ML12299A314

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Transmittal of Radiological Emergency Preparedness Final Report
ML12299A314
Person / Time
Site: Comanche Peak  Luminant icon.png
Issue date: 10/19/2012
From: Lawrence Hammond
US Dept of Homeland Security, Federal Emergency Management Agency
To: Collins E
Region 4 Administrator
References
Download: ML12299A314 (29)


Text

U.S. Department of Homeland Security Region VI 800 N. Loop 288 Denton, TX 76209-3698 MVARTA

~FEMA October 19, 2012 Mr. Elmo E. Collins, Jr.

Regional Administrator, U.S. NRC, Region IV 611 Ryan Plaza Drive, Suite 400 Arlington, TX 76011-4005

Dear Mr. Collins:

Enclosed is a'copy of the radiological emergency preparedness final report for the Comanche Peak Nuclear Power Plant, Medical Drill evaluated on September 19, 2012. FEMA Region VI staff evaluated the drill at the Lake Granbury Medical Center. There was one Area Requiring Corrective Action (ARCA) that was corrected during the drill. There were no Deficiencies and no Plan Issues identified during this drill.

Based on the results of the drill, the planning and preparedness for the State of Texas and affected local jurisdictions provide reasonable assurance that appropriate measures can be taken to protect public health and safety in the event of a radiological release. Therefore, 44 CFR Part 350 approval of the offsite radiological emergency response plans and preparedness for the State of Texas - specific to the Comanche Peak Nuclear Power Plant will remain in effect.

Sincerely, Technological Hazards Branch Chief Enclosure cc:

NRC Headquarters Document Control Desk DHS/FEMA Headquarters - Vanessa Quinn, Renae Connell TDEM - W. Nim Kidd, CEM TX DSHS, Radiation Control Program - Dr. David Lakey CPNPP Manager of Emergency Preparedness -T Robert Kidwell www.fema.gov

Comanche Peak Nuclear Power Plant After Action Report/

Improvement Plan Drill Date - September 19, 2012 Radiological Emergency Preparedness (REP) Program

. FEMA Published October 10, 2012

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant Comanche Peak Nuclear Power Plant After Action Report/Improvement Plan Published October 10, 2012 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 7

2.1 Exercise Purpose and Design 7

2.2 Exercise Objectives, Capabilities and Activities 7

2.3 Scenario Summary 7

Section 3: Analysis of Capabilities 8

3.1 Drill Evaluation and Results 8

3.2 Summary Results of Drill Evaluation 8

3.3 Criteria Evaluation Summaries 10 3.3.1 Private Organizations 10 3.3.1.1 Lake Granbury Medical Center 10 13.1.2 Texas Emergency Medical Service 10 Section 4: Conclusion 12 Appendix A: Drill Evaluators and Team Leaders 13 Appendix B: Exercise Plan 14 1

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant This page is intentionally blank.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant EXECUTIVE

SUMMARY

On September 19, 2012, an out-of-sequence medical drill was conducted for the Comanche Peak Nuclear Power Plant (CPNPP), located near Glen Rose, Texas. Personnel from the U.S.

Department of Homeland Security/FEMA (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 the CPNPP. The previous medical drill conducted at this site was on September 14, 2010.

Personnel from the Texas Department of State Health Services, Lake Granbury Emergency Medical Center, Texas Emergency Medical Services, and CPNPP participated in the drill.

Evaluation Areas demonstrated included: Emergency Operations Management, Protective Action Implementation, and Support Operations/Facilities. Cooperation and teamwork of all participants was evident during the drill, and DHS/FEMA Region VI wishes to acknowledge these efforts.

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 implemented them. There were no Deficiencies and one Area Requiring Corrective Action (ARCAs). Additionally, no Plan Issues were identified as a result of the drill. The ARCA was corrected on the spot in accordance with the extent of play agreement.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant SECTION 1: EXERCISE OVERVIEW 1.1 Exercise Details Exercise Name Comanche Peak Nuclear Power Plant Type of Exercise Drill Exercise Date September 19, 2012 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 North Loop 288 Denton, Texas, 76209 940-898-5199 lisa.hammond@fema.dhs.gov Scott Flowerday Evaluation Team Leader FEMA Region 6 Lead Technological Hazards Specialist 800 N. Loop 288 4

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant Denton, Texas, 76209 940-898-5370 scottflowerday@fema.dhs.gov Glenn Corbin State Planning Team Lead Texas Department of State Health Services State Health Emergency Planner Radiation Control Program, Environmental Monitoring P. 0. Box 149347 Austin, Texas, 78714 512-834-6770 glenn.corbin@dshs.state.tx.us James "Jim" Ogden Utility Exercise Planner Comanche Peak Nuclear Power Plant Offsite Emergency Planner P. 0. Box 1002 Glen Rose, Texas, 76042 254-897-6470 jogden2@luminant.com 1.3 Participating Organizations Agencies and organizations of the following jurisdictions participated in the Comanche Peak Nuclear Power Plant drill:

State Jurisdictions Texas Department of State Health Services Support Jurisdictions Lake Granbury Medical Center Texas Emergency Medical Services Private Organizations 5

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant Comanche Peak Nuclear Power Plant 6

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant SECTION 2: EXERCISE DESIGN

SUMMARY

2.1 Exercise Purpose and Design The DHS/FEMA Region VI Office evaluated the drill on September 19, 2012 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 Comanche Peak Nuclear Power Plant (CPNPP). The purpose of this report is to present the results and findings on the performance of the offsite response organizations during a simulated radiological emergency.

2.2 Exercise Objectives, Capabilities and Activities Exercise objectives and identified Capabilities/REP Criteria selected to be exercised are discussed in the Exercise Plan (EXPLAN), Appendix D.

2.3 Scenario Summary The drill scenario was developed to evaluate the response of drill participants to an incident at Comanche Peak Nuclear Power Plant requiring the transporation, treatment, and decontamination of a radiologically contaminated injured individual. The drill scenario provided for the evaluation of the Texas Emergency Medical Services and Lake Granbury Medical Center.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant 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 September 19, 2012, drill evaluation to test the offsite emergency response capabilities of local governments in the 10-mile Emergency Planning Zone surrounding Comanche Peak Nuclear Power Plant.

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 FEMA Radiological Emergency Preparedness Program Manual dated April 2012. 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, presents 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 exercise)

D - Deficiency assessed A - ARCAs assessed or unresolved ARCAs from previous exercises P - Plan Issue N - Not Demonstrated 8

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant Table 3.1 - Summary of Drill Evaluation DATE: 2012-09-19 SITE: Comanche Peak Nuclear Power Plant, TX U

M: Met, A: ARCA, D: Deficiency, P: Plan Issue, N: Not Demonstrated EmergenM L')eratoinSManagoMent Mobilization lal Facilities 1b1 Direction and Control Ici Communications Equipment Idl Equipment and Supplies lel M

'Pro.te.tive Action isioMakin EW Exp. Control Decisions 2al PARs 2b]

PADs 2b2 PADs for Disabled/Functional Needs 2cl Ingestion PADs 2d1 RRR Decisions 2e1 r

tec Io np ion EW Exp. Control Implementation 3al M

M KI Public/Institutionalized 3b 1 PAD Imp. Disabled/Functional Needs 3c 1 PAD Imp. Schools 3c2 TACP Establishment 3dl Impediments to Evacuation 3d2 Implementation of Ingestion PADs 3e 1 Ingestion Strategies and Information 3e2 Imp. of RRR Decisions 3fl FjIZdl Weasurementtand!An' s

-r l

mimi RESERVED 4a1 Field Team Management 4a2 Field Team Operations 4a3 Field Team Sampling 4b 1 Laboratory Operations 4c1 Emergenc~y fgiti"-cati-MaMti b-li i1 Initial Alert & Notification 5al Backup Alert & Notification 5a3 Exception Area Alerting 5a4 Subsequent Public Information 5b1 SupportjOporati"s/~acilii"e,

-si ia Reception Center Operations 6a1 EW Monitoring & Decon 6b1 Congregate Care 6c1 Contaminated Injured Transport & Care 6dl M

M 9

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant 3.3 Criteria Evaluation Summaries 3.3.1 Private Organizations 3.3.1.1 Lake Granbury Medical Center In summary, the status of DHS/FEMA criteria for this location is as follows:

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 3.3.1.2 Texas Emergency Medical Service In summary, the status of DHS/FEMA criteria for this location is as follows:
a. MET: 1.e.1,3.a.1,6.d.1.
b. AREAS REQUIRING CORRECTIVE ACTION: 6.d.1.

ISSUE NO.: 14-12-6dl-A-01 CRITERION: The facility/ORO has the appropriate space, adequate resources, and trained personnel to provide transport; monitoring, decontamination, and medical services to contaminated injured individuals.

CONDITION: 1) The patient was wrapped in sheets and secured to a backboard in accordance with the procedures to contain contamination. The patient was loaded into the back of the ambulance where it was observed that the ambulance crew member opened up the sheets to conduct a medical survey of the patient after removing their outer layer of gloves. The crew member then proceeded to obtain various pieces of medical equipment and began simulating "medical treatment.

Additional glove changes were not observed.

2) It was observed that the DSHS HP was surveying the gurney surface at a height of approximately two to three inches above the surface with the probe.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant POSSIBLE CAUSE: Lack of training.

REFERENCE:

NUREG-0654/FEMA-REP-1, F.2; H. 10; K.5.a, b; L. 1, 4 EFFECT: 1) Possible cross contamination. 2) Possible missed contamination readings.

CORRECTIVE ACTION DEMONSTRATED: 1)The controller called for the time out and provided training on exposure control and contamination control measures.

Exercise play resumed and there were no further re-occurrences of this issue during the remainder of the drill.

2)The controller called for a time out in exercise play after it was observed that the HP was monitoring the gurney with the probe height at an improper distance. The controller provided training on the proper survey techniques. Exercise play resumed and there were no further observations of this issue during the remainder of the drill.

c. DEFICIENCY: None
d. PLAN ISSUES: None
e. NOT DEMONSTRATED: None
f. PRIOR ISSUES - RESOLVED: None
g. PRIOR ISSUES - UNRESOLVED: None 11

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant SECTION 4: CONCLUSION Based on the results of the drill, the offsite radiological emergency response plans and preparedness for the State of Texas and the affected local jurisdictions are deemed adequate to provide reasonable assurance that appropriate measures can be taken to protect the health and safety of the public in the event of a radiological emergency. Therefore, 44 CFR Part 350 approval of the offsite radiological emergency response plans and preparedness for the State of Texas site-specific to Comanche Peak Nuclear Power Plant will remain in effect.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant APPENDIX A: DRILL EVALUATORS AND TEAM LEADERS DATE: 2012-09-19, SITE: Comanche Peak Nuclear Power Plant, TX

EjVf~ftlHUATQ

'#EN~

Lake Granbury Medical Center Bill Bischof FEMA RVI

__'_I*Elsa Lopez FEMA RVI Texas Emergency Medical Service Brad DeKorte FEMA RVI 13

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/improvement Plan Comanche Peak Nuclear Power Plant APPENDIX B: EXERCISE PLAN 14

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant LAKE GRANBURY MEDICAL CENTER MS-1 HOSPITAL DRILL SEPTEMBER 19, 2012 (Rev. 1) 1.0 Introduction This drill will verify that the Lake Granbury Medical Center (LGMC) Radiological Emergency Area and personnel assigned to care for contaminated injured patients can meet FEMA MS-i requirements. The drill will also verify that the Texas Emergency Medical Services (Texas EMS) Ambulance personnel can interface with the MS-1 hospital.

2.0 FEMA Evaluation Criteria i.e. 1: Equipment, maps, displays, dosimetry, potassium iodide (KI) and other supplies are sufficient to support emergency operations. (NUREG-0654, H.,

J.10.a.b.e.f.j.k., 11, K.3.a.)

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.)

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.I., 4.)

3.0 Guidelines The following guidelines have been developed to instruct drill participants of the extent of play required to fulfill the drill evaluation criteria.

I.

Drill lead controller is responsible for conducting the drill per the drill package.

2.

Controllers will be assigned as needed to ensure the completion of drill objectives.

3.

This is a FEMA evaluated drill. Therefore, prompting is not permitted.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant

3.

On-the-spot corrections are allowed in accordance with Recommended Initiative 1.5-Correct Issues Immediately (March 31, 2000)

4.

The controllers should allow free-play. However, free-play will be stopped under the following conditions:

a.

if the action taken would prevent a drill evaluation criterion from being met or is outside the scope of the drill.

b.

if the actions are judged to be unsafe or leading to violations of the law.

c.

if the actions would degrade systems or equipment, or degrade response to a real emergency.

5.

If an actual emergency occurs, the drill will be terminated.

6.

All radio and telephone communications will begin and end with THIS IS A DRILL.

7.

All signs and postings at the hospital should be marked either FOR TRAINING USE ONLY or DRILL IN PROGRESS.

4.0 Extent of Play These guidelines define the extent of play required to meet an objective and identify planned simulations.

Criterion 1.e.1: Equipment, maps, displays, dosimetry, potassium iodide (KI) and other supplies are sufficient to support emergency operations. (NUREG-0654, H.,

J.10.a.b.e.f.j.k., 11, K.3.a.)

No exceptions are requested.

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.)

No exceptions are requested.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant 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.)

Exceptions requested:

The Texas EMS ambulance and the Texas Department of State Health Services Field Team members will pre-stage at the Texas EMS ambulance bay in Granbury, Texas.

All decontamination will be demonstrated to the extent necessary to satisfy evaluator concerns. All medical procedures will be simulated except for decontamination of wounds and or abrasions.

All contamination levels will be via controller inject. Free play of this activity is not permitted.

Only one person, a member of the public will be contaminated by the accident.

The following agencies will participate:

Lake Granbury Medical Center Emergency Room Staff Lake Granbury Medical Center Support Staff as needed One (1) Texas EMS Ambulance and Personnel Two (2) Field Team members from DSHS 6.0 Controller and Role Players A minimum of four (4) controllers will be required for this drill.

One (1) role player as a member of the public will be required for this drill 7.0 Initial Conditions During a GENERAL EMERGENCY with Release in Progress at CPNPP a State of Texas Field Monitoring Team in a Department of Public Safety vehicle is performing radiological sampling near the edge of the plume in Sector R. The vehicle is parked on the south side of Farm to Market 51 between Neri Road and Gauntt Road (CR 209) with its lights and emergency flashers in operation. The day is foggy. An Evacuee from Zone 2A (Somervell 17

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant County) has traveled past CPNPP on Farm to Market 56 three hours after the evacuation order was issued by the Somervell County Judge. The Evacuee is traveling toward Granbury enroute to the Reception Center in Benbrook and then to family in east Texas near Tyler.

The driver has poor eye sight that is worsened by the fog and is only traveling at approximately 25 mph but does not see the parked State Trooper. At the last minute he sees the flashing lights and believes the vehicle is on the road and attempts to pass on the right side of the vehicle. He makes contact with the right rear of the Troopers vehicle swerves to the right and ends up in the ditch with airbags deployed.

The member of the public is conscious after the airbag deployed, bleeding from the nose with lacerations to the head, abrasions on the right shoulder, a broken right finger, and a laceration to the right knee. The member of the public is also complaining of pain in the neck. He staggers from his car and collapses in the ditch where deposition has been measured at 5 mR/hr. The State Field Team and the Trooper exit the vehicle to render assistance. The State Trooper notifies the Hood County Sheriffs Dispatcher of the accident, of radiological contamination on the accident victim and requests an ambulance. The DSHS Field Monitoring Team notifies the State Field Team Leader at the Emergency Operations Facility (EOF) of the accident and states that they will be going to the staging area for monitoring and possible decontamination at the Hood County Emergency Worker decon station at Granbury's City Park pool. During the call the DSHS Field Team requests Helath Physics support for Lake Granbury Medical Center (LGMC) in the form of two (2) HPs from the State Staging Area in Granbury.

Texas EMS personnel will respond to the accident site for patient pickup (simulated patient pickup is at the Texas EMS ambulance garage), as the location is within Hood County and much closer to their EMS station.

8.0 Narrative Summary Upon arrival at the accident location the Texas EMS crew is informed by the State FMT of probably radiological contamination to the member of the public and suggests wrapping of the patient prior to transport. The member of the public is then packaged and transported to LGMC. The ambulance communicates patient data and the fact that the patient is probably radiologically contaminated to the Emergency Room 10 minutes prior to arrival by either radio or by cellular phone. Since the Hood County Dispatcher relayed the data about possible radiological contamination to the EMTs, the EMTs open their dosimetry box on the ambulance, fill out the required paperwork and wear the appropriate electronic and OSL dosimetry. The EMTs also double glove and placed a bag for contaminated gloves, etc. on the IV hook in their ambulance.

LGMC is contacted and proceeds to activate their Radiation Emergency Area (REA). Two 18

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant DSHS HP staffers arrive at the LGMC to see if they can be of assistance. They review the REA Plan and decide to fill the roles of RP Tech 1 and RP Tech 2 that would come to the hospital if they were a contaminated patient from CPNPP. They will arrive at LGMC before the ambulance carrying the member of the public is in the ambulance bay at LGMC.

One HP assists the arriving/departing ambulance by surveying the EMTs and vehicles for contamination from the plume or from the patient. The second RP tech enters the hospital and reports to the Emergency Room physician for possible assistance with the contaminated injured patients. The member of the public is both contaminated and injured.

9.0 Time Line 0930 Drill begins (Notification to LGMC received from CPNPP) 1000 Ambulance with member of the public arrives at LGMC 1015 RP techs one and two arrive at the hospital along with ambulances containing injured and contaminate CPNPP employees (FMT Driver and RP Tech). These patients will be simulated only.

1115 Drill terminates 1145 Critique 1200 Activities Concluded 10.0 Facility Addresses Lake Granbury Medical Center 1310 Paluxy Road (Highway 51 South)

Granbury, TX 76048 Texas-Emergency Medical Services (Texas EMS) 2200 Commercial Lane Granbury, TX 76048 19

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Powcr Plant MEDICAL INFORMATION FOR CONTROLLERS (MEMBER OF THE PUBLIC)

INITIAL ENROUTE HOSPITAL Blood Pressure 150/90 140/88 136/86 Respiration 28 24 20 Pulse 130 115 95 Breathing Rapid, shallow Rapid Rapid Skin Condition Warm and dry Warm and dry Warm and dry Consciousness Alert, lucid Alert, lucid Alert, lucid Pupils Equal, reactive Equal, reactive Equal, reactive Significant injury Trauma with bleeding to the forehead and check.

Broken nose and broken right index finger. Bruising from the seat belt to the chest and lower abdomen.

Laceration on the right knee. Twisted right ankle.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant INJURY MAP FOR MEDICAL CONTROLLERS ATTACHMENT 4a - ANATOMICAL CHART PATIENTS NAME:

SURVEY DATE/TIME:

Directions: Record indicated levis of contamination In counts per minute (CPM) on the patiet map.

I TYPE OF iNSTRUMENT USED:_

DISTANCE SKIN TO PROBE:

MODCMANUnPAR Revson 06/07/2000 21

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant CONTAMINATION MAP AND INFORMATION FOR CONTROLLERS ATTACHMENT 4a -ANATOMICAL CHART PATIENT'S NAME:

SURVEYDATE/TIME:

Diectionsi: Record indicated levis of contbmunation in cou.nt per minute (CPM) on the patient map.

1-]

1<500 TYPE OF INSTRUMENT USED:

DISTANCE SKIN TO PROBE: _

22 Revnon 06107/2000

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant CONTAMINATION MAP AND INFORMATION FOR CONTROLLERS INSTRUCTIONS TO CONTROLLERS FOR PROVIDING DECONTAMINATION LEVELS A. Allow the decontamination on the back of the right arm to be completed as follows:

1. After one attempt, 500 cpm remains
2. After two attempts, the reading should be background B. Allow the decontamination of the chest to be completed in one effort.
1. After one attempt, 1700 cpm remains
2. After two attempts, the reading should be 500 cpm
3. After three attempts, the reading should be background C. Allow the decontamination of the right face cheek in one effort.

D. Allow decontamination of the right palm of the hand to be completed as follows:

1. After one attempt, 750 cpm remains.
2. After two attempts, the reading should be background E. Allow the decontamination of the right knee to be completed in one effort.

F. Allow decontamination of the forehead to be completed in one effort.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant MS-1 Hospital Drill September 19, 2012 MESSAGE 1 TIME: 0930 FROM: DPS TROOPER BROWN WITH DSHS FMT #2 TO: HOOD COUNTY SHERIFF'S DISPATCH TEXT:

THIS IS A DRILL!

THIS IS TROOPER BROWN, MY VEHICLE HAS BEEN HIT BY AN EVACUEE FROM COMANCHE PEAK. ONE CONTAMINATED INJURED PATIENT REQUIRES AMBULANCE TRANSPORTATION TO LAKE GRANBURY MEDICAL CENTER DUE TO A TRAFFIC ACCIDENT ON FM 51 BETWEEN GAUNTT ROAD AND NERI ROAD.

THE PATIENT IS CONFIRMED TO BE RADIOLOGICALLY CONTAMINATED. PLEASE NOTIFY LAKE GRANBURY MEDICAL CENTER TO ACTIVATE THEIR RADIATION EMERGENCY AREA FOR RECEIPT OF THE PATIENTS.

MY CALL BACK NUMBER IS 682-936-9100.

THE STATE FIELD MONITORING TEAM IS REQUESTING TWO HPS BE SENT FROM THEIR STAGING AREA TO LAKE GRANBURY MEDICAL CENTER'S EMERGENCY ROOM.

THE AMBULANCE SHOULD CONTACT THE EMERGENCY ROOM TEN MONUTES PRIOR TOARRIVAL AT THE HOSPITAL. THE HEALTH PHYSICS TECHNICIANS WILL ASSIST IN PREPARATION OF THE HOSPTAL AND POSSIBLE DECONTAMINATION OF THE AMBULANCES.

THERE IS NO HP TECH ACCOMPANYING THE PATIENT IN THE AMBULANCE.

PLEASE GIVE ME YOUR NAME FOR MY LOG.

THANK YOU.

THIS IS A DRILL.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant MS-1 Hospital Drill September 19, 2012 MESSAGE 2 TIME: 0931 FROM: HOOD COUNTY SHERIFF'S DISPATCH TO: TONE OUT AND VOICE TO TEXAS EMS TEXT:

THIS IS A DRILL!

MULTIPLE VEHICLE ACCIDENT ON HIGHWAY 51 SOUTH BETWEEN GAUNTT ROAD AND NERI ROAD. TWO VEHICLES ARE ON THE SOUTH SHOULDER OF HIGHWAY 51.

ONE PATIENT WITH MULTIPLE REPORTED TRAUMAS TO FACE, ABDOMEN AND RIGHT.KNEE.

ALL PATIENTS ARE REPORTED TO BE RADIOLOGICALLY CONTAMINATED BY A STATE OF TEXAS FIELD MONITORING TEAM.

TEXAS EMS SHOULD CALL DISPATCH BY RADIO OR PHONE TO CONFIRM AMBULANCE IS ENROUTE.

NOTIFY LAKE GRANBURY MEDICAL CENTER EMERGENCY ROOM BY RADIO OR PHONE WHEN YOU ARE TEN MINUTES FROM THAT FACILITY.

THIS IS A DRILL 25

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant MS-1 Hospital Drill September 19, 2012 MESSAGE 3 TIME: 0950 FROM: TEXAS EMS AMBULANCE TO: LAKE GRANBURY MEDICAL CENTER EMERGENCY ROOM TEXT:

THIS IS A DRILL!

THIS IS TEXAS EMS EN-ROUTE WITH A MALE PATIENT APPROXIMATELY 35 YEARS OF AGE WITH A LACERATE RIGHT CHECK AND FOREHEAD, BRUISED CHEST, LACERATED RIGHT KNEE AND A BROKEN RIGHT INDEX FINGER, PLUS ASSORTED ABRASIONS. THIS PATIENT WRAPPED IN DOUBLE SHEETING AND IS ALSO RADIOLOGICALLY CONTAMINATED.

PATIENT VITAL SIGNS ARE AS FOLLOWS:

BP = 140/88 RESPIRATION = 24 PULSE = 115 CONSCIOUS / REACTIVE OUR ETA IS 10 MINUTES.

THIS IS A DRILL!

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Unclassified Radiological Emergency Preparedness Program (REP)

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