ML11223A277

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FEMA River Bend Station Medical Services Drill, Final Exercise Report, Exercise Date - May 25-26, 2011
ML11223A277
Person / Time
Site: River Bend Entergy icon.png
Issue date: 06/21/2011
From: Lawrence Hammond
US Dept of Homeland Security, Federal Emergency Management Agency
To: Collins E
Region 4 Administrator
References
Download: ML11223A277 (53)
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Text

U.S. Department of Homeland Security FEMA Region VI FRC 800 North Loop 288 Denton, TX 76209-3698 0FEMA June 21, 2011 Mr. Elmo E. Collins, Jr.

Regional Administrator U.S. NRC, Region IV 612 E. Lamar Blvd., Suite 400 Arlington, TX 76011-4005

Dear Mr. Collins:

Enclosed is a copy of the radiological emergency preparedness final report for the River Bend Station (RBS) medical services drill and American Radiation Services, International evaluated on May 25-26, 2011. There were no Deficiencies, one Area Requiring Corrective Action (ARCAs), corrected on the spot and one Plan Issue identified during the drills.

Based on the results of the drill, the offsite radiological emergency response plans and preparedness for the State of Louisiana 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 Louisiana site-specific to RBS will remain in effect.

A copy of this report was provided electronically to Ms. Lisa Gibney, REP HQ Branch Chief and HQ Project Officer, U.S. Nuclear Regulatory Commission, in Washington, D.C. Should you have questions, please contact Lisa Hammond, Regional Assistance Committee Chair, at (940) 898-5199, or Elsa Lopez, Radiological Emergency Preparedness Site Specialist, at (940) 898-5308.

Sincerely, RAC Chair Enclosure cc: NRC HQ-Lisa Gibney DHS-FEMA-HQ-Vanessa Quinn DHS-FEMA-HQ-Craig Fiore LDEQ-Peter Ricca NRC Document Control Desk GOHSEP-Mark A. Cooper RBS-Troy D. Burnett www.fema.gov - fax: (940) 898-5325

River Bend Station After Action Report/

Improvement Plan Drill Date - May 25, 2011 Radiological Emergency Preparedness (REP) Program 1°?'tFEMA Published June 21, 2011

Unclassified Radiological Emergency Preparedness Program (REP)

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Unclassified Radiological Emergency Preparedtness Program (REP)

After Action Report/Improvement Plan River Bend Station River Bend Station After Action Report/Improvement Plan Published June 21, 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 9 3.3.1 Risk Jurisdictions 9 3.3.1.1 West Feliciana Ambulance 9 3.3.2 Support Jurisdictions 9 3.3.2.1 West Feliciana Hospital 9 3.3.3 Private Organizations 9 3.3.3.1 American Radiation Services, International 9 Section 4: Conclusion 13 Appendix A: Improvement Plan 14 Appendix B: Drill Evaluators and Team Leaders 15 Appendix C: Acronyms and Abbreviations 16 Appendix D: Exercise Plan 17 1

Unclassified Radiological Emergency Preparedness Program (REP)

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station EXECUTIVE

SUMMARY

On May 25 and 26, 2011, out-of-sequence Laboratory and Medical Services drills were conducted for the River Bend Station (RBS), located near St. Francisville, Louisiana. Personnel from the U.S.Department of Homeland Security/Federal Emergency Management Agency (DHS/FEMA) Region VI, evaluated all activities. The purpose of the drill was to assess the level of preparedness of local responders to react to a simulated radiological emergency at River Bend Station. The previous medical drill at this site was conducted on September 2, 2010. The previous plume and ingestion exercise was conducted on June 8-9, 2010. American Radiation Services International is a contracted State laboratory, this is the initial and first evaluation at this location.

Personnel from the State of Louisiana, River Bend Station, West Feliciana Hospital, West Feliciana Ambulance and American Radiation Services International participated in the drills.

Cooperation and teamwork of all the participants was evident during the drill and DHS/FEMA wishes to acknowledge these efforts.

This report contains the final evaluation of the out-of-sequence drills. The participants demonstrated knowledge of their emergency response plans and procedures and adequately demonstrated them. There were no Deficiences, one Area Requiring Corrective Action (ARCA) which was corrected on the spot, and one Plan Issue identified during the drills.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station SECTION 1: EXERCISE OVERVIEW 1.1 Exercise Details Exercise Name River Bend Station Type of Exercise Drill Exercise Date May 25, 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 Chief 800 N. Loop 288 Denton, Texas, 76209 940-898-5199 lisa.hammond@dhs.gov Elsa Lopez Lead Planner FEMA Region VI Technical Hazards Program Specialist 800 N. Loop 288 4

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station Denton, Texas, 76209 940-898-5308 elsa.lopez@dhs.gov Cheryl Chubb State Planner Lousiana Department of Environmental Quality Environmental Scientist 602 N. Fifth Street Baton Rouge, Louisiana, 70802 225-219-3626 cheryl.chubb@la.gov 1.3 Participating Organizations Agencies and organizations of the following jurisdictions participated in the River Bend Station drill:

State Jurisdictions Louisiana Department of Environmental Quality Risk Jurisdictions West Feliciana Parish Hospital West Feliciana Parish Ambulance Private Organizations American Radiation Services, International River Bend Station 5

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station SECTION 2: EXERCISE DESIGN

SUMMARY

2.1 Exercise Purpose and Design The DHS/FEMA Region VI Office evaluated the drills on May 25 and 26, 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 River Bend Station (RBS). The purpose of this report is to represent 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 D.

2.3 Scenario Summary The drill scenario was developed to evaluate the response of drill participants to an incident requiring evacuation of the public from the Louisiana portion of the 10-mile Emergency Planning Zone surrounding the River Bend Station. The drill scenario provided for the evaluation of the American Radiation Services to provide laboratory operations; West Feliciana Hospital and West Feliciana Ambulance ability of transportation and treatment of a contaminated injuried individual.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station 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 May 25 and 26, 2011 drill to test the offsite emergency response capabilities of state and local governments in the 10-mile EPZ surrounding the River Bend Station.

Each jurisdiction and functional entity was evaluated on the basis of its demonstration of criteria delineated in the exercise evaluation areas as outlined in the April 25, 2002, Federal Register, Radiological Emergency Preparedness: Emergency Operations Management, Protective Action Decision Implementation, Field Measurement and Analysis, and Support Operations/Facilities.

Detailed information on the exercise evaluation area criteria and the extent of play agreement used in this drill are found in Appendix D of this report.

3.2 Summary Results of Drill Evaluation The matrix presented in Table 3.1, on the following page, represents the status of all exercise evaluation area criteria that were scheduled for demonstration during this exercise 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 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 7

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station Table 3.1 - Summary of Drill Evaluation DATE: 2011-05-25 SITE: River Bend Station, LA M: Met, A: ARCA, D: Deficiency, P: Plan Issue, N: Not Demonstrated <

Eiirýency uperations Managements ,"

Mobilization lal Facilities 1bl Direction and Control I0 Communications Equipment Id1 Equip & Supplies to support operations lel M M M Protective Action DecisioniMaking .. .

Emergency Worker Exposure Control 2al Radiological Assessment and PARs 2bl Decisions for the Plume Phase -PADs 2b2 PADs for protection of special populations 2c 1 Rad Assessment and Decision making for the Ingestion Exposure Pathway 2d]

Rad Assessment and Decision making concerning Relocation. Reentry, and Return 2el Protective.Action.lmplementation ,..... . . ,_.

Implementation of emergency worker exposure control 3al M M M Implementation of KI decision 3bl Implementation of protective actions for special populations - EOCs 3cl Irnplementation of protective actions for Schools 3c2 I.mplementation of traffic and access control 3d1 Impediments to evacuation are identified and resolved 3d2 1

l mplementation of ingestion pathway decisions - availability/use of info 3el Materials for Ingestion Pathway PADs are available 3e2 Implementation of relocation. re-entry, and return decisions. 3fl Field Mea,'urement and Analysis ... .  : .  :.

Adequate Equipment for Plume Phase Field Measurements 4al Field Teams obtain sufficient information 4a2 Field Teams Manage Sample Collection Appropriately 4a3 Post plume phase field measurements and sampling 4bl Laboratory operations 4c P E._eme encyNotification riý a~nd iublic 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 5bl Support Opetiions/Facilities . ... _.

Mon / decon of evacuees and emergency workers, and registration of evacuees 6al Mon / decon of emergency worker equipment 6b 1 Temporary care of evacuees 6cl Transportation and treatment of contaminated injured individuals 6dl M M 8

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station 3.3 Criteria Evaluation Summaries 3.3.1 Risk Jurisdictions 3.3.1.1 West Feliciana Ambulance

a. MET: 1.e.1, 3.a.1, 6.d.1.
b. AREAS REQUIRING CORRECTIVE ACTION: None
c. DEFICIENCY: None
d. PLAN ISSUES: None
e. NOT DEMONSTRATED: None
f. PRIOR ISSUES - RESOLVED: None
g. PRIOR ISSUES - UNRESOLVED: None 3.3.2 Support Jurisdictions 3.3.2.1 West Feliciana Hospital
a. MET: 1.e.1,3.a.1,6.d.1.
b. AREAS REQUIRING CORRECTIVE ACTION: None
c. DEFICIENCY: None
d. PLAN ISSUES: None
e. NOT DEMONSTRATED: None
f. PRIOR ISSUES - RESOLVED: None
g. PRIOR ISSUES - UNRESOLVED: None 3.3.3 Private Organizations 3.3.3.1 American Radiation Services, International
a. MET: L.e.1, 3.a.l.
b. AREAS REQUIRING CORRECTIVE ACTION: 4.c.1.

ISSUE NO.: 53-11-4cl-A-01 CRITERION: Laboratory is capable of performing required radiological analyses to support PADs CONDITION: Appropriate contamination controls were not demonstrated after 9

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station taking an aliquot of a sample with high levels of radioactive material.

POSSIBLE CAUSE: The soil sample was processed inside the fume hood as it measured 1000 microR/hr. The "parent" sample container was carefully opened and a small amount removed using a tongue depressor. The soil was put into a 47 mm petri dish sample holder. When the transfer was complete, the sample was sealed, weighed, labeled and put in a plastic bag on the sample transport cart. It was noted that although care was taken during handling, the outside of the 47 mm petri dish was not surveyed for removable contamination prior to weighing or putting onto a bag on the sample transfer cart. The Laboratory Sample Preparation Technician indicated that when processing high activity samples she would typically have a second person assist to ensure appropriate contamination controls were utilized.

REFERENCE:

NUREG 0654, J. 11 EFFECT: Sample analysis containers would typically be removed from the plastic bag by the laboratory technician when counting the sample. If the analysis container had removable contamination it could be spread inside the count room and inside the gamma spectroscopy equipment detector shield caves.

CORRECTIVE ACTION DEMONSTRATED: A time out was called; the drill controller discussed the need for more stringent contamination controls with the Radiation Safety Officer and Sample Preparation Technician. A second individual assisted the Sample Preparation Technician and another sample aliquot was taken.

When the aliquot container (47 mm petri dish) was closed, it was sealed with tape, the outside was cleaned with "Simple Green" cleaner and the exterior surveyed for removable contamination prior to being placed on the transfer cart.

c. DEFICIENCY: None
d. PLAN ISSUES: 4.c.1.

ISSUE NO.: 53-11-4cl-P-02 CRITERION: Laboratory is capable of performing required radiological analyses to support PADs 10

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station CONDITION: The Louisiana Department of Environmental Quality (LDEQ) has not pre-identified criterion for accident and post-accident sample analysis and provided that criterion to the ARS International contract laboratory.

POSSIBLE CAUSE: The LDEQ contract with ARS International includes detailed specifications for the ARS Incorporated contract laboratory to analyze environmental samples that are routinely submitted by LDEQ. The LDEQ contract does not include nuclear power plant post-accident sample analysis criterion.

REFERENCE:

NUREG 0654, J. 11; State of Louisiana, Department of Environmental Quality with ARS International, dated April 22, 2010 (LDEQ contract

  1. 68788)

EFFECT: The lack of accident specific analysis requirements could cause a delay in sample processing. A delay will affect timely assessments and decisions to be made by LDEQ.

RECOMMENDATION: Modify the LDEQ contract or LDEQ procedures, as appropriate, to provide ARS International the information needed to provide analyses of sample media on a timely basis, of sufficient quality and sensitivity to support Louisiana's protective action assessments and decisions. Gamma sample analysis libraries, sample count times and detection limits during accident conditions will be different than those utilized for routine environmental analysis. Make changes to the LDEQ contract or plans, as appropriate. For example:

- Review the ARS laboratory's analysis library of isotopes to ensure they are analyzing for all nuclear power plant isotopes of concern, provide updates to the library, as needed.

  • Identify isotopes of concern to be reported to LDEQ, based on sample type (e.g. air samples (plume and post-plume), deposition (soil), milk, food stuffs and drinking water.

- Identify the required Minimum Detectible Activity (MDA) for each isotope based on sample type and whether plume or post-plume samples (air samples). Specify the samples be counted just long enough to ensure they meet the required MDA and ensure sample results are available in a timely manner.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station

  • Provide instructions to ARS International regarding retention samples taken resulting from a nuclear power plant incident.
e. NOT DEMONSTRATED: None
f. PRIOR ISSUES - RESOLVED: None
g. PRIOR ISSUES - UNRESOLVED: None 12

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station SECTION 4: CONCLUSION Based on the results of the drills, the offsite radiological emergency response plans and preparedness for the State of Louisiana 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 Louisiana site-specific to River Bend Station will remain in effect.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station APPENDIX A: IMPROVEMENT PLAN IIsu Nu br I3-clP0 Crtrin 4l ISSUE: The Louisiana Department of Environmental Quality (LDEQ) has not pre-identified criterion for accident and post-accident sample analysis and provided that criterion to the ARS International contract laboratory.

RECOMMENDATION: Modify the LDEQ contract or LDEQ procedures, as appropriate, to provide ARS International the information needed to provide analyses of sample media on a timely basis, of sufficient quality and sensitivity to support Louisiana's protective action assessments and decisions. Gamma sample analysis libraries, sample count times and detection limits during accident conditions will be different than those utilized for routine environmental analysis. Make changes to the LDEQ contract or plans, as appropriate. For example:

- Review the ARS laboratory's analysis library of isotopes to ensure they are analyzing for all nuclear power plant isotopes of concern, provide updates to the library, as needed.

  • Identify isotopes of concern to be reported to LDEQ, based on sample type (e.g. air samples (plume and post-plume), deposition (soil), milk, food stuffs and drinking water.

- Identify the required Minimum Detectible Activity (MDA) for each isotope based on sample type and whether plume or post-plume samples (air samples). Specify the samples be counted just long enough to ensure they meet the required MDA and ensure sample results are available in a timely manner.

- Provide instructions to ARS International regarding retention samples taken resulting from a nuclear power plant incident.

CORRECTIVE ACTION DESCRIPTION:

CAPABILITY: PRIMARY RESPONSIBLE AGENCY:

CAPABILITY ELEMENT: START DATE:

AGENCY POC: ESTIMATED COMPLETION DATE:

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station APPENDIX B: DRILL EVALUATORS AND TEAM LEADERS DATE: 2011-05-25, SITE: River Bend Station, LA LOCATION EVALUATOR AGENCY West Feliciana Ambulance *Tim Pflieger DHS/FEMA West Feliciana Hospital *Elsa Lopez DHS/FEMA American Radiation Services, International *Marcy Campbell ICF

  • Team Leader 15

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station APPENDIX C: ACRONYMS AND ABBREVIATIONS ARS American Radiation Services BZ Buffer Zone DSRR Discrepant Sample Receipt Report EMS Emergency Medical Service EPZ Emergency Planning Zone LIMS Laboratory Information Management System OSL Optically Stimulated Luminescent RBS River Bend Station REA Radiation Emergency Area RPT Radiation Protection Technician RSO Radiation Safety Officer WFPH West Feliciana Parish Hospital 16

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station APPENDIX D: EXERCISE PLAN 17

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station American Radiation Services Laboratory Demonstration May 25, 2011 Extent of Play Participants American Radiation Services Louisiana Department of Environmental Quality Revision 4 5/10/11 18

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station STATE OF LOUISIANA / AMERICAN RADIATION SERVICES 2011 EVALUATED EXERCISE - May 25, 2011 Revision Lo2 Date Revision Description of Changes 3/30/11 0 Draft release 4/25/11 1 Initial release 4/26/11 2 Minor correction 5/2/11 3 Added milk, water, soil and vegetation samples Updated narrative; added cue card numbers to sample data sheets; 5/10/11 4 added reference to cue cards to Cue Card #2; adjusted GPS location of sample #2-A-001; changed air sample GPS to decimal degrees; revised survey readings on sample data sheets i i 19

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station STATE OF LOUISIANA / AMERICAN RADIATION SERVICES 2011 EVALUATED EXERCISE - May 25, 2011 I. EVALUATION AREA 1: EMERGENCY OPERATIONS MANAGEMENT Sub-element L.e - Equipment and Supplies to Support Operations Criterion 1.e.l: Equipment, maps, displays, dosimetry, potassium iodide (KI), and other supplies are sufficient to support emergency operations. (NUREG-0654, H.7; J.10.a, b, e; J.11; K.3.a)

Location: American Radiation Services, Inc.

Extent of Play Correction-on-the-spot will be considered at these locations at the discretion of and concurrence between the evaluator and the controller.

ARCAs: None II. EVALUATION AREA 3: PROTECTIVE ACTION IMPLEMENTATION Sub-element 3.a - Implementation of Emergency Worker Exposure Control Criterion 3.a.l: The OROs issue appropriate dosimetry and procedures, and manage radiological exposure to emergency workers in accordance with the plans and procedures.

Emergency workers periodically and at the end of each mission read their dosimeters and record the readings on the appropriate exposure record or chart. (NUREG-0654, K.3.a, b)

Location: American Radiation Services, Inc.

Extent of Play The Louisiana Department of Environmental Quality's Sample Courier and samples will be pre-staged at the ARS location.

Correction-on-the-spot will be considered at these locations at the discretion of and concurrence between the evaluator and the controller.

ARCAs: None III. EVALUATION AREA 4: FIELD MEASURMENT AND ANALYSES Sub-element4.c - Laboratory Operations Criterion 4.c.1: The laboratory is capable of performing required radiological analysis to support protective action decisions. (NUREG-0654, C.3; 1.8, 9; J.11)

Location: American Radiation Services, Inc.

Extent of Play Samples of air, water, soil, vegetation and milk will be provided to the laboratory via the Sample Courier. All radiological data will be simulated through controller messages.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station STATE OF LOUISIANA / AMERICAN RADIATION SERVICES 2011 EVALUATED EXERCISE - May 25, 2011 Laboratory analysis will be simulated. Staff will walk through the steps each sample would take to be safely analyzed and stored or disposed. The data and its reporting from the laboratory to LDEQ will also be discussed.

Correction-on-the-spot will be considered at these locations at the discretion of and concurrence between the evaluator and the controller.

ARCAs: None IV. GENERAL EXTENT-OF-PLAY (EOP):

1. With regard to last minute additions or changes to any previously approved Extent-of-Play, all suggested changes must be forwarded to the RAC Chair for approval.
2. The goal of all offsite response organizations (ORO) is to protect the health and safety of the public. This goal is achieved through the execution of appropriate plans and procedures. It is recognized that situations may arise that could limit the organizations in the exact execution of these plans and procedures.
3. In the event of an unanticipated situation, OROs are permitted to exercise flexibility in the implementation of their plans and procedures in order to successfully achieve the objective of protection of public health and safety and protection of the environment.
4. As a statement of fact, no ORO will deliberately deviate from its plans and procedures with the intent of avoiding responsibility.

V. REFERENCES As indicated in the Extent-of-Play Agreement, the State of Louisiana requests the option to correct issues immediately as 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. Acceptable locations/activities for on the spot correction are clearly indicated in the extent of play portion under each criterion.

VI. NARRATIVE On May 24, 2011, a General Emergency was declared at River Bend Station in St. Francisville, Louisiana. LDEQ Field Monitoring Teams were deployed to collect air samples from within the plume boundaries.

Field Monitoring Team #2 collected two air samples. These samples consist of both a silver zeolite cartridge and a filter. The team proceeded to count the cartridges and fill out the sample data sheet.

Note: Charcoal cartridges will be utilized for the demonstration and all sample analysis will be simulated.

The release was stopped at the utility and post plume/ingestion sample activities began. On May 25, 2011, Field Monitoring Team #2 also collected water, milk and vegetation samples.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station STATE OF LOUISIANA / AMERICAN RADIATION SERVICES 2011 EVALUATED EXERCISE - May 25, 2011 After filling out the appropriate sample data sheets and the Chain of Custody, the samples were delivered to the Sample Courier.

Following Chain of Custody procedures, the Sample Courier will deliver the samples to laboratory. ARS staff will process the samples, perform appropriate analysis, and return analysis data to LDEQ personnel.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station STATE OF LOUISIANA / AMERICAN RADIATION SERVICES 2011 EVALUATED EXERCISE - May 25, 2011 CONTROLLER MESSAGE Cue Card: #1 Time: 0800 THIS IS A DRILL Condition: Beginning of demonstration.

Anticipated Response: Sample Courier will relocate the pre-staged vehicle to a suitable position for transfer of samples.

The following data sheets will be included with the samples that have been prepared.

  • Cue Card #2 - Air
  • Cue Card #3 - Milk
  • Cue Card #4 - Water
  • Cue Card #5 - Vegetation
  • Cue Card #6 - Soil Sample Courier will begin transfer of samples to laboratory personnel.

Controller Message: Notify the Sample Courier that the demonstration has begun.

Provide the Chain of Custody for the six samples, Cue Card #7, to the Sample Courier.

THIS IS A DRILL 23

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station STATE OF LOUISIANA / AMERICAN RADIATION SERVICES 2011 EVALUATED EXERCISE - May 25, 2011 LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY (LDEQ) Cue Card: #2 Field Monitoring Team (FMT) Plume Phase Data Sheet - AIR SAMPLES FMT Number (circle): 1 Q 3 4 Other:

Date: 5/24/2011 Time: 1I40 Sample Name: 2-A-001 GPS Location:

  • 30.770556, -91.318333 Air Flow Rate: 1.3 cfm Sample Duration: 7 , minutes Air Sampler Efficiency (see label): 98  %

Two-minute (2) Background Count: 3600 Five-minute (5) Sample Count: 125100 AREA SURVEY Record readings midway through air sample Ground Level: Open: 50 mR*hr Closed: 39 mR/hr Waist Level: Open: 50 mR/hr Closed: 39 mR/hr Data Transmitted To: John Deaux Date: 5/25/2011 Feld Team Coordinator or Designee Data Transmitted By: Jack Smith Time: 1335 FieldTeam Member Date: 5/24/2011 Time: 1300 Sample Name: 2-A-002 GPS Location: 30.783333, -91.35.

Air Flow Rate: 1.3'. cfm Sample Duration: 7 minutes Air Sampler Efficiency (see label): 98  %

Two-minute (2) Background Count: 3600 Five-minute (5) Sample Count: 89000 AREA SURVEY Record readings midway through air sample Ground Level: Open: 15 mR/hr Closed: ..I mRlhr Waist Level: Open: 15 .'mR/hr Closed: 1 mRlhr Data Transmitted To: John Deaux _l Date: 5/24/2011 Feld Team Coordinator or Designee Data Transmitted By:. Jack Smith Time: 1335 FieldTeam Menber All samples must be SEALED, SIGNED, and ACCOMPANIED with a "Chain of Custody."

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station STATE OF LOUISIANA / AMERICAN RADIATION SERVICES 2011 EVALUATED EXERCISE - May 25, 2011 Cue Card: #3 LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY (LDEQ)

Field Monitoring Team (FMT) Ingestion Phase Data Sheet - MILK SAMPLES FMT Number (circle): 1 3 4 Other:

Date: 5/25/2011 Time: 0630 Sample Name: 442-003 GPS Location: 30.775911,-91.313381 FarmlOwner: John Boudreaux AREA SURVEY Ground Level: Open: 10 mR/hr Closed: 7... mR/hr Waist Level: Open: 5 mR/hr Closed: 5 mR/hr Sample Reading: .0.01 mR/hr (@ surface of the sample)

Data Transmitted To: John Deaux Date: .5/25/2011, Field Team Coordinator or Designee Data Transmitted By: Jack Smith Time: 0720 Field Team Memer e Date: ...

_.. _ *_... Time: ._._ _,,.

Sample Name:

GPS Location: __________Farm/Owner: *_.

AREA SURVEY Ground Level: Open: _ ____mR/hr Closed: __._____mR/hr Waist Level: Open: __ mR/hr Closed: ______mR/hr Sample Reading: ________________mR/hr (@ surface of the sample)

Data Transmitted To: -_Date:

Field Team Coordinator or Designee Data Transmitted By: _Time:

Field Team ADewubers All samples must be SEALED, SIGNED, and ACCOMPANIED with a "Chain of Custody."

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station STATE OF LOUISIANA / AMERICAN RADIATION SERVICES 2011 EVALUATED EXERCISE - May 25, 2011 Cue Card: #4 LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY (LDEQ)

Field Monitoring Team (FMT) Ingestion Phase Data Sheet - WATER SAMPLES FMT Number (circle): 1 0 3 4 Other:

Date: 5/25/2011 "1 1 Time: .. 2W0635 Sample Name: 2-W-004 GPS Location: 30.738774,-91.358807 Body of Water: Mississippi River AREASURVEY Ground Level: Open: *0.5 mR/hr Closed: 0.5, mR/hr Waist Level: Open: 0.5 mR/hr Closed: 0.5 )-mR/hr Sample Reading: 0.01 mR/hr (@ surface of the sample)

Data Transmitted To: John Deaux Date: 5/25/2011 Field Team Coordinator or Designee Data Transmitted By: Jack Smith Time: 0720 Field Team Member Date: Time:

Sample Name:

GPS Location: Body of Water:

AREASURVEY Ground Level: Open: mR/hr Closed: mR/hr Waist Level: Open: mR/hr Closed: mR/hr Sample Reading: _mR/hr (@ surface of the sample)

Data Transmitted To:

Field Team Coordinator or Designee Date:

Data Transmitted By: Time:

Field Team Mermber All samples must be SEALED, SIGNED, and ACCOMPANIED with a "Chain of Custody."

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station STATE OF LOUISIANA / AMERICAN RADIATION SERVICES 2011 EVALUATED EXERCISE - May 25, 2011 Cue Card: #5 LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY (LDEQ)

Field Monitoring Team (FMT) Ingestion Phase Data Sheet - VEGETATION SAMPLES FMT Number (circle): 1 Q 3 4 Other:

Date: 5/25/2011 Time: 0645-,

Sample Name: 2-V-005 GPS Location: 30.771671,-91.32087 AREASURVEY Ground Level: Open: 12 "mR/hr Closed: 10 mR/hr Waist Level: Open: 7. mR/hr Closed: 7 mR/hr Sample Reading: 0.01 mR/hr (@ surface of the sample)

Data Transmitted To: John Deaux Date: .5/25/2011 Field Team Coordinator or Designee Data Transmitted By: Smith TJack ime: 0720 Field Team Mermber Date: Time:

Sample Name:

GPS Location:

AREA SURVEY Ground Level: Open: _______mR/hr Closed: mR/hr Waist Level: Open: ______mR/hr Closed: _mR/hr Sample Reading: ______mR/hr (@ surface of the sample)

Data Transmitted To: "Date:

Field Team Coordinator or Designee Data Transmitted By: T.ime:

Field Team Merrber All samples must be SEALED, SIGNED, and ACCOMPANIED with a "Chain of Custody."

27

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station STATE OF LOUISIANA / AMERICAN RADIATION SERVICES 2011 EVALUATED EXERCISE - May 25, 2011 Cue Card: #6 LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY (LDEQ)

Field Monitoring Team (FMT) Ingestion Phase Data Sheet - SOIL SAMPLES FMT Number (circle): 1 (,j 3 4 Other:

Date: 5/25/2011 Time: 0715 Sample Name: 2-S-006 GPS Location: 30.773035,-91.319904 AREASURVEY Ground Level: Open: 12 mR/hr Closed: 10 mR/hr Waist Level: Open: 7 mR/hr Closed: 7 mR/hr Sample Reading: 1.0 mR/hr (@ surface of the sample)

Data Transmitted To: John Deaux Date: 5/25/2011 Field Team Coordinator or Designee Data Transmitted By: Jack Smith Time: r 0720 Field Team Member Date: Time:

Sample Name: ..

GPS Location:

AREASURVEY Ground Level: Open: _______________mR/hr Closed: __________mR/hr Waist Level: Open: _ _ _ mR/hr Closed: _ _ _ _ mR/hr Sample Reading: _______________mR/hr (@ surface of the sample)

Data Transmitted To: Date:

Field Team Coordinator or Designee Data Transmitted By: Time:

Reid Team Merrter All samples must be SEALED, SIGNED, and ACCOMPANIED with a "Chain of Custody."

28

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station STATE OF LOUISIANA / AMERICAN RADIATION SERVICES 2011 EVALUATED EXERCISE - May 25, 2011 Cue Card: #7 LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY (LDEQ)

SAMPLE CHAIN OF CUSTODY FMT Number (circle): 1 (0 3 4 Other:

Date: 5/25/2011 Time: .0730 Received by:

Sample Courier Name Date: __Time:

Received by:

Laboratory Personnel Name Sample # Sample Notes**

Type*

2-A-001 A includes air cartridge & filter 2-A-002 A includes air cartridge & filter 2-M-003 M milk 3

2-W-004 W from MS River 4

5 2-V-005 V unspecified crop 2-S-006 S soil 6

7 8

9 10

  • A - Air; M - Milk; S - Soil; V - Vegetation; W - Water
    • Provide additional notes, if applicable. See procedure for examples.

All samples must be SEALED, SIGNED, and ACCOMPANIED with a "Chain of Custody."

I DO NOT ACCEPT CUSTODY IF SAMPLE DATA SHEETS ARE NOT PROVIDED I 29

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvernent Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES RADIOLOGICAL EMERGENCY MEDICAL DRILL SCENARIO FOR RIVER BEND STATION WEST FELICIANA PARISH HOSPITAL AND WEST FELICIANA PARISH EMS RDRL-EP-11 MS1 DRIL 30

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES I PURPOSE This simulated radiation medical emergency is being conducted in order to exercise the emergency medical response at River Bend.Station and the primary medical support facility, West Feliciana Parish Hospital and West Feliciana Parish EMS. The basic objective is to assess the ability of the plant staff to respond effectively to a radiation medical emergency within the plant and to test the ability of hospital and ambulance emergency service to handle contaminated and injured patients.

II PROPOSED SCHEDULE DATE: May 26, 2011 TIME: 7:30 AM (Start time of River Bend Station onsite portion of medical drill)

-8:00 AM (Start time of ambulance arrival at River Bend)

LOCATIONS: River Bend Station & West Feliciana Parish Hospital INJURY/ILLNESS: Fall victim conscious and bleeding 31

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES III EVALUATION AREAS AND EXTENT-OF-PLAY-OFFSITE EVALUATION AREA 1: EMERGENCY OPERATIONS MANAGEMENT Sub-element I.e - Equipment and Supplies to Support Operations Criterion 1.e.1: Equipment, maps, displays, dosimetry, potassium iodide (KI), and other supplies are sufficient to support emergency operation. (NUREG-0654, H.7, 10; J.10.a, b, e J.11; K.3.a)

Locations West Feliciana Parish Hospital and West Feliciana Parish EMS Extent of Play In accordance with the scenario for this evaluation, the utility will provide the necessary dosimetry to the ambulance crew for the response to an onsite contaminated injured person. Upon entry to the site protected area, security will provide the "ambulance kit" to EMS personnel. Contents of the kit will include a dosimeter of legal record (DLR) and a 0-200 mR pocket dosimeter for each individual.

The actual kit contents will not be issued as part of the drill. A drill controller will provide drill dosimetry to the medics after kit contents have been shown to the evaluator.

"Correction-on-the-spot" will be applicable for this demonstration.

EVALUATION AREA 3: PROTECTIVE ACTION IMPLEMENTATION Sub-element 3.a - Implementation of Emergency Worker Exposure Control Criterion 3.a.1: The OROs issue appropriate dosimetry and procedures, and manage radiological exposure to emergency workers in accordance with the plans and procedures.

Emergency workers periodically and at the end of each mission read their dosimeters and record the readings on the appropriate exposure record or chart. (NUREG-0654, K.3.a, b)

Locations: West Feliciana Parish Hospital and West Feliciana Parish EMS Extent of Play The ambulance crew should be knowledgeable on how to acquire dosimetry kits and potassium iodide (KI) during a declared emergency involving parish response. The ambulance crew will discuss the method of obtaining dosimetry kits and KI from the ambulance when an emergency has been declared at the nuclear power plant. The discussion can be accomplished by interview with the evaluator.

Hospital personnel will be issued dosimeters and DLRs at the hospital. "Correction-on-the-spot" will be applicable for this demonstration.

32

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES EVALUATION AREA 6: SUPPORT OPERATION/FACILITIES Sub-element 6.d--Transportation and Treatment of Contaminated Injured Individuals Criterion 6.d.1: The 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)

Locations: West Feliciana Parish Hospital and West Feliciana Parish EMS Extent of Play The ambulance will be pre-staged at the River Bend Station Training Center to allow for a search by plant security personnel prior to the start of the drill. Upon receiving a request for offsite assistance, the ambulance will proceed into the site protected area to a designated pickup point. Crew members will receive a turnover of patient information from site first aid and radiation protection personnel.

Two radiation protection personnel will accompany the patient to the hospital.

At the hospital, removal of the patient's clothing will be simulated. Decontamination will be demonstrated to the evaluators using methods contained in the hospital procedure. These methods could include soap and water, wipes, or tape. Intrusive bioassay samples will be simulated. No actual surgical procedures, X-ray, drawing of blood samples, etc. will be conducted.

"Correction-on-the-spot" will be applicable for this demonstration.

River Bend Station Objectives See attached PERFORMANCE OBJECTIVES AND EVALUATION CRITERIA - RBS.

GENERAL EXTENT-OF-PLAY (EOP):

1. With regard to last minute additions or changes to any previously approved Extent-of-Play, all suggested changes must be forwarded to the RAC Chair for approval.
2. The goal of all offsite response organizations (ORO) is to protect the health and safety of the public.

This goal is achieved through the execution of appropriate plans and procedures. It is recognized that situations may arise that could limit the organizations in the exact execution of these plans and procedures.

3. In the event of an unanticipated situation, OROs are permitted to exercise flexibility in the implementation of their plans and procedures in order to successfully achieve the objective of protection of public health and safety and protection of the environment.
4. As a statement of fact, no ORO will deliberately deviate from its plans and procedures with the intent of avoiding responsibility.

33

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES

References:

As indicated in the Extent-of-Play Agreement, the State of Louisiana requests the option to correct issues immediately as 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. Acceptable locations/activities for "on-the-spot-correction" are clearly indicated in the extent of play portion under each criterion.

34

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report!Improvcment Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES IV PERFORMANCE OBJECTIVES AND EVALUATION CRITERIA - RBS Program PERFORMANCE OBJECTIVES and General Evaluation Criteria MED Elements B.8 Emergency Demonstrate the ability to utilize onsite first aid / fire brigade personnel and to coordinate with Services Support required offsite emergency services (police, fire, ambulance, medical, hospital)

Organizations B.8.1 Appropriate points of contact were identified for the requested support.

B.8.2 Appropriate offsite emergency services (e.g., fire, ambulance, medical, hospital, law enforcement) were contacted B.8.3 Security response was prompt in providing site access to the responding agency.

B.8.4 Fire brigade coordination and communications were appropriate (applicable to fire scenarios N/A only).

B.8.5 Medical and First Responder Team coordination and communications were appropriate (applicable to medical scenarios only).

B.8.6 RP support was contacted promptly for scenarios involving radiological controls.

B.8.7 Dosimetry was properly issued to incoming responders.

F.5,. Medical Support: Demonstrate the ability to......

perform .:communications

.. . .. ..".with both fixed and. mobile medical Communications supporftunits..

F.5.1 The control room and RP/HP were promptly notified of the injury.

F.5.2 Communications between the control room and the first response team were timely and accurate.

F.5.3 The capability to request ambulance support through the WFP emergency dispatcher was demonstrated.

F.5.4 The capability to effectively communicate with the designated receiving hospital was demonstrated.

L. Hospital Demonstrate the radiological capabilities of local and backup hospitals. (Criteria demonstrated Response by alternating one hospital/year)

L.1.1 Appropriate in-house notifications were made, including medical and radiological conditions of the victim, and staff assignments to support the emergency.

L.1.2 Required protective clothing was properly donned.

L. 1.3 The Radiological Emergency Area (REA) was properly set up.

35

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES L. 1.4 The REA staff/ambulance crew/RPTs performed a clean transfer of the victim, including documentation of radiological and medical conditions.

L. 1.5 Ambulance and crew were properly monitored for contamination, and decontaminated if necessary, prior to being released.

L. 1.6 Proper triage and medical treatment was performed.

L. 1.7 The radiological condition of the victim and the dosimetry records of the REA staff were properly documented by the Buffer Zone Nurse.

L.I.8 Necessary samples from the victim were obtained and properly labeled.

L.1.9 Proper techniques were used to decontaminate victim without compromising their medical condition.

L.I.10 Proper contamination control practices were demonstrated in transferring decontaminated victim from the REA.

L. 1.11 Proper exit procedures were demonstrated by hospital staff entering and leaving the REA.

L.1.12 The REA and hospital staff were properly monitored for contamination, and decontaminated if necessary, prior to being released. The REA and hospital staff were properly monitored for contamination, and decontaminated if necessary, prior to being released.

L.2 First Aid Demonstrate the ability to provide firstaid treatment onsite.

L.2.1 First aid team was promptly dispatched after notification received in the CR.

L.2.2 Life-threatening medical conditions were addressed as a priority over contamination issues.

L.2.3 Team exposure was considered and not permitted to exceed pre-established values. Team exposure was considered and not permitted to exceed pre-established values.

L.2.4 Appropriate contamination controls and /or decontamination practices were employed.

L.2.5 Communications between the injury scene and control room were effectively maintained.

L.2.6 Team leader demonstrated effective command and control of the accident scene. Team leader demonstrated effective command and control of the accident scene.

L.2.7 Team personnel demonstrated proficiency in the use of protective and first aid equipment.

L.2.8 The condition and radiological status of the victim was properly documented.

L.3 Contaminated..: ..Demonstrate the capability to transport a contaminated injured person offsite. (Criteria Injured demonstrated by alternating one ambulance service/year) ..........

Transportation- -

L.3.1 Prompt access was gained by ambulance into the protected area.

L.3.2 Appropriate dosimetry and protective clothing were issued to ambulance personnel and clothing was donned appropriately.

36

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES L.3.3 Ambulance personnel verified the medical condition of the victim and received report on injuries / status.

L.3.4 Ambulance personnel received turnover on radiological condition of the patient.

L.3.5 Contamination control methods were effectively utilized.

L.3.6 An RP tech with a survey meter accompanied patient off-site.

37

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/lmprovement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES EXERCISE CONTROLLERS/EVALUATORS Norman Tison Control Room 2789 John Standridge Plant site (Radiological response) (225) 721-0887 Fred Hurst/Aaron Magee Plant site (First Aid Team)/Ambulance (225) 324-6020 / 505-3984 Gil Cosnett West Feliciana Parish Hospital 1-856-261-5760 EXERCISE OBSERVERS Cheryl Chubb Hospital ONSITE PHONE NUMBERS Shift Manager 2776 --OSM/Communicator Console 2789 RP 2771 38

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Rivcr Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES NARRATIVE SCENARIO Approximate Time:

0730 Location:

65' Level, Radwaste Building

==

Description:==

An individual investigating radiation alarms in the Radwaste Building near Phase Separator Tank TK-6B slips, and falls while climbing on maintenance scaffolding. During the fall, he hits a sharp object and is injured and contaminated with spilled resins and water. The individual will be found on the floor by a co-worker, conscious, and bleeding slightly from a leg wound. The co-worker will contact the control room for assistance.

Expected actions:

When contacted, the operations shift manager should implement the steps of ADM-0060, First Responder Emergencies. The First Responders should be contacted and radiation protection (RP) support requested.

The first aid team responding to the call should perform an assessment of the patient's condition and treat any life-threatening injuries. Based on the individual's condition and vital signs, the responding First Responders should make the decision to transport without decontamination. The control room should be contacted to arrange for ambulance and hospital support based on ADM-0060.

Radiation protection should monitor radiological exposures for both the responders and the patient.

Contamination controls which do not impact care of the patient should be employed. Consideration should be given to the path the patient took from the original accident scene.

While awaiting ambulance arrival, the first aid team should perform the necessary actions to prepare the patient for transport. Assistance should be requested for patient transfer and the Primary Access Point (PAP) should be informed to prepare for ambulance arrival. RP should assist in planning the patient move to the ambulance pick up point.

Upon arrival of the ambulance, a turnover of patient medical and radiological conditions should be provided to the ambulance personnel. RP should arrange for two technicians to provide radiological coverage for the patient and medical personnel while in route and at the hospital.

39

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES The onsite portion of the drill will be evaluated by Emergency Planning and Training department personnel. The individual will be transported to the hospital where FEMA will observe hospital activities in accordance with the stated objectives.

Pre-Staging:

The ambulance will be pre-staged at the River Bend Station Training Center at 7:15 AM to allow for a search by plant security personnel. This search will be conducted to help expedite entry into the security area. Arrival time of the ambulance and patient at West Feliciana Parish Hospital is estimated to be approximately 8:45 AM.

Scenario Timeline 0800 Ambulance enters River Bend Station 0830 Ambulance departs site 0845 Ambulance arrives at West Feliciana Parish Hospital 1000 Drill Terminated 40

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES CONTROLLER MESSAGE Message: CONTROL ROOM CONTROLLER --- MAKE PRE-DRILL ANNOUNCEMENT Number # 1 Time: 0755 THIS IS A DRILL This is to announce the start of the 2011 Medical Drill.

NOTE: Merge the Page Party /Gaitronics and make plant announcement Pulse Tone.

"Attention in the plant. The Emergency Planning 2011 Medical Drill is beginning. Drill announcements will be preceded by "This is a Drill" and are intended for drill participants only. All other personnel should ignore the drill messages."

THIS IS A DRILL

                                                                                  • IIH*********************11111111111111**********************************************************************I 41

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES CONTROLLER MESSAGE Message: ACCIDENT SCENE-CONTROLLER Number:-# 2 Time: 0800 THIS IS A DRILL CONTROLLER: Call Control Room ask for OSM EXT. 2299 Report of finding the victim; First Call This is (state your name)

(Victim's name)- has fallen and requires medical help. He is currently located on the 70' elevation of the Radwaste Building near Phase Separator Tank TK-6B. He is conscious and bleeding from a leg wound. He may be contaminated.

NOTE: Second Call should be made by First Responders on status of victim and request for ambulance.

Victim is conscious; bleeding slightly from a leg wound.

THIS IS A DRILL 42

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES CONTROLLER MESSAGE Message: ACCIDENT SCENE-CONTROLLER Number # 3 THIS IS A DRILL RADIATION SURVEY RESULTS General Area Survey = as found General contamination readings on injured man = <lmR/hr/4000cpm General Area Smears = as found.

Injured's pocket EAD = as found Air Sample = as found Controller Note: Issue data message information only after Radiation Protection Technicians have started survey.

THIS IS A DRILL 43

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES ANATOMICAL DIAGRAM 44

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES CONTROLLER MESSAGE Message: MEDICAL INFORMATION Number # 4 THIS IS A DRILL Phase 1 Phase 2 Phase 3

-0730 - Discovery --0740 - First Aid Team Arrival -0800 - EMS Arrival Patient found conscious Pulse: 90, strong Vitals Unchanged and bleeding slightly from a Resp.: 24, regular leg wound ('/2 in. deep x 3 in. lg.1 B.P.: 106/70 Skin: Pale, warm, dry NOTE: Patient will remain conscious during the drill.

Phase 4 Phase 5 Phase 6

-0830 - EMS Transport -0845 - Hospital Arrival -0900 - Hospital Treatment Pulse: 88, strong Vitals Unchanged Pulse: 92, strong Resp.: 20, regular Resp.: 12, regular B.P. 112/74 B.P.: 118/78 Skin: color good, Skin: color good, warm, dry warm, dry THIS IS A DRILL 45

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES CONTROLLER MESSAGE Message: HOSPITAL DECONTAMINATION INFORMATION Number # 5 THIS IS A DRILL Note: Contaminated clothing may have been removed at the plant per radiation protection procedures.

Patient Arrival Clothing: (near wound) 4000cpm. (See note above)

Leg Wound: 4000cpm Note: Patient decontamination should be according to guidance contained in Attachment E of the hospital procedure.

After 10 Decontamination Clothing: Removed Leg Wound: 1,500 cpm After 2nd Decontamination Leg Wound: 1,000 cpm After 3rd Decontamination All areas background: 60 cpm THIS IS A DRILL 46

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES CONTROLLER MESSAGE Message: HOSPITAL EXIT PROCEDURES Number # 6 THIS IS A DRILL Note: It is recommended that patient and staff exit from the area be in accordance with the guidance contained in Attachments F and G of the hospital procedure.

Plant radiation protection technicians can provide directions on exit as long as basic contamination control concepts are maintained.

Controller Interlect: Upon completion of patient decontamination, direct hospital staff to demonstrate patient exit procedure from the area.

Controller Interiect: After patient exit, direct one member of the hospital staff to demonstrate the exit procedure from the area.

47

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES CONTROLLER MESSAGE Message: PLANT INFORMATION-CONTROLLER Number # 7 THIS IS A DRILL NOTE: Controller is to ensure the Control Room is notified that the ambulance has exited the site.

This is to announce the termination of the 2011 Medical Drill.

NOTE: Merge the Page Party /Gaitronics and make plant announcement Pulse Tone.

"Attention in the plant. The Emergency Planning 2011 Medical Drill is terminated. (Repeat announcement.)

THIS IS A DRILL 48

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station RIVER BEND STATION 2011 MEDICAL EMERGENCY RESPONSE EVALUATED DRILL EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT & ONSITE OBJECTIVES ATTENTION THERE WILL BE AN ONSITE MEDICAL DRILL TODAY 5/26/11 WEST FELICIANA PARISH EMS WILL BE ONSITE 49

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station This page is intentionally blank.

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