 3: ANALYSIS OF CAPABILITIES 3.1 Drill Evaluation and Results Contained in this section are the results and findings of the evaluation of all jurisdictions and functional entities that participated in the March 17, 2011 drill to test the offsite emergency response capabilities of state and local governments in the 10-mile emergency planning zone (EPZ) surrounding the South Texas Project (STP).
Each jurisdiction and functional entity was evaluated on its demonstration of criteria contained in the exercise evaluation areas as outlined in the Federal Register, Vol. 67, No. 80, "FEMA-Radiological Emergency Preparedness: Evaluation Methodology" (April 25, 2002). Detailed information on the exercise evaluation area criteria and the extent of play agreements used in this drill is included as an appendix to this report.
3.2 Summary Results of Drill Evaluation The matrix presented in Table 3.1, on the following page, presents the status of all exercise evaluation area criteria that were scheduled for demonstration during the drill by all participating jurisdictions and functional entities. Exercise criteria are listed by number and the demonstration status is indicated by the use of the following letters:
M - Met (No Deficiency or Areas Requiring Corrective Actions [ARCAs] assessed and no unresolved ARCAs from prior exercises)
D - Deficiency assessed A - ARCA(s) assessed or unresolved ARCA(s) from prior exercise(s)
N - Not Demonstrated P - Plan Issue 7
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Table 3.1 - Summary of Drill Evaluation DATE: 2011-03-17 SITE: South Texas Project, TX M: Met, A: ARCA, D: Deficiency, P: Plan Issue, N: Not Demonstrated Matagorda County EMS Matagorda Regional Medical Center Emergency Operations Management Mobilization 1a1 Facilities 1b1 Direction and Control 1c1 Communications Equipment 1d1 Equip & Supplies to support operations 1e1 M
M Protective Action Decision Making Emergency Worker Exposure Control 2a1 Radiological Assessment and PARs 2b1 Decisions for the Plume Phase -PADs 2b2 PADs for protection of special populations 2c1 Rad Assessment and Decision making for the Ingestion Exposure Pathway 2d1 Rad Assessment and Decision making concerning Relocation, Reentry, and Return 2e1 Protective Action Implementation Implementation of emergency worker exposure control 3a1 M
M Implementation of KI decision 3b1 Implementation of protective actions for special populations - EOCs 3c1 Implementation of protective actions for Schools 3c2 Implementation of traffic and access control 3d1 Impediments to evacuation are identified and resolved 3d2 Implementation of ingestion pathway decisions - availability/use of info 3e1 Materials for Ingestion Pathway PADs are available 3e2 Implementation of relocation, re-entry, and return decisions.
3f1 Field Measurement and Analysis Adequate Equipment for Plume Phase Field Measurements 4a1 Field Teams obtain sufficient information 4a2 Field Teams Manage Sample Collection Appropriately 4a3 Post plume phase field measurements and sampling 4b1 Laboratory operations 4c1 Emergency Notification and Public Info Activation of the prompt alert and notification system 5a1 Activation of the prompt alert and notification system - Fast Breaker 5a2 Activation of the prompt alert and notification system - Exception areas 5a3 Emergency information and instructions for the public and the media 5b1 Support Operations/Facilities Mon / decon of evacuees and emergency workers, and registration of evacuees 6a1 Mon / decon of emergency worker equipment 6b1 Temporary care of evacuees 6c1 8
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Transportation and treatment of contaminated injured individuals 6d1 M
P 9
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a.
b.
c.
d.
3.3 Criteria Evaluation Summaries 3.3.1 Support Jurisdictions 3.3.1.1 Matagorda Regional Medical Center MET: 1.e.1, 3.a.1.
AREAS REQUIRING CORRECTIVE ACTION: None DEFICIENCY: None PLAN ISSUES: 6.d.1.
ISSUE NO.: 60-11-6d1-P-01 CRITERION: Facility/ORO has the appropriate space, adequate resources, and trained personnel to provide transport, monitoring, decontamination, and medical services to contaminated injured individuals. (NUREG-0654, F.2., H.10., K.5.a.b.,
L.1., 4)
CONDITION: According to the hospital plan, contamination is considered to be any reading of 300 cpm above background. A background reading was taken by the Control Point Attendant in accordance with plans. This background reading was not documented on any log or form, nor was it shared with the RPT when he arrived.
The plan does not include instructions to document the background reading. If contamination is determined to be 300 cpm above background, without knowing what background is, there is no way to determine what the corrected counts would be and no way to determine what readings would exceed the 300 cpm above background.
POSSIBLE CAUSE: The hospital plan includes direction to take a background reading, but does not include instructions for documenting the reading so that it can be used in determining corrected counts and contamination thresholds. In addition, the controller provided corrected counts to the Radiation Protection Technician (RPT) without first requiring the RPT to do the calculation, subtracting out the background reading, to get corrected counts.
REFERENCE:
NUREG-0654, F.2; H.10; K.5.a, b; L.1, 4 10 Unclassified Radiological Emergency Preparedness Program (REP)
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e.
f.
g.
a.
b.
c.
d.
e.
f.
EFFECT: The RPT would not be able to accurately identify contamination without doing the calculation to subtract out background before conducting patient survey and decontamination.
RECOMMENDATION: Add language in the hospital plan that requires the Control Point Attendant to document the background reading taken on the Patient Data Sheet.
Include a place on the Patient Data Sheet for documentation of background radiation readings.
NOT DEMONSTRATED: None PRIOR ISSUES - RESOLVED: 1.e.1.
ISSUE NO.: 60-09-1e1-A-01 ISSUE: The survey meters staged for use did not have a range of readings sticker affixed indicating the appropriate range of readings to be observed during source check of the meters. The range of readings sticker is required to verify that the meters were measuring correctly prior to use.
CORRECTIVE ACTION DEMONSTRATED: The survey meters did not display a range-of-readings sticker; however, the operational check source had an upper and lower range documented.
PRIOR ISSUES - UNRESOLVED: None 3.3.2 Private Organizations 3.3.2.1 Matagorda County EMS MET: 1.e.1, 3.a.1, 6.d.1.
AREAS REQUIRING CORRECTIVE ACTION: None DEFICIENCY: None PLAN ISSUES: None NOT DEMONSTRATED: None PRIOR ISSUES - RESOLVED: None 11 Unclassified Radiological Emergency Preparedness Program (REP)
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g.
PRIOR ISSUES - UNRESOLVED: None 12 Unclassified Radiological Emergency Preparedness Program (REP)
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SECTION 4: CONCLUSION Based on the results of the drill, the offsite radiological emergency response plans and preparedness for the State of Texas and the affected local jurisdictions are deemed adequate to provide reasonable assurance that appropriate measures can be taken to protect the health and safety of the public in the event of a radiological emergency. Therefore, 44 CFR Part 350 approval of the offsite radiological emergency response plans and preparedness for the State of Texas site-specific to STP will remain in effect.
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APPENDIX A: IMPROVEMENT PLAN Issue Number: 60-11-6d1-P-01 Criterion: 6d1 ISSUE: According to the hospital plan, contamination is considered to be any reading of 300 cpm above background. A background reading was taken by the Control Point Attendant in accordance with plans. This background reading was not documented on any log or form, nor was it shared with the RPT when he arrived. The plan does not include instructions to document the background reading. If contamination is determined to be 300 cpm above background, without knowing what background is, there is no way to determine what the corrected counts would be and no way to determine what readings would exceed the 300 cpm above background.
RECOMMENDATION: Add language in the hospital plan that requires the Control Point Attendant to document the background reading taken on the Patient Data Sheet. Include a place on the Patient Data Sheet for documentation of background radiation readings.
CORRECTIVE ACTION DESCRIPTION: The plan will be updated to include a place on the Patient Data Sheet for documentation of background readings.
CAPABILITY:
Medical Surge PRIMARY RESPONSIBLE AGENCY:
Matagorda County Emergency Management CAPABILITY ELEMENT:
Planning START DATE:
2011-03-17 AGENCY POC:
Doug Matthes 979-244-6801 ESTIMATED COMPLETION DATE:
2012-03-17 14 Unclassified Radiological Emergency Preparedness Program (REP)
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APPENDIX B: BEST PRACTICES
- 1. Set up of the Radiation Control Area (REA)
Summary: The Emergency Room (ER) Charge Nurse verified the proper set up of the REA using a binder filled with photos depicting the proper set up of the REA.
==
Description:==
Proper set up of the REA is of high importance to the hospital staff. As an added measure to assure proper set up, the Charge Nurse keeps a book of photographs of correct REA set up. Upon completion of set up of the REA by the hospital engineering team, the Charge Nurse verified proper set up by inspecting the REA against the photographs. This additional step is beyond requirements and is a very creative way to assure proper hospital preparedness of the REA prior to patient arrival.
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APPENDIX C: DRILL EVALUATORS AND TEAM LEADERS DATE: 2011-03-17, SITE: South Texas Project, TX LOCATION EVALUATOR AGENCY Matagorda Regional Medical Center
- Nan Calhoun Tim Pflieger DHS/FEMA DHS/FEMA Matagorda County EMS Linda Gee DHS/FEMA
- Team Leader 16 Unclassified Radiological Emergency Preparedness Program (REP)
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APPENDIX D: ACRONYMS AND ABBREVIATIONS Acronym Meaning ARCA Area Requiring Corrective Actions BZ Buffer Zone CN Charge Nurse EMS Emergency Medical Services EPD Electronic Personal Dosimeter EPZ Emergency Planning Zone ER Emergency Room HPT Health Physics Technician mHz Megahertz MRMC Matagorda Regional Medical Center NTF Nuclear Training Facility PPE Personal Protective Equipment REA Radiation Emergency Area RPT Radiation Protection Technician STP South Texas Project TLD Thermoluminescent Dosimeter 17 Unclassified Radiological Emergency Preparedness Program (REP)
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APPENDIX E: EXERCISE PLAN 18 Unclassified Radiological Emergency Preparedness Program (REP)
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CONFIDENTIAL 2011 MEDICAL SERVICES EXERCISE SCENARIO SOUTH TEXAS PROJECT MATAGORDA COUNTY EMERGENCY MEDICAL SERVICES MATAGORDA REGIONAL MEDICAL CENTER FOR EVALUATION BY FEDERAL EMERGENCY MANAGEMENT AGENCY MARCH 17, 2011 Prepared by:
Lurinda Barton Date:
1/13/11 Reviewed by:
Max Keyes Date:
1/17/11 Approved by:
Scott Korenek for Joseph Enoch Date 1/17/11 19 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc TABLE OF CONTENTS 1.0 Scope and Participants....................................................................................................................... 3 2.0 Exercise Evaluation Areas and Extent of Play................................................................................... 4 3.0 Conduct and Evaluation..................................................................................................................... 5 4.0 Definitions.......................................................................................................................................... 7 5.0 References.......................................................................................................................................... 7 6.0 Controller Instructions....................................................................................................................... 8 7.0 Schedule of Events........................................................................................................................... 10 8.0 Exercise Props.................................................................................................................................. 10 9.0 Narrative Summary and Event Timeline.......................................................................................... 11 10.0 Controller Data and Messages......................................................................................................... 16 Figure 10.0-1, Patients Contamination - With Clothing................................................................ 17 Figure 10.0-2, Patients Skin Contamination................................................................................... 18 Figure 10.0-3, Patients Skin Contamination After Decontamination............................................. 19 Figure 10.0-4, Hospital Radiological Survey................................................................................... 20 Figure 10.0-5, Ambulance Radiological Survey.............................................................................. 21 Table 10.0-1, Patient Performance Paths......................................................................................... 23 Table 10.0-2, Patient Vital Signs..................................................................................................... 24 Scenario Messages........................................................................................................................... 26 11.0 Controller and Evaluator Organization and Assignments................................................................ 30 12.0 Exercise Telephone List................................................................................................................... 33 Attachment A - Controller/Evaluator Logs and Forms.................... Error! Bookmark not defined.
Attachment B - Exercise Forms....................................................... Error! Bookmark not defined.
Document/Records Transmittal....................................................... Error! Bookmark not defined.
Exercise Checklist............................................................................ Error! Bookmark not defined.
Hospital Exercise Critique Outline.................................................. Error! Bookmark not defined.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc 1.0 Scope and Participants The 2011 Matagorda Regional Medical Center MS-1 exercise will test and provide the opportunity to evaluate the plans and procedures utilized to respond to contaminated injuries. It will demonstrate the utilization of hospital, ambulance, and station procedures supporting emergency medical services.
Whenever practical, the exercise incorporates provisions for free play by the participants. The scenario simulates a sequence of events, which results in a medical accident with contaminated injuries. The degree of the simulated injuries requires immediate response by onsite and offsite emergency medical teams with offsite hospital support.
The scenario is sufficiently difficult to challenge participants; however, responses will be controlled to ensure the safety of personnel and plant equipment.
The exercise will be conducted with the following participants:
Exercise Participants STP Unit 1 Control Room (simulated via phone cell)
STP Radiation Protection STP Plant Protection (EMTs)
STP Emergency Response Division Matagorda County Emergency Medical Services (MCEMS)
Matagorda Regional Medical Center (MRMC) 21 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc 2.0 Exercise Evaluation Areas and Extent of Play The Evaluation Areas applicable to this exercise are taken from the Federal Emergency Management Agency (FEMA) Evaluation Area Criterion for Medical Exercises. The extent of play follows the criterion in these documents. Any exception to the Evaluation Area is noted with the Evaluation Area and extent of play.
EVALUATION AREA 1.e.1 - EQUIPMENT, MAPS, DISPLAYS, DOSIMETRY, POTASIUM IODIDE (KI), AND OTHER SUPPLIES ARE SUFFICIENT TO SUPPORT EMERGENCY OPERATIONS.
Instruments are operationally checked before use. Instruments are calibrated in accordance with manufacturers recommendations.
A label indicating calibration is on each instrument. Sufficient quantities of appropriate electronic personal dosimeters and permanent record dosimetry are available for issuance to all categories of emergency workers deployed by that facility.
Sufficient supplies, equipment, displays, and personal protective equipment are available.
Extent of Play Donning and doffing of personal protective equipment will be demonstrated by one player.
Correction on the spot is requested for purposes of dressing out for local agencies.*
EVALUATION AREA 3.a.1 - IMPLEMEMTATION OF EMERGENCY WORKER EXPOSURE CONTROL The Offsite Response Organizations (OROs) issue appropriate dosimetry and procedures and manage radiological exposure. Emergency Workers periodically and at the end of each mission read their dosimetry and record the readings on the appropriate exposure record or chart.
Extent of Play 22 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc Correction on the spot is permitted with issues related to dosimetry use, reading dosimetry, alarm set points and record keeping. Correction on the spot is requested.*
EVALUATION AREA 6.d.1 - TRANSPORTATION AND TREATMENT OF CONTAMINATED INJURED INDIVIDUALS The facility/ORO has the appropriate space, adequate resources, and trained personnel to provide transport, monitoring, decontamination, and medical services to contaminated, injured individuals.
Extent of Play Correction on the spot is permitted with issues related to the adequacy of vehicles, equipment, and procedures, decontamination techniques, cross contamination issues for personnel transporting and treating contaminated injured or exposed individuals. Correction on the spot is requested.*
Onsite Extent of Play Matagorda County EMS will be notified of the need to transport and treat a contaminated injured individual.
Onsite medical responders will simulate initial treatment of the injured individual providing emergency care until the ambulance arrives to transport the injured individual to the hospital.
- Correction-on-the-spot is defined in FEMA Policy Paper, Strategic Review Steering Committee, Initiative 1.5, Correct Issues immediately, effective March 31, 2000, signed by Kay C. Goss, CEM, Associate Director for Preparedness, Training, and Exercises.
3.0 Conduct and Evaluation The Exercise will simulate a medical emergency at the South Texas Project, which will demonstrate the effectiveness of communications with offsite organizations, personnel, and activities to support the Emergency Plan and associated procedures.
Controllers may provide clarification that is necessary for participants to understand the intent of the message given by the controller or on a message sheet.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc The medical emergency response at the South Texas Project will be situated at a simulated location. The patient will be packaged at the Nuclear Training Facility by the onsite EMTs.
Matagorda County EMS is contacted to respond to the site for patient transfer to an offsite hospital.
A controller will be on the ambulance to provide patient performance paths (vital signs) and contamination levels during the trip to the hospital.
The organization for this Exercise will consist of the Exercise Coordinator, Controllers, Evaluators, Participants, and Observers, as follows:
The Exercise Coordinator is responsible for the coordination and the safe conduct of the exercise. This individual will provide resolution to scenario-related questions and ensure the conduct of the exercise does not adversely impact the operation of the station and/or offsite agencies actual emergency response activities.
The Controllers will deliver event condition messages to designated participants at specified times and places during the Exercise, including contingency messages, as required, to keep the Exercise moving according to the scenario timeline.
Controllers will also observe the scenario actions and prepare written evaluations of the Participants' performance. Controllers will be identified by wearing red badges labeled CONTROLLER.
The Evaluators will judge the effectiveness of participating organizations, personnel, and activities. Evaluators will be identified by wearing blue EVALUATOR badges.
The Observers will be authorized, on a limited basis, to watch Exercise activities for the purpose of personal education. Observers will be identified by wearing white OBSERVER badges.
In the event of an actual emergency during the conduct of the exercise, all exercise activities will be immediately halted and response directed to the actual event.
The Controller is responsible for immediately intervening and terminating any action during the conduct of the exercise that would place either an individual or a plant component in an unsafe condition.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc All telephone communications, radio transmissions and public address announcements related to the exercise will begin and end with the statement THIS IS A DRILL.
While participants are expected to inject as much realism into their response actions as possible, safety of personnel and plant equipment shall not be jeopardized.
After the Exercise is complete, the Exercise Coordinator will conduct a critique session.
Potential issues with the emergency plan, procedures, training program, facilities, equipment, and/or other areas will be identified through the critique and evaluation process. The issues will be documented by the Exercise Coordinator and corrected by the individuals/organizations having responsibility for the area of the identified issue(s).
4.0 Definitions Controller:
A member of the exercise organization assigned to one or more activities for the purpose of keeping the action going according to a scenario, resolving scenario discrepancies, and ensuring the safe deliberation of actions by the participants.
Evaluator:
A member of the exercise organization assigned to one or more activities to evaluate and make recommendations for improvement or recognition of above average performance.
Exercise:
An event which tests and provides the opportunity to evaluate the plans and procedures utilized to respond to contaminated injuries. It will demonstrate the utilization of hospital, ambulance, and station procedures supporting emergency medical services.
Observer:
An individual who is authorized to observe the exercise, but is not authorized to interact with the participants.
Participants:
All individuals assigned to perform functions of the emergency response organization as a participant in the exercise.
5.0 References
- 1.
Title 10, Code of Federal Regulations, Part 50, Appendix E
- 2.
STP Emergency Plan 25 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc
- 3.
Matagorda County Hospital District Radiological Emergency Plan
- 4.
NUREG-0654/FEMA-REP-1, Criteria For The Preparation And Evaluation Of Radiological Emergency Response Plans And Preparedness In Support Of Nuclear Power Plants
- 5.
FEMA Evaluation Area Criterion for Medical Exercises
- 6.
STP Plant procedure, Emergency Medical Response Plan (0PGP03-ZA-0106)
- 7.
FEMA General Memorandum MS-1, Medical Services
- 8.
STP Plant Procedure, 0POP04-ZO-0004, Personnel Emergencies 6.0 Controller Instructions Instructions:
Each Controller and Evaluator should be familiar with the following:
- 1.
The applicable evaluation area and extent of play of the exercise.
- 2.
The exercise conduct and evaluation guidelines and precautions.
- 3.
The exercise scenario, including initiating events and expected course of action.
- 4.
The facilities and locations that will be involved and the specific actions to be observed.
- 5.
The evaluation checklists provided to document participant actions.
Controllers should be positioned at assigned locations at least 15 minutes prior to the activation of the facility or location.
Message sheet information should be delivered in sequence and as written, unless the Exercise Coordinator authorizes change.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc Controllers may provide information to the participants regarding scenario progression or the resolution of problems encountered in the course of the simulated emergency.
Each Controller/Evaluator shall take detailed notes regarding the progress of the Exercise (i.e., a chronology) and the response of the participants.
The Lead Exercise Controller in conjunction with the FEMA Evaluator may delay, suspend or cancel the exercise if an emergency situation requires use of the ambulance, hospital ER or personnel.
Controllers/Evaluators should carefully note the arrival and departure times of participants.
Controllers/Evaluators should carefully note problem areas encountered and good practices. The chronology can be used to corroborate critique items that are questioned by participants. Refer to Attachment A for the Controller/Evaluator Forms.
Controllers for this Exercise shall include:
Exercise Coordinator STP Control Room Controller (simulated phone cell)
Matagorda Regional Medical Center Controller STP Emergency Medical Technician (EMT) Controller Radiation Protection Controller - Hospital Radiation Protection Controller - Ambulance 27 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc 7.0 Schedule of Events DATE TIME LOCATION EVENT DESCRIPTION 03/03/11 12:30 PM - 3:30 PM MRMC STP Training for MRMC staff 03/16/11 3:30 PM - 5:00 PM N4106 MS-1 Controller Briefing 03/10/11 12:30 PM - 2:30 PM MCEMS STP Training for MCEMS staff 03/17/11 ~9:00 AM - ~3:00 PM MCEMS/MRMC FEMA Evaluated Exercise FEMA= Federal Emergency Management Agency MCEMS = Matagorda County Emergency Medical Services MRMC = Matagorda Regional Medical Center STP = South Texas Project 8.0 Exercise Props Plant employee with simulated injuries dressed in full protective clothing, and moulaged per the accident scenario.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc 9.0 Narrative Summary and Event Timeline The onsite narrative is provided as information to be used by controllers. Actual onsite response will occur at the South Texas Project on a limited basis. However, station EMTs and Radiation Protection personnel will be available to support offsite agency responses to the simulated medical emergency.
STP Unit 1 is in a refueling outage. An employee is working on the bridge of the refueling machine in the Fuel Handling Building. The employee slips on the bridge and falls into the spent fuel pool and hits his head. He is retrieved by co-workers and the onsite EMTs are called and respond to the scene.
The EMTs arrive, evaluate medical conditions and determine the injured worker needs to be transported to an offsite medical facility, as he is disoriented and has a bleeding gash above his right eye and forehead. The EMTs contact the simulated Control Room to confirm the need for an ambulance to respond to the site for transfer to the hospital.
The simulated Control Room contacts Matagorda County Emergency Medical Services to request ambulance service to transport the potentially contaminated injured worker.
Radiation Protection evaluates radiological conditions and establishes contamination controls for the accident scene. All individuals that were on the bridge are contaminated and must go through personnel monitoring and decontamination.
Once monitored by Radiation Protection, the injured worker is found to have 500 - 1000 cpm ()
on clothing and exposed skin (refer to Figure 10.0-1.) If the patients contaminated clothing is removed, skin contamination remains (refer to Figure 10.0-2.).
The worker is packaged, loaded on the site ambulance, and driven to the pick up location. They meet up with the offsite ambulance at the Nuclear Training Facility.
Upon arrival of the ambulance, STP EMTs provide a briefing to Matagorda County Emergency Medical Services crew regarding patient condition. A Radiation Protection technician accompanies the patient and provides radiological information and contamination control. A second Radiation Protection technician is called out and directed to the MRMC.
In route, the hospital is appraised of the patient's physical and radiological condition.
29 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc Upon hospital arrival, the Radiation Protection technician and ambulance attendants brief the emergency room staff. Upon completion of the briefing, the attendants turn the injured worker over to emergency room staff care. The Radiation Protection technician, who travels with the ambulance stays with the vehicle to monitor, and decontaminate, if required. Prior to the release of the ambulance, the Radiation Protection technician will survey the crew and their equipment. Results of the survey are in accordance with Figure 10.0-5, Matagorda County EMS Radiological Survey.
A brief decontamination demonstration will be performed prior to releasing the ambulance.
The Radiation Protection technician, who responds, monitors the decontamination room, as well as performs contamination control duties and assists with decontamination, as necessary. (Refer to Figure 10.0-4 for Matagorda Regional Medical Center Radiological Survey and Layout).
The hospital staff provides initial treatment and decontamination. Medical treatment will take priority over contamination. Decontamination will be achieved with the assistance of the Radiation Protection technician. Once the patient is stabilized, treated, and decontaminated, the patient will be transferred out of the decontamination area using recognized transfer techniques for standard admittance to the hospital.
Once the patient is transferred, the hospital staff inside the decontamination area will carefully remove their protective clothing (with the support of the Radiation Protection technician) to ensure control of contamination.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc TIME SEQUENCE OF EVENTS MESSAGE NUMBER 10:00 Initial conditions established.
1 10:05 The telephone cell implements storyboard information.
2 CONTROLLER NOTE Communications with offsite for support will be made to Matagorda County Emergency Medical Services.
10:10 Unit 1 Control Room (simulated phone cell) contacts Matagorda County Emergency Medical Services at (979) 323-9020 and requests they respond for a transfer.
3 CONTROLLER NOTE For more information on the injured workers vital signs, refer to Table 10.0-1, Patient Performance Paths.
For more information on the injured workers radiological conditions, refer to Figures 10.0-1, Patients Contamination-with Clothing, and 10.0-2, Patients Skin Contamination.
10:40 Site EMT(s) provide patient status and turn over care to Matagorda County EMS. Radiation Protection provides radiological status of the patient.
10:45 MCEMS contacts MRMC with known patient information 4
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc TIME SEQUENCE OF EVENTS MESSAGE NUMBER 11:05 Matagorda County EMS arrives at MRMC with the patient.
11:08 Patient is met by medical staff and Radiation Protection at the unloading area for radiological status, medical briefing, initial treatment and decontamination.
11:15 Stabilization and decontamination of patient begins.
CONTROLLER NOTE For more information on patient contamination, refer to Figure 10.0-3, Patients Skin Contamination After Decontamination.
11:35 Matagorda County Emergency Medical Services personnel, vehicle, and equipment are monitored, decontaminated as needed, and released.
CONTROLLER NOTE For more information on ambulance radiological conditions, refer to Figure 10.0-5, Matagorda County EMS Radiological Survey.
11:45 Patient decontamination is complete.
11:50 Patient is moved from emergency room area for final treatment and hospital admittance.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc TIME SEQUENCE OF EVENTS MESSAGE NUMBER CONTROLLER NOTE For more information on hospital radiological conditions, refer to Figure 10.0-4, Matagorda Regional Medical Center Radiological Survey and Layout.
12:00 Hospital personnel exit decontamination room.
Medical Exercise is terminated.
5 12:20 Critique begins.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc 10.0 Controller Data and Messages This section provides Controllers with patient data and messages that will be needed to relay injured worker data to participants who are responding to the medical emergency. Patient contamination levels are provided based on clothes on or off, and if decontamination attempts have been made. Refer to Patient Contamination Information (10.0-1 through 10.0-3).
The patient medical information is as if full treatment is provided and the patient is responding well.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc Figure 10.0-1, Patients Contamination - With Clothing CPM 500 800 1000 1000 Front Back 35 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc Figure 10.0-2, Patients Skin Contamination CPM 500 200 400 450 Front Back 36 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc Figure 10.0-3, Patients Skin Contamination After Decontamination VICTIM CONDITION RADIOLOGICAL DATA IN CPM Clothes Survey Head 500 Back of the right arm 1000 Front of the right & left arms 1000 Chest 800 Skin Survey Head 500 Back of the left arm 450 Front of the left arm 400 Chest 200 After first decontamination attempt at Face As Read hospital Back of the left arm As Read Front of the left arm 400 Chest As Read After second decontamination attempt at hospital All meter readings are as read NO DETECTABLE CONTAMINATION AFTER SECOND DECONTAMINATION ATTEMPT 37 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc Figure 10.0-4, Matagorda Regional Medical Center Radiological Survey and Layout Location Activity CPM/100cm2 1
As Read 6
5 1
2 3
7 4
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc 2
As Read 3
As Read 4
400 5
200 6
250 7
As Read 10.1 Figure 10.0-5, Matagorda County EMS Radiological Survey 450 450 300 500 300 CDI03563 (02/10)
All readings in cpm/100cm2 39 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc AMBULANCE ATTENDANTS ARE FOUND TO HAVE NO CONTAMINATION.
NO DETECTABLE CONTAMINATION ON AMBULANCE AFTER ONE DECON ATTEMPT.
Discuss with the evaluator, how much monitoring and decontamination will be required to be demonstrated. The numbers are based on a direct frisk. This survey is assumed to have been completed after patient transfer.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc Table 10.0-1, Patient Performance Paths Approx.
Time PATH A Treat for shock and injuries PATH B Injuries treated, but is not treated for shock PATH C Victim is not treated for shock or injuries 10:10 Site Initial assessment -
Disoriented, but somewhat responsive. Two inch laceration on the forehead, possible concussion. Wants to sleep.
Initial assessment -
Disoriented, but somewhat responsive. Two inch laceration on the forehead, possible concussion. Wants to sleep.
Initial assessment -
Disoriented, but somewhat responsive. Two inch laceration on the forehead, possible concussion. Wants to sleep.
10:20 Site ABCs completed.
Pressure dressing applied to the laceration. Oxygen administered. Inline cervical spine subligation with application of cervical collar. Patient log-rolled to place on backboard; patient is awake but confused, slowly responding to some commands. Patient is warmed with a blanket.
Omission of oxygen &
warming blanket - patient remains disoriented and is not responsive. Pressure dressing applied to the forehead.
No treatment. Patient becomes unresponsive.
10:40 Turnover Patient is more alert, complaining of pain on forehead.
Patient is awake but groggy.
Patient remains unresponsive. Skin is cool and clammy.
10:50 Ambulance Patient is stable, alert and oriented complaining of pain on forehead.
Patient is awake but groggy.
11:00 Ambulance Patient calm; but complains of pain on forehead.
EMS personnel begin treating patient for shock.
11:10 Turnover Patient calm; but complains of pain on forehead.
Patient feels better, more alert.
Patient is stabilized.
11:15 Hospital Patient calm, but complains of pain on forehead.
Patient is alert.
Patient is responsive and becoming alert.
11:30 Hospital Patient complaining of pain during decontamination Patient complaining of pain during decontamination Patient complaining of pain during decontamination 41 Unclassified Radiological Emergency Preparedness Program (REP)
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efforts.
efforts.
11:45 Hospital Patient complains of pain on forehead.
Patient complains of pain on forehead.
Patient complains of pain on forehead.
Table 10.0-2, Patient Vital Signs Approx.
Time PATH A Treat for shock and injuries PATH B Injuries treated, but is not treated for shock PATH C Victim is not treated for shock or injuries 10:10 Site GCS 13-14 RESP - 18 B/P - 138/78 PULSE - 100, Regular/Strong SKIN - Warm/Moist PUPILS - Equal/Reactive Same as Path A.
Same as Path A.
10:20 Site RESP - 17 B/P - 136/78 PULSE - 92, Regular/Strong SKIN - Warm/Moist PUPILS - Equal/Reactive RESP - 22 B/P - 128/80 PULSE - 126, Regular/Strong SKIN - Warm/Moist PUPILS - Equal/Reactive RESP - 24 B/P - 118/72 PULSE - 128, Regular/Strong SKIN - Warm/Moist PUPILS - Equal/Reactive 10:30 Site RESP - 17 B/P - 128/76 PULSE - 80, Regular/Strong SKIN - Normal PUPILS - Equal/Reactive Distal pulse is present, capillary refill is immediate.
RESP - 28 B/P - 116/72 PULSE - 90, Regular/Strong SKIN - Warm/Moist PUPILS - Equal/Reactive RESP - 29 B/P - 98/60 Pulse - 134, Regular SKIN - Cool/A little clammy PUPILS - Equal/Reactive 10:40 Turnover GCS 14 Same as above.
Same as above.
Same as above.
10:50 Ambulance RESP - 17 B/P - 130/80 PULSE - 88, Regular/Strong SKIN - Normal PUPILS - Equal/Reactive RESP - 24 B/P - 120/75 PULSE - 90, Regular SKIN - Warm Moist PUPILS - Equal/Reactive RESP - 32 B/P - 90/55 PULSE - 150, Weak SKIN - Cool/Clammy PUPILS - Equal/Reactive 11:10 Turnover RESP - 17 B/P - 130/80 PULSE - 88, Regular/Strong SKIN - Normal PUPILS - Equal/Reactive RESP - 24 B/P - 120/75 PULSE - 90, Regular SKIN - Warm/Moist PUPILS - Equal/Reactive RESP - 32 B/P - 90/55 PULSE - 140, Weak SKIN - Cool/Clammy PUPILS - Equal/Reactive 11:15 RESP - 16 B/P - 125/90 RESP - 24 B/P - 125/70 RESP - 26 B/P - 100/60 42 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc Hospital GCS 15 PULSE - 95, Regular/Strong SKIN - Normal PUPILS - Equal/Reactive PULSE -90, Regular SKIN - Warm/Moist PUPILS - Equal/Reactive PULSE - 120, Regular SKIN - Cool/Clammy PUPILS - Equal/Reactive 11:30 Hospital RESP - 14 B/P - 120/80 PULSE - 90, Regular/Strong SKIN - Normal PUPILS - Equal/Reactive RESP - 18 B/P - 120/80 PULSE - 90, Regular/Strong SKIN - Normal PUPILS - Equal/Reactive RESP - 20 B/P - 120/80 PULSE - 90, Regular SKIN - Cool A little clammy PUPILS - Equal/Reactive 11:45 Hospital Same as above.
Same as Path A.
Same as Path A.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc MESSAGE NO: 1 Page 1 of 1 THIS IS A DRILL To:
All Participants and Controllers From:
Controller Location:
All Participants Time:
10:00 Initial conditions establish that the weather is as found on the day of the Exercise, however, is it extremely foggy in the area surrounding Houston and on the coast. Unit 1 is in a refueling outage and Unit 2 is as found.
(If inclement weather occurs, move onsite portion of the exercise to the NSC under the front canopy) 44 Unclassified Radiological Emergency Preparedness Program (REP)
After Action Report/Improvement Plan South Texas Project
2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc MESSAGE NO: 2 Page 1 of 1 THIS IS A DRILL To:
Onsite Players From:
Onsite Controllers Location:
All Time:
10:05 Controller Note: Communications with offsite support will be made to Matagorda County Emergency Medical Services.
A call has been made to the Unit 1 Control Room indicating a plant employee has been injured. Control Room staff in Unit 1 should implement procedure 0POP04-ZO-0004, Personnel Emergencies. STP medical responders should be called out to assess the scene and offer care to the patient.
When they get to the scene, they find an injured male who has fallen into the spent fuel pool and when extracted by co-workers, is found to have hit his head. He has a bleeding gash on the right side of his forehead and is unresponsive, with a possible concussion. The STP EMT(s) should note that the injuries are severe enough to warrant transport to an offsite medical facility.
In the meantime, the patient will be packaged and transported out of the protected area for pickup.
A player/controller briefing should occur in the Nuclear Training Facility (NTF) with the following:
Radiation Protection (supervisor, players, controller)
EMTs Onsite controllers Victim Patient will be moved to the usual site transfer area (front of the Nuclear Training Facility), where the turnover to Matagorda County EMS will be made.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT March 17, 2011 C:\\Users\\ncalhoun\\Documents\\STP\\2011 MS-1\\2011 STP Medical Drill EXPLAN.doc MESSAGE NO: 3 Page 1 of 1 THIS IS A DRILL To:
Matagorda County Emergency Medical Services From:
Control Room Phone Cell Controller Location:
Phone Cell Time:
010:10 THIS IS A DRILL. This is STP Unit One Control Room. We have a male who fell about 3 feet into water. He has suffered injuries and requires immediate transfer to an offsite medical center. He is probably contaminated and has a possible concussion. If asked, tell them he has a 2 inch forehead laceration. THIS IS A DRILL.
Matagorda County Emergency Medical Services - (979) 323-9020 (Dispatcher)
Matagorda Regional Medical Center Emergency Department - (979) 241-3319 Controller note: Provide the Dispatcher with your phone cell callback number to prevent actual contact with the Units.
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MESSAGE NO: 4 Page 1 of 1 THIS IS A DRILL To:
Matagorda Regional Medical Center From:
Matagorda County Emergency Medical Services Location:
En-route Time:
~ 10:45 (As patient information is known)
When the Matagorda County Emergency Medical Services (ambulance) contacts the hospital, provide them with known patient information as listed below.
+ 10 Patient Information as provided by the EMT at the scene.
RESP: 18 B/P: 138/78 Pulse: 100, Regular/Strong Skin: Warm/Moist Pupils: Equal/Reactive Symptoms/injuries: fell into water hitting head (e.g.
concussion, bleeding laceration on face, etc.)
47 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT 30 March 17, 2011 MESSAGE NO: 5 Page 1 of 1 THIS IS A DRILL To:
All Players From:
Lead Controllers Location:
All Facilities Time:
When medical emergency activities are concluded CONTROLLER NOTE Upon completion of medical emergency activities in your area/facility, read the following message.
The medical Exercise is now terminated.
Please organize the documentation generated by the exercise and fill out a player comment sheet.
Ensure your name is recorded on a player attendance sheet.
Restore the facilities to their original condition.
There will be a player critique beginning in the Conference Room at _______ (~ 20 minutes after the conclusion of the Exercise.)
Have hospital emergency department contact Matagorda County EMS and tell them where and when the critique will begin.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT 31 March 17, 2011 Controller and Evaluator Organization and Assignments CONTROLLERS LOCATION NAME OFF PHONE CELL PAGER Lead Controller Vivian Wagnon 361-972-8948 979-476-0109 0798 Matagorda County EMS /
Radiation Protection Ambulance Scott Korenek 361-972-7152 979-318-9902 1253 Radiation Protection, On-Scene Pam Carter 361-972-6347 979-533-2524 2071 Radiation Protection, Hospital - In Room Joe Benavidez 361-972-4045 979-557-9240 1570 Hospital-Medical Response Jessica Gann Mike Patterson 979-245-5592 979-241-3314 979-240-4898 678-986-1432 Hospital Buffer Zone Bill Smith 361-972-8765 979-240-8086 0616 Accident Scene - Security / EMT
Response
Steve Johnson 361-972-7975 979-429-0055 1187 On Scene Coordinator Stacia Taylor 361-972-8157 979-240-3656 0484 Unit 1 Control Room Alan Mikus 361-972-7217 979-297-3010 0586
- To reach an STP pager, dial 361-972-8367, pager number, then your telephone number.
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT 32 March 17, 2011 EVALUATION AREA ASSIGNMENTS Objective Location Controller 1.e.1: Equipment and Dosimetry MCEMS Korenek, S.
MRMC Smith, B.
Benavidez, J.
3.a.1:Emergency Worker Exposure Control MCEMS Korenek, S.
MRMC Smith, B.
Benavidez, J.
6.d.1: Transportation & Treatment MCEMS Korenek, S.
MRMC Gann & Patterson Smith, B.
Benavidez, J.
MCEMS = Matagorda County Emergency Medical Service (EMS)
MRMC = Matagorda Regional Medical Center 50 Unclassified Radiological Emergency Preparedness Program (REP)
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2011 MS-1 MEDICAL EXERCISE MATAGORDA REGIONAL MEDICAL CENTER SOUTH TEXAS PROJECT 33 March 17, 2011 11.0 Exercise Telephone List EXERCISE TELEPHONE NUMBERS STP Unit 1 Control Room - Simulated 361-972-7217 Matagorda County Emergency Medical Services 979-323-9020 Matagorda Regional Medical Center -
Emergency Department 979-241-3319 51 Unclassified Radiological Emergency Preparedness Program (REP)
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