ML11320A194

Submittal of Radiological Emergency Preparedness Final Report for Medical Services Drill Evaluated on 09/27-28/2011

ML11320A194
Person / Time
Site:	Waterford
Issue date:	10/21/2011
From:	Lawrence Hammond US Dept of Homeland Security, Federal Emergency Management Agency
To:	Collins E Region 4 Administrator
References
Download: ML11320A194 (29)

Text

U.S. Department of Homeland Security Region VI 800 N. Loop 288 Denton, TX 76209-3698 PAR NDJFEMA October 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 Waterford 3 Stearn Electric Station Medical Services drill evaluated on September 27 and 28, 2011. FEMA Region VI staff evaluated the Ochsner Foundation Hospital and St. Charles Ambulance Services.

Two Plan Issues and two Areas Requiring Corrective Action (ARCA) corrected on the spot were identified during these drills. Updated Plans and Procedures have been received by our office that resolves the two identified Plan Issues (70-11-3al-P-01; 70-11-6da-P-04).

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-specific to Waterford 3 Steam Electric Station will remain in effect.

A copy of this report was forwarded 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 me at (940) 898-5199, or Brad DeKorte, Radiological Emergency Preparedness Site Specialist for Waterford 3, at (940) 383-7304.

Sincerely, Lisa R. Hammond RAC Chair Enclosure cc: NRC HQ-Lisa Gibney DHS/FEMA HQ-Vanessa Quinn LDEQ - Tim Knight GOHSEP - Earl Patrick Santos, Jr.

W 3 Entergy Ops. Inc. - Greg Fey www.fema.gov

Waterford 3 Steam Electric Station After Action Report/

Improvement Plan Drill Date - September 28, 2011 Radiological Emergency Preparedness (REP) Program

,U6 FEMA

°,*,YPublished October 22, 2011

Unclassified Radiological Emergency Preparedness Program (REP)

After Action ReportlImprovement Plan Waterford 3 Steam Electric Station Waterford 3 Steam Electric Station After Action Report/Improvement Plan Published October 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 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 St. Charles Ambulance Service 9 3.3.2 Support Jurisdictions 10 3.3.2.1 Ochsner Clinic Foundation Hospital 10 Section 4: Conclusion 13 Appendix A: Drill Evaluators and Team Leaders 14 Appendix B: Acronyms and Abbreviations 15 Appendix C: Exercise Plan 16 1

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station This page is intentionally blank.,

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan . Waterford 3 Steam Electric Station EXECUTIVE

SUMMARY

On September 28, 2011, an out-of-sequence Medical Services drill was conducted for the Waterford 3 Steam Electric Station (W3), located near Taft, St. Charles Parish, 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 transport and provide medical care for a simulated contaminated injured individual at W3. The previous medical drill at this site was conducted on September 30, 2009.

The previous exercise at this site was a Plume Exercise conducted on June 24, 2009. The qualifying emergency preparedness exercise was conducted on February 8, 1984. There have been seventeen evaluated exercises, including the exercise on June 24, 2009, plus several drills conducted since 1984.

Personnel from the State of Louisiana, W3, St. Charles Ambulance Services, and Oschner Foundation Hospital participatedin the drill. Co6peration and teamwork of all the participants was evident during the drill and DHS/FEMA wishes to acknowledge these efforts.

This report includes the identification of any exercise issues and recommendations for corrective action where appropriate.

This report contains the final evaluation of the out-of-sequence drill. The participants demonstrated knowledge of their emergency response plans and procedures and adequately demonstrated them. There were no Deficiences, two Areas Requiring Corrective Action (ARCAs) both corrected on the spot, and two Plan Issues identified during the drill.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station SECTION 1: EXERCISE OVERVIEW 1.1 Exercise Details Exercise Name Waterford 3 Steam Electric Station Type of Exercise Drill Exercise Date September 28, 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 Brad DeKorte Lead Federal Planner FEMA Region VI Technological Hazards Specialist 800 N Loop 288 4

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station Denton, Texas, 76209.

940-383-7304 brad.dekorte@dhs.gov Cheryl Chubb State Planner Louisiana 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 Waterford 3 Steam Electric Station drill:

State Jurisdictions Louisiana Department of Environmental Quality Risk Jurisdictions St. Charles Ambulance Service Private Organizations Ochsner Clinic Foundation Hospital 5

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station SECTION 2: EXERCISE DESIGN

SUMMARY

2.1 Exercise Purpose and Design The DHS/FEMA Region.VI Office evalfiated the drill on September 28, 2011 to assegssthe capabilities of local emergency preparedness organizations in6 implementing their Radiological Emergency Response Plans and Procedures to protect the public health and. safety during a radiological emergency involving Waterford 3 Steam Electric Station (W3). The purpose of this' report is to represent the results and findings on the performance of the offsite response organizations during a simulatedradiological emergency.

2.2 ExerciseObjectives, 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 at the Waterford 3 Electric Steam Station requiring the transportation, treatment and ;,

decontamination of a radiologically contaminated injured individual. The drill scenarioprovided for the evaluation of the St. Charles Ambulance Services and Ochsner Foundation Hospital staff.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station SECTION 3:= ANALYSIS OFCAPABILITIES 3.1 Drill Evaluation and Results Contained in this section are the results and findings of the evaluation of all jurisdictions and functional entities which participated in the September 28, 2011; evaluated drill to test the off-site emergency response capabilities of local governments in the 10-mile Emergency Planning Zone surrounding the Waterford 3 Steam Electric Station.

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: Exercise Evaluation Methodology" (April 25, 2002).

Detailed information on the evaluation area criteria and the extent-of-play agreements for the drill is included as an appendix to,this report. .

3.2 Summary Results of Drill Evaluation The matrix presented in the table on the following page presents the status of all exercise evaluation area criteria which were scheduled for demonstration during the drill by all participating jurisdictionsand functional entities. Exercise criterion are listed by number and the demonstration status of those criterion are indicated by the use of the following letters:

M - Met (No Deficiency or ARCAs assessed and no unresolved ARCAs from prior exercise)

D - Deficiency assessed A - ARCA(s) assessed or unresolved ARCA(s) from previous exercise(s)

N - Not Demonstrated P - Plan Issue 7.

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station Table 3.1 - Summary of Drill Evaluation DATE: 2011-09-28 <

SITE: Waterford 3 Steam Electric Station, LA M: Met, A: ARCA, D: Deficiency, P: Plan Issue, N: Not Demonstrated L -)

Emergency Operations Management - -

Mobilization lal Facilities Ibi Direction and Control let Communications Equipment Idi1 Equip & Supplies to support operations ' lel. M M Prot ective Action DecisionM ng Emergency Worker Exposure Control 2a1 Radiological Assessment and PARs 12bl 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 2el1 Protective Action Implementation Implementationof emergency worker exposure control 3al M M Implementation of KI decision , 3bl Implementation of protective actions for special populations - EOCs . 3cl Implementation of protective actions for Schools 3R2 Implementation of traffic and access control 3d1 Impediments to evacuation are identified and resolved 3d2 Implementation 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 Measurement and Analysis -:.

Adequate Equipment for Plume Phase Field Measurements 4al Field Teams obtain sufficient informnatioh 4a2 Field Teams Manage Sample Collection Appropriately, 4a3 Post plume phase field measurements and sampling 4b 1 Laboratory operations 4c 1 Emergcncy Notification and Public Info 1. "

Activation of the prompt alert and notification system 5a1 Activation of the prompt alert and notification system - Fast Breaker 5a2 Activation of ihe prompt alert and notification systm - Exception areas 5a3 Emergency information and instructions for the public and the media 5bl Support Operations/Facilities -

Mon / decon of evacuees and eimergency workers, and registration of evacuees 6a1 Mon / decon of emergency worker eqipment - 6bl Temporary care of evacuees 6c1 Transportation and treatment of contaminated injured individuals 6dl M M 8

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station 3.3 Criteria Evaluation Summaries 3.3.1 Risk Jurisdictions 3.3.1.1 St. Charles Ambulance Service -

In summary, the status of DHS/FEMA criteria for this location is as follows:

a. MET: 1.e.i, 3.a.1, 6.d.1.

b. AREAS REQUIRING CORRECTIVE ACTION: None

c. DEFICIENCY: None

d. PLAN ISSUES: I.a.1.

ISSUE NO.: 70-41-3al-Pz01 .

CRITERION: OROs issue appropriate dosimetry and procedures, and manage and procedures. Emergency radiological exposure to emergency workers IAW plans

--workers periodically and at the end of each mission read and record dosimeter reading. (NUREG-0654, K.3) - "

CONDITION: It -was noted that the current plans and procedures do not' contain information for the use of the Canberra Electronic Dosicards.

POSSIBLE CAUSE: New equipment has been issued without updating plansand procedures to account for useof the new equipment.,

REFERENCE:

NUREG-0654, K.3 EFFECT: Improper record keeping of Emergency Worker exposure may occur.,,

CORRECTIVE ACTION DEMONSTRATED: The St. -Charles Parish Hospital Policy & Procedure Manual has been updated to include the following verbiage to resolve the Planning Issue: ..

Radiological Exposure Control - If the call has the potential to involve radiological contamination and the response is not to Waterford-3 directly, then the electronic 9

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station dosimeters provided by St. Charles Parish and the permanent record dosimeters available in the EMS radiological kit may be .used.

e. NOT DEMONSTRATED: None'.

f. PRIOR ISSUES - RESOLVED: None

g. PRIOR ISSUES - UNRESOLVED: None 3.3.2 Support Jurisdictions 3.3.2.1 Ochsner Clinic Foundation Hospital In summary, the status of DHS/FEMA criteria for this location is as follows:

a. MET: 1.e.l,3.a.1,6.d.1.

b. AREAS REQUIRING CORRECTIVE ACTION: 6.d. 1.

ISSUENO.: 70-11-6dl-A-02 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.110., K.5.a.b.,

L.1,., 4)

CONDITION: The Ochsner Foundation Hospital Decontamination Team removed contaminated clothing from the patient. After the outer clothing was removed, the staffbegan washing the patient down and drying him with disposable towels. It was noted that none of the staff members removed their contaminated gloves before beginning the decontamination process.

POSSIBLE CAUSE: Staff did not follow best practices for proper contamination control.

REFERENCE:

NUREG-0654 criteria F.2; H.10; K.5.a,b;L.1, 4.

EFFECT: Failure to remove contaminated gloves, could have lead to spread of contamination to the patient they had just decontaminated.

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Unclassified Radiological Emergency Preparedness Program,(REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station CORRECTIVE ACTION DEMONSTRATED: The play was stopped and the State controller provided training on the need for changing gloves to prevent the spread of contamination. After this correction, all members of the Decontamination Team gave great attention to changing gloves, and preventing any potential cross-.

contamination.

ISSUE NO.: 70-11-6dl-A-03 CRITERION: Facility/ORO has the appropriate space, adequate resources, and trained pe-sonnel to provide transport, monitoring, decontamination, and medical services to contaminated injured individuals. (NUREiEG-0654, F.2., H.1.', K.5.a.b.,

L.1., 4) "

CONDITION: The RSO and a Control Point Assistant surveyed the hospital stretcher for contamination. During the survey process it was noted that the Control Point Assistant had the probe facing awaS/ frofn the surface he wais surveying.'

POSSIBLE CAUSE: The Control Point Assistant did not use proper survey technique as provided in training and described in the hospital procedure.

REFERENCE:

NUREG 0654 criteria F.2` H.110; K.5S'a,b; L. 1, 4 EFFECT: This would have lead to' inaccurate readings and possibly the skread of radioactive contamination to clean areas in the hospii.l.

CORRECTIVE ACTION DEMONSTRATED: Play was stopped and the Control Point Assist~rnwas provided training (n the proper use of the probe.'

c. DEFICIENCY: None

d. PLAN ISSUES: 6.d.i. '  :

ISSUE NO.': 70-11-6dl-P-04 1,1

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station 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: The Decontamination Team staff member was released without a full body survey.

POSSIBLE CAUSE: Current hospital procedures do not require a full body survey of the staff after doffing PPE.

REFERENCE:

FEMA-REP-22 EFFECT: The lack of the full body survey could lead to undetected contamination on staff members that may then be spread to other clean areas of the hospital.

CORRECTIVE ACTION DEMONSTRATED: The OCHSNER CLINIC FOUNDATION RADIATION ACCIDENT PLAN has been updated to include the following verbiage to resolve the Planning Issue:

After having removed protective apparel, each person who occupied the Treatment Area will receive a whole body scan for contamination administered by Radiation Protection personnel. If found to be radiologically free of contamination, then the person will be released from the REA. If the person is contaminated, then decontamination procedures will be implemented.

e. NOT DEMONSTRATED: None

f. PRIOR ISSUES - RESOLVED: None

g. PRIOR ISSUES - UNRESOLVED: None 1,2

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/lmprovement Plan Waterford 3 Steam Electric Station SECTION 4: CONCLUSION 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 Waterford 3 Steam Electric Station will remain in effect.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station APPENDIX A: DRILL EVALUATORS AND TEAM LEADERS DATE; 2011-09-28, SITE: Waterford 3 Steam Electric Station, LA LOCATION EVALUATOR AGENCY St. Charles Ambulance Service *Brad DeKorte FEMA RVI Ochsner Clinic Foundation Hospital Nan Calhoun .. _ FEMA RVI Timothy Pflieger FEMA - R6

• Team Leader-14

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station APPENDIX B: ACRONYMS AND-ABBREVIATIONS BZ Buffer Zone DRD Direct Reading Dosimeter ED Emergency Department EMS Emergency Medical Services EMT Emergency Medical'Technician ETA Estimated Time of Arrival EW Emergency Worker FEMA Federal Emergency Management Agency KI Potassium Iodide OSL Optically Stimulated Luminescent PPE Personal Protective Equipment REA Radiation Emergency Area RPT Radiation Protection Technician RSO Radiation Safety Officer TLD Thermoluminescent Dosimeter W3 Waterford 3 15

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station APPENDIX C: EXERCISE PLAN 16

Unclassified Radiological Emergency Preparedness Program (REP)

After Action ReportlIrnprovement Plan Waterford 3 Steam Electric Station WATERFORD 3 STEAM ELECTRIC STATION 2011 OFFSITE MEDICAL DRILL OCHSNER CLINIC FOUNDATION HOSPITAL ST. CHARLES EMERGENCY MEDICAL SERVICES DRILL 2011-08 SEPTEMBER 27, 2011 SEPTEMBER 28, 2011 PARTICIPANTS ENTERGY OPERATIONS, INC.

OCHSNER FOUNDATION HOSPITAL ST. CHARLES AMBULANCE SERVICE 17

-Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station INTRODUCTION In the- interest of assuring the health and safety of the general public in the area of the Waterford 3 Steam Electric Station, in, the event of a radiological emergency, Waterford 3 conducts'drills jointly with the Federal, State and local agencies on a periodic basis.

This manual Contains the scenario of activities and supporting data describing the Waterford 3 Emergency Preparedness Offsite Medical Drill.

This scenario was developed by postulating events that will require response by offsite medical assistance organizations.

During this drill, the support organizations will respond to the postulated events and conditions that have been selected to provide the level of activity necessary to meet the scenario objectives.

,St. Charles Hospital Ambulance Service and Ochsner Foundation Hospital will participate in this drill.,,, C p Drill -participants will have no prior knowledqe of the sequence of events. The drill scenario will allow those individuals and agencies assigned to respond during a radiological medical emergency to demonstrate their performance according to current emergency preparedness plans and procedures.

The scenario is a mechanism by which selected drill controllers and monitors will initiate and evaluate the activities of the drill participants. The drill will be initiated at the Ochsner Fou*dation 'Hospital at approximately 08:00 n:.-'September 28, 2011 and is expected to last approximately three hours.

Participating organizations are shown in Section III; Guidelines, of this manual.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station II. EXTENT OF PLAY o EVALUATION AREA 1: EMERGENCY OPERATIONS MANAGEMENT

'Sub-Element 1.e - Equipment and supplies to Support operations"

• Criterion 1.e.1: Equipment, maps, displays, dosimetry, potassium iodide (KI) and other supplies aresufficient to support emergency operations.

• Locations

. Ochsner Foundation Hospital, St-Charles'EMS

• Extent of Play

• Equipment, maps, displays; do§irrietry, potassium 'iodide (KI) and other supplies will be demonstrated fdr use as they would.in.an actual -emergency- This includes dosimetry and any protective, gear worn or usedby emergency workers.

• ARCAs. I .

• None 0o 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.

= Locations 0 Ochsner Foundation Hospital, St Charles EMS 19

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improyement Plan Waterford 3 Steam Electric Station Extent of Play

. Area. dosimetry will be used in the radiological controlled

• area at Ochsner Foundation Hospital.

C correction on the spot, at the discretion of and concurrence between the evaluator andthe controller, may be acceptable at these locations.

• ARCAs

• None .

0 EVALUATION AREA 6: SUPPORT OPERATIONS/FACILITIES

" Sub-Element 6.d - Transportation. and Treatment of Contaminated Injured Individuals

" Criterion 6.d.l: The facility/ORO has the appropriate space, adequate resources and trained personnel to provide transport, monitoring, decontamination and medical services to contaminated injured individuals.

" Locations

.1

• St Charles EMS, Ochsner Foundation Hospital

" Extent of Play

.. Out of sequence - On September 27, 2011 at 4:00 pm, the St Charles EMS unit will.be pre-staged at Waterford-3 and the patient transfer function will be demonstrated. After the patient -is transferred,. this portion of the drill will be terminated.,

.

• On September. 28,, 2011, the drill will be a continuation from

.-the portion occurring on September 27, 2011.

• St. Charles EMS will be pre-staged at Ochsner Foundation Hospital. A simulated contaminated, injured person will be packaged as had occurred the day before and put into the

. ambulance'.

. At 8:00 am, Ochsner Foundation Hospital will be contacted directly by Waterford-3 notifying them of a contaminated, injured patient. 20

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station

- St. Charles EMS will contact. the hospital informing them they are in route. The transportation of the patient from Waterford-3 to the hospital will be simulated.

, . An-estimated time. of -arrival. (ETA) that will allow for the hospital to completely. mobilize will be given. The time can be discussed with the evaluator priQr to the beginning of the drill.

Correction on the spot, at the "discretion of and concurrence

..- between evaluator and controller, may be.acceptable at this

" location. .

• ARCAs

• None.,

o GENERAL EXTENT-OF-PLAY (EOP) .

• 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.

• 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-ahd procedures. It is recognized that' situations may- arise that could 'limit the organizations in the exact execution of these plans and procedures.

n 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.  : ""

• As a statement of fact, no ORO will deliberately deviate from its plans and procedures withthe intent of avoiding responsibility.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station o 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, Strhtegic:,Review Steering

, Committee, Initiative& ...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.:

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station III. OBJECTIVES The-following general objectives and guidelines have-been developed for the Offsite.MedicaIDrill, which is scheduled. on September 28, 2011.

A. OCHSNER, FOUNDATION HOSPITAL.,

1. Demonstrate'the capability to alert and fully mobilize personnel for

- both emergency. facilities and -field operations. Demonstrate the

-capability to activate and staff emergency facilities for emergency operations.

2. Demonstrate the, capability .to,,communicate with all appropriate emergency personnel at facilities and in the field.

3. Demonstrate the capability to continuously monitor and control radiation exposure to emergency workers.

4. Demonstrate the adequacy of the equipment, procedures, supplies, and personnel of medical facilities responsible for treatment of contaminated, injured, or exposed individuals.

B. ST. CHARLES HOSPITAL AMBULANCE SERVICE

1. Demonstrate the capability to communicate with all appropriate emergency personnel at facilities and in the field.

2. Demonstrate the capability to continuously monitor and control radiation exposure to emergency workers.

3. Demonstrate the adequacy of vehicles, equipment, procedures, and personnel for transporting contaminated, injured, or exposed individuals.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action-Report/Improvement Plan Waterford 3 Steam Electric Station IV. GUIDELINES To define the scope and extent of participation byorganizations and participants, the following guidelines are established in order to, meet the objectives listed in Section II of this manual.

1. The offsite medical response drill will be conducted on September 28, 2011.

2. A simulated contaminated injured person and a Health. Physics technician

' will be staged at Waterford 3 on September. 27, 2011 to-demonstrate transportation of the contaminated injured person to the hospital.

3. Participation is limited to the St. Charles Hospital Ambulance staff, Ochsner Foundation Hosp.ital Emergency Room' Staff and the Drill Control Team. The Waterford 3 plant staff WILL NOT participate.

4., Communications between the Waterford 3 plant and ,Ochsner Foundation

.Hospital are simulated by the Drill Control Team.,

5. A simulated contaminated injured person and a Health Physics technician are staged at the Waterford 3 hospitalat.the beginning of the drill.

6. The drill is initiated by the Drill Control Team requesting the dispatch of the St. Charles Hospital Ambulance Service to transport the patient to Ochsner Foundation Hospital. The Drill Control Team then contacts Ochsner Foundation Hospital simulating a report of a medical emergency.

7. All communications are preceded and ended with "THIS IS A DRILL."

8. The simulated medical emergency continues until the patient is decontaminated and treated by the Ochsner Foundation Hospital medical staff.

9. A critique is conducted immediately following the termination of the drill.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford 3 Steam Electric Station V. NARRATIVE

SUMMARY

At approximately 07:45 AM, a Mechanical Maintenance Technician at Waterford 3, who has been repairing a leak on the "A" Low Pressure Safety Injection Pump, slips and falls down breaking his right forearm and striking his forehead on a pump support.

The Drill Control Team simulates the Control Room response and UNT-007-018, First Aid and Medical Care, is implemented. Response by the Emergency First Aid Team is simulated, and primary surveys of the patient are performed.

At 08:00, the Drill Control Team simulates calling the St. Charles Hospital Ambulance Service to request transportation of the patient to Ochsner Foundation Hospital. After requesting the ambulance, the Drill Control Team calls the Ochsner. Foundation Hospital to report, the simulated medical emergency. The patient's primary survey information (vital signs) is provided.

Upon arrival at Ochsner Foundation Hospital, the patient is taken into the REA, decontaminated and treated- for the simulated injuries.., After the treatment has proceeded to the point that the patient would be admitted to the hospital and the ambulance has been surveyed and released, the medical drill is terminated and a critique of thetevents is conducted.

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Unclassified Radiological Emergency Preparedness Program (REP)

After*Action Report/Improvement Plan Waterford 3 Steam Electric Station VI. SEQUENCE OF EVENTS TIME EVENT DRILL ACTIVITY 07:30 Drill preparations are made. The Drill Control Team and an HP technician T= -0:30 assemble at Ochsner Foundation Hospital. The patient is "made up" and the Drill personnel are CC-1 briefed.

08:00 Drill initiated by the Drill Control The Drill Control Team simulates a request to St.

T= +0:00 Team. Charles Hospital Ambulance Service to respond and notifies Ochsner Foundation Hospital of the CC-2 medical emergency.

CC-3 CC-4 CC-5 If Ochsner Foundation Hospital is unable to participate, the medical emergency drill will be terminated.

CC-6 The patient's condition will not change during transportation to Ochsner Foundation Hospital.

CC-7 Patient arrives at Ochsner The patient is removed from the ambulance and CC-8 Foundation Hospital. taken to the REA. The hospital personnel decontaminate the patient and begin treatment of the injury.

CC-9 HP surveys the ambulance for The ambulance is determined to be clean and is contamination. released.

CC-10 Drill terminated. Critique When the patient is ready to be admitted to the conducted. hospital and the ambulance has been surveyed and released, the medical response drill will be terminated.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Waterford.3 Steam Electric Station This page is intentionally blank.

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