ML112101652
| ML112101652 | |
| Person / Time | |
|---|---|
| Site: | Duane Arnold  |
| Issue date: | 06/27/2011 |
| From: | Freeman B US Dept of Homeland Security, Federal Emergency Management Agency |
| To: | Satorius M Region 3 Administrator |
| cecere, Bethany NSIR/DPR 415-6754 | |
| References | |
| Download: ML112101652 (17) | |
Text
Duane Arnold Energy Center Drill Date - April 14, 2011 Radiological Emergency Preparedness (REP) Program After Action Report/
Improvement Plan Published June 22, 2011
Unclassified Radiological Emergency Preparedness Program (REP)
After Action Report/Improvement Plan Duane Arnold Energy Center This page is intentionally blank.
Duane Arnold Energy Center After Action Report/Improvement Plan Published June 22, 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 7
Section 3: Analysis of Capabilities 8
3.1 Drill Evaluation and Results 8
3.2 Summary Results of Drill Evaluation 8
3.3 Criteria Evaluation Summaries 10 3.3.1 Support Jurisdictions 10 3.3.1.1 University of Iowa Hospital 10 3.3.1.2 Cedar Rapids Area Ambulance Service 10 3.3.1.3 Center Point Ambulance 11 Section 4: Conclusion 12 Appendix A: Drill Evaluators and Team Leaders 13 1
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EXECUTIVE
SUMMARY
On April 14, 2011, the Federal Emergency Management Agency (FEMA), Region VII, conducted an out-of-sequence Medical Service (MS-1) drill involving Cedar Rapids Area Ambulance Service, Center Point Ambulance, and the University of Iowa Hospital. The purpose of the drill was to assess the level of state and local preparedness in responding to a radiological emergency involving an accident with a contaminated, injured, individual. The drill was held in accordance with FEMAs policies and guidance, and state and local emergency response plans and procedures.
The previous exercise drills at these sites were conducted on:
Cedar Rapids Area Ambulance Service, October 7, 2009 Center Point Ambulance, October 7, 2009 University of Iowa Hospital, October 7, 2009 FEMA wishes to acknowledge the efforts of the individuals who participated in this drill. The efforts of the utility should also be commended for their work on training and drill preparation.
Protecting the public health and safety is the full-time job of some of the exercise participants and an additional assigned responsibility for others. Still others have willingly sought this responsibility by volunteering to provide vital emergency services to their communities. A special thank you is once again extended to those wonderful volunteers. Cooperation and teamwork of all the participants were evident during this exercise.
The evaluated organizations demonstrated knowledge of their emergency response plans and procedures and adequately implemented them. No Areas Requiring Corrective Action (ARCAs) or Deficiencies were identified as a result of these drills. There were no previous ARCAs to be corrected during this drill.
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SECTION 1: EXERCISE OVERVIEW 1.1 Exercise Details Exercise Name Duane Arnold Energy Center Type of Exercise Drill Exercise Date April 14, 2011 Program Department of Homeland Security/FEMA Radiological Emergency Preparedness Program Scenario Type Radiological Emergency 1.2 Exercise Planning Team Leadership Andrew Chancellor Federal Planning Team Lead FEMA, Region VII Technological Hazards Specialist Federal Emergency Management Agency 9221 Ward Parkway, Suite 300 Kansas City, Missouri, 64114 816-283-7086 andrew.chancellor@dhs.gov Jacob Nicholson State of Iowa Representative Iowa Homeland Security and Emergency Management REP Planning Specialist 4
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7105 NW 70th Avenue Camp Dodge, Building W-4 Johnston, Iowa, 50131 515-323-4337 jacob.nicholson@iowa.gov Nicole Knapp Utility Representative Duane Arnold Energy Center - NextEra Energy Emergency Preparedness Coordinator 3277 DAEC Road Palo, Iowa, 52324 319-851-7052 nicole.knapp@fpl.com 1.3 Participating Organizations Agencies and organizations of the following jurisdictions participated in the Duane Arnold Energy Center drill:
State Jurisdictions Iowa Homeland Security and Emergency Management University of Iowa Hospital Support Jurisdictions Area Ambulance Service Center Point Ambulance Service Private Organizations NextEra Energy - Duane Arnold 5
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SECTION 2: EXERCISE DESIGN
SUMMARY
2.1 Exercise Purpose and Design This simulated radiological medical emergency is being conducted in order to exercise the emergency medical response where radioactive material is responsible for the contamination of a person that is injured.
This drill provides an opportunity to assess the ability of Cedar Rapids Area Ambulance and Center Point Ambulance personnel to respond and care for a patient who is injured and contaminated with radioactive material. In addition, the drill allows the demonstration of procedures for transporting contaminated, injured, individuals to the appropriate medical facility.
Upon arrival of the patient, the University of Iowa Hospital staff will demonstrate the proper care of the contaminated patient, to include contamination control and decontamination.
The conduct and evaluation of this drill provides additional training for emergency medical response personnel and further enhances the local emergency response capability of the community surrounding the Duane Arnold Energy Center.
2.2 Exercise Objectives, Capabilities and Activities Duane Arnold Energy Center Emergency Preparedness Exercises and Drills are conducted to test and provide the opportunity to evaluate Emergency Plans, associated Implementing Procedures, facilities, and equipment. This exercise tested the DAEC emergency response organization's ability to assess and respond to emergency conditions and coordinate efforts with other agencies for protection of the health and safety of the public.
The scenario depicted a simulated event that resulted in conditions of sufficient magnitude to warrant mobilization of local agencies to respond to the simulated emergency. Whenever practical, the Drill incorporated provisions for "Free Play" on the part of the participants.
The Duane Arnold Energy Center (DAEC), Emergency Preparedness Exercise & Drill Program objectives are based on the Federal requirements delineated in 44 CFR 350, and State of Iowa, Benton County, and Linn County Radiological Emergency Preparedness plans. A summary of the specific areas to be evaluated for all the participating organizations are listed in Table 3.1.
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2.3 Scenario Summary A single vehicle incident has occurred near the intersection of County Home Road and South I-380, in Linn County, involving a Radiological Field Team Driver from the Duane Arnold Energy Center. The driver of the truck was instructed to take an air sample in the plume at this location when he was injured. Apparently, the drivers hand slipped off the hood of the truck while he was raising it to connect the air sampler to the battery. The hood came down, striking the driver on the head. The driver has a contusion and an abrasion on his forehead and complains of right shoulder and neck pain, and a large laceration on his right forearm. In addition to these injuries, he has been radioactively contaminated.
EMS response has been called to respond to the incident at County Home Road near South I-380. As they arrive on the scene they find one patient, propped up against the bumper of his truck. He is lethargic and in and out of consciousness, complaining of pain on his forehead, neck and shoulder and right arm.
The expectation is that the Ambulance Crew assesses and treats the patient, keeping in mind that he has been radioactively contaminated. Once the patient is treated, packaged, placed into the ambulance and the hospital notified of the incoming patient information, this portion of the Evaluation will stop and a critique will be held on actions of the ambulance crew up to this point.
The Evaluators will then give their critique on this portion of the scenario.
The patient will then be transported to the Emergency Treatment Center (ETC) at the University of Iowa Hospital, in Iowa City, to begin the hospital portion of the Evaluation. The patient, in the ambulance, will be driven into the Ambulance Bay of the ETC. The expectation is that the ETC staff will perform a patient turnover from the ambulance crew, assess his status and proceed with treatment knowing that he has been radioactively contaminated. Once the simulated wounds of the patient have been treated and he has been decontaminated, a clean-cart-transfer will be demonstrated and the patient will be taken out of the decontamination room. The ETC staff will then demonstrate the proper monitoring and clean-up practices for a radiological incident. That will end this portion of the Evaluation and a critique will be held on the actions of the ETC staff. The Evaluators will then give their critique on this portion of the scenario.
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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 out-of-sequence Medical Service (MS-1) drill on April 14, 2011, to test the offsite emergency response capabilities of local organizations in support of the Duane Arnold Energy Center.
The findings presented in this report are based on the evaluations of the Federal evaluator team, with final determination made by the FEMA Region VII RAC Chairperson and approved by the Regional Administrator.
Each functional entity was evaluated on the basis of its demonstration of criteria delineated in "Emergency Preparedness: Exercise Evaluation Methodology" as printed in the Federal Register September 12, 2001, and April 25, 2002.
3.2 Summary Results of Drill Evaluation The matrix presented in Table 3.1 indicates the status of all exercise criteria that were scheduled for demonstration during this exercise by all participating and functional entities. Exercise criteria are listed by number and the demonstration status of those criteria is indicated by the use of the following letters:
M - Met (No Deficiency or ARCAs assessed and no unresolved ARCAs from prior exercises)
D - Deficiency assessed A - Area Requiring Corrective Action (ARCA) assessed, or unresolved ARCA(s) from prior exercises N - Not Demonstrated 8
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Table 3.1 - Summary of Drill Evaluation DATE: 2011-04-14 SITE: Duane Arnold Energy Center, IA M: Met, A: ARCA, D: Deficiency, P: Plan Issue, N: Not Demonstrated Univ. of IA Hospital Cedar Rapids Amb.
Center Point Amb.
Emergency Operations Management Mobilization 1a1 Facilities 1b1 Direction and Control 1c1 Communications Equipment 1d1 Equip & Supplies to support operations 1e1 M
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 M
Implementation of KI decision 3b1 M
M 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 Transportation and treatment of contaminated injured individuals 6d1 M
M M
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a.
b.
c.
d.
e.
f.
g.
a.
3.3 Criteria Evaluation Summaries 3.3.1 Support Jurisdictions 3.3.1.1 University of Iowa Hospital The University of Iowa Hospital is well equipped to treat radiological contaminated patients in their negative pressure Radiation Injury Treatment Room. Staff communication was impressive throughout the drill, and they were very knowledgeable of both contamination control and decontamination procedures. The process and procedures for radiation monitoring of staff members exposure, and the monitoring of the patients personal effects, were excellent.
In summary, the status of DHS/FEMA criteria for this location is as follows:
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 PRIOR ISSUES - UNRESOLVED: None 3.3.1.2 Cedar Rapids Area Ambulance Service Upon arrival at the scene the ambulance crew quickly assessed the victims injuries and used a survey meter to determine the location and amount of his radiological exposure. The crew demonstrated their knowledge of the necessary equipment and proper procedures to prepare the victim for transport to the hospital. Particular attention was given to contamination control.
Professional training and attention to detail were obvious during the ambulance crews entire process of initial victim assessment, the victims treatment and preparation/loading for transport, transport to the hospital, and the patient hand off to the hospital staff.
In summary, the status of DHS/FEMA criteria for this location is as follows:
MET: 1.e.1, 3.a.1, 3.b.1, 6.d.1.
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b.
c.
d.
e.
f.
g.
a.
b.
c.
d.
e.
f.
g.
AREAS REQUIRING CORRECTIVE ACTION: None DEFICIENCY: None PLAN ISSUES: None NOT DEMONSTRATED: None PRIOR ISSUES - RESOLVED: None PRIOR ISSUES - UNRESOLVED: None 3.3.1.3 Center Point Ambulance Upon arrival at the scene the ambulance crew quickly assessed the victims injuries and used a survey meter to determine the location and amount of his radiological exposure. The crew demonstrated their knowledge of the necessary equipment and proper procedures to prepare the victim for transport to the hospital. Particular attention was given to contamination control.
Professional training and attention to detail were obvious during the ambulance crews entire process of initial victim assessment, the victims treatment and preparation/loading for transport, simulated transport to the hospital, and the simulated patient hand off to the hospital staff.
In summary, the status of DHS/FEMA criteria for this location is as follows:
MET: 1.e.1, 3.a.1, 3.b.1, 6.d.1.
AREAS REQUIRING CORRECTIVE ACTION: None DEFICIENCY: None PLAN ISSUES: None NOT DEMONSTRATED: None PRIOR ISSUES - RESOLVED: None PRIOR ISSUES - UNRESOLVED: None 11 Unclassified Radiological Emergency Preparedness Program (REP)
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SECTION 4: CONCLUSION Based on the results of this Drill, the offsite radiological emergency response plans and preparedness for the State of Iowa 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 Part350 approval of the offsite radiological emergency response plans and preparedness for the State of Iowa site-specific to the Duane Arnold Energy Center will remain in effect.
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APPENDIX A: DRILL EVALUATORS AND TEAM LEADERS DATE: 2011-04-14, SITE: Duane Arnold Energy Center, IA LOCATION EVALUATOR AGENCY University of Iowa Hospital Garianne Howard ICF Cedar Rapids Area Ambulance Service Al Lookabaugh ICF Center Point Ambulance Al Lookabaugh ICF
- Team Leader 13 Unclassified Radiological Emergency Preparedness Program (REP)
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