ML13301A081

After Action Report/Improvement Plan

ML13301A081
Person / Time
Site:	Prairie Island
Issue date:	10/15/2013
From:	Velasquez A Federal Emergency Management Agency
To:	Document Control Desk, Office of Nuclear Reactor Regulation
References
Download: ML13301A081 (77)

Text

U.S. Department of Homeland Security Region V 536 South Clark Street, Floor 6 Chicago, IL 60605 OCT 1 5 2013 ~FEMA F

NRC Headquarters Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 To Whom It May Concern:

Enclosed is a copy of the Final After Action Report / Improvement Plan for the August 13 and 15, 2013, Radiological Emergency Preparedness Drills for the Prairie Island Nuclear Generating Plant. The following out-of-sequence demonstrations were evaluated: Medical Services (MS-1), Congregate Care, Monitoring, Decontamination and Registration of Evacuees and Evacuee Vehicles, and Monitoring, Decontamination and Registration of Emergency Workers, Equipment and Emergency Worker Vehicles.

No Deficiencies, Areas Requiring Corrective Action (ARCA), or Plan Issues were identified during these drills.

Copies of this report were transmitted to the DHS/FEMA National Office, the Nuclear Regulatory Commission Region III Office, and the State of Minnesota.

If you have any questions, please contact William King, Chairman, Regional Assistance Committee, DHS/FEMA, Region V, at (312) 408-5575 or David Persaud, Technological Hazards Program Specialist, DHS/FEMA, Region V at (312) 408-5583.

Sincerely, Andrew Velasquez III Regional Administrator Enclosure (1) www.fema.gov

Prairie Island Nuclear Generating Plant After Action Report/

Improvement Plan Drill Date - August 13, 2013 Radiological Emergency Preparedness (REP) Program i FEMA

• '_.*Published October 07, 2013

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After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant Prairie Island Nuclear Generating Plant After Action Report/Improvement Plan Published October 07, 2013 Contents Executive Summary 4 Section 1: Exercise Overview 8 1.1 Exercise Details 8 1.2 Exercise Planning Team Leadership 8 1.3 Participating Organizations 10 Section 2: Exercise Design Summary 12 2.1 Exercise Purpose and Design 12 2.2 Exercise Objectives, Capabilities and Activities 12 2.3 Scenario Summary 13 Section 3: Analysis of Capabilities 14 3.1 Drill Evaluation and Results 14 3.2 Summary Results of Drill Evaluation 15 3.3 Criteria Evaluation Summaries 19 3.3.1 Minnesota Jurisdictions 19 3.3.1.1 State of Minnesota - Wabasha - Kellogg High School 19

- Evacuee Reception Center 3.3.1.2 State of Minnesota - Saint Elizabeth's Medical 19 Center - Medical Services - Transportation -

Wabasha Community Ambulance Service 3.3.1.3 State of Minnesota - Saint Elizabeth's Medical 20 Center - Medical Services - Facility 3.3.1.4 State of Minnesota - Wabasha - Kellogg High School 21

- Evacuee Vehicle Monitoring and Decontamination 3.3.1.5 State of Minnesota - Wabasha - Kellogg High School 21

- Evacuee Monitoring and Decontamination 3.3.1.6 State of Minnesota - Wabasha - Kellogg High School 22

- Congregate Care Center 3.3.1.7 State of Minnesota - Wabasha - Kellogg High School 22

- Evacuee Registration 1

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 3.3.2 Risk Jurisdictions 23 3.3.2.1 Goodhue County - Cannon Falls Fire Department - 23 Emergency Worker Reception Center 3.3.2.2 Goodhue County - Cannon Falls Fire Department - 24 Emergency Worker Monitoring, Decontamination and Registration 3.3.2.3 Goodhue County - Cannon Falls Fire Department - 24 Emergency Worker Vehicle Monitoring, Decontamination and Registration Section 4: Conclusion 25 Appendix A: Drill Evaluators and Team Leaders 26 Appendix B: Acronyms and Abbreviations 27 Appendix C: Exercise Plan 28 2

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After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant This page is intentionally blank.

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After Action Report/Improvement Plan Prairie island Nuclear Generating Plant EXECUTIVE

SUMMARY

On August 13 and 15, 2013, Radiological Emergency Preparedness (REP) Exercise evaluations were conducted by the United States Department of Homeland Security (DHS)/Federal Emergency Management Agency (FEMA) for the 10-mile Emergency Planning Zone (EPZ) around the Prairie Island Nuclear Generating Plant (PINGP). The following out-of-sequence demonstrations were evaluated: Medical Services (MS-l), Congregate Care, Monitoring, Decontamination and Registration of Evacuees and Evacuee Vehicles, and Monitoring, Decontamination and Registration of Emergency Workers, Equipment and Emergency Worker Vehicles. The purpose of the exercises was to assess the level of State and local preparedness in responding to a radiological emergency. These exercises were held in accordance with the DHS/FEMA's policies and guidance concerning the exercise of State and local Radiological Emergency Response Plans (RERPs) and procedures.

The DHS/FEMA wishes to acknowledge the efforts of the many individuals who participated in this exercise. In the State of Minnesota, the Minnesota Division of Homeland Security and Emergency Management and Goodhue County participated.

Protecting the public health and safety is the full-time job of some of the exercise participants and an additional assigned responsibility for others. Still others have willingly sought this responsibility by volunteering to provide vital emergency services to their communities.

Cooperation and teamwork on the part of all the participants were evident during this exercise.

This Final After Action Report/Improvement Plan contains the evaluation of the following out-of-sequence interviews and activities:

State of Minnesota:

• Congregate Care Center at the Wabasha - Kellogg High School

" Medical Services Hospital evaluation at Saint Elizabeth's Medical Center "Medical Services Transportation evaluation of the Wabasha Community Ambulance Service

" Monitoring, Decontamination, and Registration of Evacuees and Evacuee Vehicles at the Wabasha - Kellogg High School

• Monitoring and Decontamination of Evacuee Vehicles at the Wabasha City Public Works Building 4

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant Goodhue County:

"Monitoring, Decontamination and Registration of Emergency Workers at the Cannon Falls Fire Department

• Monitoring, Decontamination and Registration of Emergency Worker Vehicles and Equipment at the Cannon Falls Fire Department There were no Deficiencies identified.

Sections 3 and 4 of this report provide detailed information regarding Deficiencies, Areas Requiring Corrective Action (ARCAs), and Plan Issues (if any).

INTRODUCTION - EXERCISE BASIS On December 7, 1979, the President directed the FEMA to assume the lead responsibility for all offsite nuclear planning and response. The DHS/FEMA's activities are conducted pursuant to 44 Code of Federal Regulations (CFR) Parts 350 "Review and Approval of State and Local Radiological Emergency Plans and Preparedness", 351 "Radiological Emergency Planning and Preparedness" and 352 "Commercial Nuclear Power Plants: Emergency Preparedness Planning."

These regulations are a key element in the REP Program that was established following the Three Mile Island Nuclear Station accident in March 1979.

The DHS/FEMA Rule 44 CFR 350 establishes the policies and procedures for the DHS/FEMA's initial and continued approval of State and local governments' radiological emergency planning and preparedness for commercial nuclear power plants. This approval is contingent, in part, on State and local governments' participation in joint exercises with licensees.

The DHS/FEMA's responsibilities in radiological emergency planning for fixed nuclear facilities include the following:

"Taking the lead in offsite emergency planning and in the review and evaluation of RERPs and procedures developed by State and local governmnents; "Determining whether such plans and procedures can be implemented on the basis of observation and evaluation of exercises of the plans and procedures conducted by State and local governments; "Responding to requests by the U.S. Nuclear Regulatory Commission (NRC) pursuant to the 5

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/nIprovement Plan Prairie Island Nuclear Generating Plant Memorandum of Understanding between the NRC and the FEMA dated June 17, 1993 (Federal Register, Vol. 58, No. 176, September 14, 1993); and Coordinating the activities of Federal agencies with responsibilities in the radiological emergency planning process:

- U.S. Department of Agriculture

- U.S. Department of Commerce

- U.S. Department of Energy

- U.S. Department of Health and Human Services

- U.S. Department of the Interior

- U.S. Department of Transportation

- U.S. Environmental Protection Agency

- U.S. Food and Drug Administration and

- U.S. Nuclear Regulatory Commission.

Representatives of these agencies serve on the DHS/FEMA Region V Regional Assistance Committee (RAC), which is chaired by the DHS/FEMA.

Formal submission of the RERPs for the Prairie Island Nuclear Generating Plant to the FEMA Region V by the State of Minnesota and involved local jurisdictions occurred on March 12, 1981. Formal approval of these RERPs was granted by the FEMA to the State of Minnesota during September 1985 under 44 CFR 350.

The findings presented in this report are based on the evaluations of the Federal evaluation team, with final determinations made by the DHS/FEMA Region V RAC Chairman, and approved by the DHS/FEMA Headquarters.

The criteria utilized in the FEMA evaluation process are contained in:

• NUREG-0654/FEMA-REP-1, Rev. 1, "Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants," November 1980;

• DHS/FEMA Radiological Emergency Preparedness: Exercise Evaluation Methodology; as published in the FEMA Radiological Emergency Preparedness Manual, dated June 2013.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant Section 1 of this report, entitled "Exercise Overview", presents information pertaining to the team that planned and coordinated the exercise. This section also provides listing of all participating jurisdictions and functional entities that were evaluated.

Section 2 of this report, entitled "Exercise Design Summary", contains the purpose and design of the exercise, and presents basic information and data relevant to the exercise scenario.

Section 3 of this report, entitled "Analysis of Capabilities," presents detailed information on the demonstration of applicable exercise criteria at each jurisdiction or functional entity evaluated in a jurisdiction-based, issues-only format. This section also contains: (1) descriptions of all Deficiencies, ARCAs, and Plan Issues (if any) assessed during this exercise, recommended corrective actions, and the State and local governments' schedule of corrective actions, if applicable, for each identified exercise issue; and (2) descriptions of unresolved ARCAs and Plan Issues assessed during previous exercises and the status of the Offsite Response Organization efforts to resolve them.

Section 4 of this report, entitled "Conclusion" presents the DHS/FEMA summary of overall exercise conduct and results as evaluated against the requirements of 44 CFR 350.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant SECTION 1: EXERCISE OVERVIEW 1.1 Exercise Details Exercise Name Prairie Island Nuclear Generating Plant Type of Exercise Drill Exercise Date August 13, 2013 Program Department of Homeland Security/FEMA Radiological Emergency Preparedness Program Scenario Type Radiological Emergency 1.2 Exercise Planning Team Leadership William King Radiological Assistance Committee Chairman Department of Homeland Security/Federal Emergency Management Agency - Region V Chief, Technological Hazards Branch 536 South Clark Street Chicago, Illinois, 60605 312-408-5575 William.King5 @fema.dhs.gov Gary Naskrent Exercise Director Department of Homeland Security/Federal Emergency Management Agency - Region V Supervisory REP Team Leader 536 South Clark Street 8

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant Chicago, Illinois, 60605 312-408-5214 Gary.Naskrent@fema.dhs.gov David Persaud Minnesota Site Specialist Department of Homeland Security/Federal Emergency Management Agency - Region V Technological Hazards Program Specialist 536 South Clark Street Chicago, Illinois, 60605 312-408-5583 David.Persaud@fema.dhs.gov Kevin Leuer Preparedness Branch Director Division of Homeland Security and Emergency Management Director 445 Minnesota Street - Suite 223 St. Paul, Minnesota, 55101 651-201-7406 Kevin.Leuer@mn. state.us Robert Hines REP Exercise Coordinator Division of Homeland Security and Emergency Management REP Exercise Coordinator 445 Minnesota Street - Suite 223 St. Paul, Minnesota, 55101 651-201-7406 Robert.Hines@nn.state.us Patrick McLaughlin REP Administrator 9

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant Division of Homeland Security and Emergency Management REP Exercise Coordinator 445 Minnesota Street - Suite 223 St. Paul, Minnesota, 55101 651-201-7434 Patrick.McLaughlin@state.nm.us Jennifer Emerson Exercise Coordination Division of Homeland Security and Emergency Management REP Exercise and Training Planner 445 Minnesota Street - Suite 223 St.Paul, Minnesota, 55101 651-201-7458 Jennifer.Emerson@state.mn.us John Wills Scenario Reviewer ICF International Consulting Regional Coordinator 3325 Narrows Road Perry, Ohio, 44081 440-477-3053 radiationguy@windstream.net 1.3 Participating Organizations Agencies and organizations of the following jurisdictions participated in the Prairie Island Nuclear Generating Plant drill:

State Jurisdictions Amateur Radio Emergency Services/Radio Amateur Civil Emergency Services Cannon Falls Volunteer Fire Department City of Kellogg Emergency Management 10

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant City of Wabasha Department of Public Works City of Wabasha Fire Department City of Wabasha Police Department City of Wabasha Police Reserves Goodhue County Office of Emergency Management Kellogg First Response Maple Grove Fire - Rescue Department Minnesota Animals in Disaster Coalition Minnesota Army National Guard Minnesota Department of Homeland Security and Emergency Management Minnesota Department of Human Services Saint Elizabeth's Medical Center Wabasha Community Ambulance Service Wabasha County Attorney's Office Wabasha County Building Maintenance Wabasha County Department of Corrections Wabasha County Department of Public Health Wabasha County Department of Social Services Wabasha County Dispatch Wabasha County Probation Office Wabasha County Sheriffs Office Winona - Wabasha - Goodhue Chapter of the American Red Cross Risk Jurisdictions Cannon Falls Volunteer Fire Department Goodhue County Office of Emergency Management Maple Grove Fire - Rescue Department Minnesota Department of Homeland Security and Emergency Management 11

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie lslana Nuclear Generating Plant SECTION 2: EXERCISE DESIGN

SUMMARY

2.1 Exercise Purpose and Design The United States Department of Homeland Security (DHS)/Federal Emergency Management Agency (FEMA) Region V Radiological Emergency Preparedness (REP) Program Staff evaluated the the Prairie Island Nuclear Generating Plant (PINGP) out-of-sequence Medical Services (MS-1), Congregate Care, Monitoring, Decontamination and Registration of Evacuees and Evacuee Vehicles, and Monitoring, Decontamination and Registration of Emergency Workers, Equipment and Emergency Worker Vehicles drills conducted on August 13 and 15, 2013 to assess the capabilities of local emergency preparedness organizations in implementing their Radiological Emergency Response Plans (RERP) and procedures to protect the public health and safety during a radiological emergency involving the PINGP. The purpose of this report is to present the results and findings on the performance of the Offsite Response Organizations (OROs) during a simulated radiological emergency.

2.2 Exercise Objectives, Capabilities and Activities Exercise objectives and identified Capabilities/REP Criteria selected to be demonstrated are discussed in Appendix C "Exercise Plan".

The Exercise Planning Team (EPT) selected objectives that focus on evaluating emergency response procedures, identifying areas for improvement, and fostering collaboration between the various OROs and stakeholders. This exercise focused on the following objectives:

• ORO demonstration of effective Emergency Operations Management "ORO demonstration of effective Protective Action Implementation "ORO demonstration of effective Support Operations and Facilities.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2.3 Scenario Summary Appendix C "Exercise Plan" also contains the extent-of-play agreement and the exercise scenarios that were used as the basis for invoking emergency response actions by OROs during the PINGP out-of-sequence Medical Services (MS-1), Congregate Care, Monitoring, Decontamination and Registration of Evacuees and Evacuee Vehicles, and Monitoring, Decontamination and Registration of Emergency Workers, Equipment and Emergency Worker Vehicles drills conducted on August 13 and 15, 2013.

Results of a technical review of the scenario, submitted by the State of Minnesota on August 8, 2013, indicated that the scenario was adequate to support demonstration of the DHS/FEMA requirements, as well as criteria selected by the OROs provided in the State's August 7, 2013, extent-of-play submission. The DHS/FEMA Region V accepted this exercise scenario on August 8,2013.

During the exercise, controllers from the State of Minnesota and Goodhue County provided "inject messages" containing scenario events and/or relevant data to those persons or locations who would normally receive notification of such events. These inject messages were the method used for invoking additional specific response actions by OROs.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating 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 August 13 and 15, 2013, out-of-sequence Medical Services (MS-1), Congregate Care, Monitoring, Decontamination and Registration of Evacuees and Evacuee Vehicles, and Monitoring, Decontamination and Registration of Emergency Workers, Equipment and Emergency Worker Vehicles Radiological Emergency Preparedness (REP) drills to test the off-site emergency response capabilities of State and local governments in the 10-mile Emergency Planning Zone surrounding the Prairie Island Nuclear Generating Plant.

Each jurisdiction and functional entity was evaluated based on its demonstration of exercise criteria delineated in the United States Department of Homeland Security (DHS)/Federal Emergency Management Agency (FEMA) REP Program Manual, dated June 2013. Detailed information on the exercise criteria and the extent-of-play agreement used in this exercise are found in Appendix C "Exercise Plan" of this report.

Presented below are definitions of the terms used in this report relative to the criteria demonstration status:

" M - Met: The status of a REP exercise Evaluation Area Criterion indicating that the participating ORO demonstrated all demonstration criteria for the Evaluation Area Criterion to the level required in the extent-of-play agreement with no Deficiencies, Areas Requiring Corrective Action (ARCA) or Plan Issues assessed in the current exercise and no unresolved prior ARCAs.

" D - Deficiency: An observed or identified inadequacy of organizational performance in an exercise that could cause a finding that offsite emergency preparedness is not adequate to provide reasonable assurance that appropriate protective measures can be taken in the event of a radiological emergency to protect the health and safety of the public living in the vicinity of a nuclear power plant.

• A - ARCA: An observed or identified inadequacy of organizational performance in an exercise that is not considered, by itself, to adversely impact public health and safety.

Listing of the demonstrated exercise criteria under which one or more ARCAs was/were 14

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant assessed during the current exercise or ARCAs assessed during prior exercises remain unresolved. Included is a description of any ARCAs assessed during this exercise and the recommended corrective action to be demonstrated before or during the next biennial exercise.

"P - Plan Issue: An observed or identified inadequacy in the ORO's emergency plan or implementing procedures, rather than in the ORO's performance.

"N - Not Demonstrated: Exercise criteria that were not demonstrated as scheduled during this exercise and the reason(s) they were not demonstrated.

"Prior ARCAs - Resolved - Descriptions of ARCAs assessed during previous exercises that were resolved and the corrective actions demonstrated, in this exercise.

"Prior ARCAs - Unresolved - Descriptions of ARCAs assessed during prior exercises that were not resolved in this exercise. Included is the reason the ARCA remains unresolved and recommended corrective actions to be demonstrated before or during the next exercise.

"Prior Plan Issues - Resolved - Descriptions of Plan Issues assessed during previous exercises that were resolved and the corrective actions demonstrated, in this exercise.

"Prior Plan Issues - Unresolved - Descriptions of Plan Issues assessed during prior exercises that were not resolved in this exercise. Included is the reason the Plan Issue remains unresolved and recommended corrective actions to be demonstrated before or during the next exercise.

3.2 Summary Results of Drill Evaluation The matrix presented in Table 3.1, on the following pages, presents the status of all exercise criteria from the FEMA REP Program Manual, dated June 2013, which were scheduled for demonstration during this exercise by all participating jurisdictions and functional entities. The criterion status box is blank if it was not scheduled for demonstration.

This subsection provides information on the evaluation of each participating jurisdiction and 15

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant functional entity in a jurisdiction-based, issues-only format.

The DHS/FEMA has developed a standardized system for numbering exercise issues. This system is used to achieve consistency in numbering exercise issues among the DHS/FEMA Regions and site-specific exercise reports within each Region. It also is used to expedite tracking of exercise issues on a nationwide basis.

The identifying number of Deficiencies, ARCAs, and Plan Issues includes the following elements, with each element separated by a hyphen (-).

"Plant Site Identifier - A two-digit number, corresponding to the Utility Billable Plant Site Code (50 for PINGP).

• Exercise Year - The last two digits of the year the exercise was conducted.

Criterion Number - An alpha and two-digit number corresponding to the criteria numbers in the six Exercise Evaluation Areas described in the DHS/FEMA REP Program Manual, dated June 2013.

" Issue Classification Identifier - (D = Deficiency, A = ARCA, P = Plan Issue).

"Exercise Identification Number - A separate two or three-digit indexing number assigned to each issue identified in the exercise.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report~lnprovement Plan Prairie Island Nuclear Generating Plant Table 3.1 - Summary of Drill Evaluation

. . . . . . . . 0 C C, 0

C.)

0 Cs C C) 0 C 0 cl C) Cs C) to co)

C)

C) C) to W)

DATE: 2013-08-13 Cs F-5))

C)

Cs C) t.L~

SITE: Prairie Island Nuclear Generating Plant, MN rJ~ CG to U~ to to C.#) 0d U M: Met, A: ARCA, D: Deficiency, P: Plan Issue, N: Not 51)

C 0~

Demonstrated C) C)

-o As Cs 0~ Cs Cs N C Cs C Cs 0 0 Cd C

C's U

Emergency Operations Management Mobilization lal Facilities IbN M Direction and Control c1l M M Communications Equipment Idl M M M M Equipment and Supplies to Support Operations lel M M M M Protective Action Decision Making EW Exposure Control Decisions 2a I PARs 2bl PADs 2b2 PADs for Disabled/Functional Needs 2c1 Ingestion PADs 2d]

RRR Decisions 2e I Protective Action Implementation EW Exposure Control Implementation 3a1. M M M M KI Public/Institutionalized 3b l PAD Implementation Disabled/Functional Needs 30 PAD Implementation Schools 3c2 TACP Establishment 3d I Impediments 3d2 Implement Ingestion PADs 3el Ingestion Pathway Decisions 3e2 Implementation of RRR Decisions 3"1 Field Measurement and Analysis RESERVED 4al Field Team Management 4a2 Field Team Operations 4a3 Field Team Sampling 4bl Laboratory Operations 4cl Emergency Notification and Public Info Ititial Alert & Notification 5al RESERVED 5a2 Backup Alert & Notification 5a3 Exception Area Alerting 5a4 17

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant Subsequent Information & Instructions 5b1 Support Operations/Facilities Reception Center Operations 6al M M M EW Monitoring & Decontamination 6bl M M Congregate Care 6c1 M Contaminated Injured Transport & Care 6d1 M M 18

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 3.3 Criteria Evaluation Summaries 3.3.1 Minnesota Jurisdictions 3.3.1.1 State of Minnesota - Wabasha - Kellogg High School - Evacuee Reception Center The State of Minnesota and the Wabasha - Kellogg High School Evacuee Reception Center staff demonstrated the Target Capability of Reception Center Management on August 15, 2013. It was demonstrated that the facility was sufficient to support an emergency response. Leadership personnel demonstrated proper direction and control in managing the facility and operations.

There were at least two communications systems available, and at least one system operated properly. Communications were managed and maintained with appropriate locations throughout the exercise. There was a sufficient supply of equipment, displays, dosimetry and supplies to support emergency operations. Reception Center personnel demonstrated adequate use of dosimetry and procedures to manage radiological exposure to emergency workers.

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

a. MET: 1.b. 1, 1.c. 1, 1.d. 1, L.e. 1, 3.a. 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 State of Minnesota - Saint Elizabeth's Medical Center - Medical Services -

Transportation - Wabasha Community Ambulance Service The State of Minnesota and the Wabasha Community Ambulance Service staff demonstrated the Target Capability of Triage and Pre-Hospital Treatment of Contaminated Patients on August 13, 2013. The Wabasha Community Ambulance Service staff had at least two communications systems available and operated properly. Communications were managed and maintained with appropriate locations throughout the exercise. There was a sufficient supply of appropriate equipment, dosimetry, and needed supplies to support emergency operations. The appropriate use of dosimetry and procedures to manage radiological exposure to emergency workers was demonstrated. Emergency workers periodically and at the end of the demonstration read their 19

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant dosimeters and recorded the readings on the appropriate dose records, which the workers knew were to be returned at the Emergency Worker Decontamination Center in Cannon Falls or to the Radiological Officer at the Reception Center. Adequate resources and trained personnel were available to provide transport and immediate medical services to an injured individual. The Wabash Community Ambulance Service crew stated that patient monitoring and decontamination would occur at the hospital.

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

a. MET: 1.d.1, 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 3.3.1.3 State of Minnesota - Saint Elizabeth's Medical Center - Medical Services - Facility The State of Minnesota and Saint Elizabeth's Medical Center staff demonstrated the Target Capability of Triage and Treatment of Contaminated Patients on August 13, 2013. At least two communications systems were available and operated properly. Communications were managed and maintained with appropriate locations throughout the exercise. There was a sufficient supply of equipment, displays, dosimetry and supplies to support emergency operations. Medical Center personnel were issued appropriate dosimetry and managed radiological exposure to emergency workers in accordance to plans and procedures. Emergency workers periodically and at the end of the demonstration read their dosimeters and recorded the readings on the appropriate dose records. Appropriate space, adequate resources, and trained personnel were available to provide monitoring, decontamination, and medical services to a contaminated, injured individual.

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

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

b. AREAS REQUIRING CORRECTIVE ACTION: None

c. DEFICIENCY: None

d. PLAN ISSUES: None

e. NOT DEMONSTRATED: None 20

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant

f. PRIOR ISSUES - RESOLVED: None

g. PRIOR ISSUES - UNRESOLVED: None 3.3.1.4 State of Minnesota - Wabasha - Kellogg High School - Evacuee Vehicle Monitoring and Decontamination The State of Minnesota and the Wabasha City Public Works Building Evacuee Vehicle Monitoring and Decontamination staff demonstrated the Target Capability of Monitoring and Decontaminating Evacuee Vehicles on August 15, 2013. Appropriate space, adequate resources, and trained personnel were available to provide monitoring and decontamination of evacuee vehicles.

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

a. MET: 6.a.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 3.3.1.5 State of Minnesota - Wabasha - Kellogg High School - Evacuee Monitoring and Decontamination The State of Minnesota and the Wabasha - Kellogg High School Evacuee Monitoring and Decontamination staff demonstrated the Target Capability of Evacuee Monitoring and Decontaminating on August 15, 2013. Appropriate space, adequate resources, and trained personnel were available to provide monitoring and decontamination of evacuees.

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

a. MET: 6.a.1.

b. AREAS REQUIRING CORRECTIVE ACTION: None

c. DEFICIENCY: None

d. PLAN ISSUES: None

e. NOT DEMONSTRATED: None 21

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant

f. PRIOR ISSUES - RESOLVED: None

g. PRIOR ISSUES - UNRESOLVED: None 3.3.1.6 State of Minnesota - Wabasha - Kellogg High School - Congregate Care Center The State of Minnesota and the Wabasha - Kellogg High School Congregate Care Center (CCC) staff demonstrated the Target Capability of CCC Management on August 15, 2013. The Winona

- Wabasha - Goodhue Chapter of the Southern Minnesota Region of the American Red Cross (ARC) demonstrated that the CCC facility had the resources to provide services and accommodations consistent with the ARC planning guidelines. Per interview, the ARC shelter manager demonstrated the procedures to assure that evacuees had been monitored for contamination and decontaminated as appropriate prior to entering the CCC. The CCC activities were on the lower level of the Wabasha - Kellogg High School Complex in and around the elementary school gymnasium.

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

a. MET: 6.c.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 3.3.1.7 State of Minnesota - Wabasha - Kellogg High School - Evacuee Registration The State of Minnesota and the Wabasha - Kellogg High School Evacuee Registration staff demonstrated the Target Capability of Evacuee Registration on August 15, 2013. Appropriate space, adequate resources, and trained personnel were available to provide registration of evacuees.

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

a. MET: 6.a.1.

b. AREAS REQUIRING CORRECTIVE ACTION: None

c. DEFICIENCY: None 22

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant

d. PLAN ISSUES: None

e. NOT DEMONSTRATED: None

f. PRIOR ISSUES - RESOLVED: None

g. PRIOR ISSUES - UNRESOLVED: None 3.3.2 Risk Jurisdictions 3.3.2.1 Goodhue County - Cannon Falls Fire Department - Emergency Worker Reception Center Goodhue County and the Cannon Falls Fire Department Emergency Worker Monitoring, Decontamination, and Registration Center staff demonstrated the Target Capability of Reception Center Management on August 13, 2013. Key personnel with leadership roles provided direction and control to that part of the overall response effort for which they were responsible. At least two communications systems were available and operated properly. Communications were managed and maintained with appropriate locations throughout the exercise. There was a sufficient supply of appropriate equipment, dosimetry, and needed supplies to support emergency operations. The appropriate use of dosimetry and procedures to manage radiological exposure to emergency workers was demonstrated. Emergency workers periodically and at the end of the demonstration read their dosimeters and recorded the readings on the appropriate dose records.

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

a. MET: 1.c.1, 1.d.1, 1.e.l, 3.a.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 23

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 3.3.2.2 Goodhue County - Cannon Falls Fire Department - Emergency Worker Monitoring, Decontamination and Registration Goodhue County and the Cannon Falls Fire Department Emergency Worker Monitoring, Decontamination and Registration Center staff demonstrated the Target Capability of Monitoring, Decontaminating and Registration of Emergency Workers on August 13, 2013. It was demonstrated that adequate procedures and resources were available to accomplish monitoring, decontamination and registration of emergency workers.

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

a. MET: 6.b.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 3.3.2.3 Goodhue County - Cannon Falls Fire Department - Emergency Worker Vehicle Monitoring, Decontamination and Registration Goodhue County and the Cannon Falls Fire Department Emergency Worker Monitoring, Decontamination and Registration Center staff demonstrated the Target Capability of Monitoring, Decontaminating and Registration of Emergency Worker Vehicles and Equipment on August 13, 2013. There were adequate procedures and resources to accomplish the monitoring, decontamination and registration of emergency worker vehicles and equipment.

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

a. MET: 6.b.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 24

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant SECTION 4: CONCLUSION There were no Deficiencies, Areas Requiring Corrective Actions or Plan Issues identified for the State of Minnesota or Goodhue County.

25

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant APPENDIX A: DRILL EVALUATORS AND TEAM LEADERS The following is a list of the personnel that evaluated the Prairie Island Nuclear Generating Plant (PINGP) out-of sequence Radiological Emergency Preparedness Drill on August 13 and 15, 2013. The list includes the evaluation team leadership and all evaluators. The organization each evaluator represents is indicated by the following abbreviations:

DHS/FEMA - Department of Homeland Security/Federal Emergency Management Agency ICFI - ICF International Consulting Title Name Organization Radiological Assistance Committee, Chairman William E. King DHS/FEMA Exercise Director Gary Naskrent DHS/FEMA Minnesota Site Specialist David Persaud DHS/FEMA Team Leader - State of Minnesota Clint Crackel DHS/FEMA Regional Coordinator John Wills ICFI DATE: 2013-08-13, SITE: Prairie Island Nuclear Generating Plant, MN LOCATION EVALUATOR AGENCY State of Minnesota - Wabasha - Kellogg High School - Evacuee *Clinton Crackel FEMA RV Reception Center Bart Ray ICFI State of Minnesota - Saint Elizabeth's Medical Center - Medical Bart Ray ICFI Services - Transportation - Wabasha Community Ambulance Service State of Minnesota - Saint Elizabeth's Medical Center - Medical John Wills ICFI Services - Facility State of Minnesota - Wabasha - Kellogg High School - Evacuee *Clinton Crackel FEMA RV Vehicle Monitoring and Decontamination State of Minnesota - Wabasha - Kellogg High School - Evacuee John Wills ICFI Monitoring and Decontamination State of Minnesota - Wabasha - Kellogg High School - Congregate *Clinton Crackel FEMA RV Care Center State of Minnesota - Wabasha - Kellogg High School - Evacuee Bart Ray ICFI Registration Goodhue County - Cannon Falls Fire Department - Emergency Bart Ray ICFI Worker Reception Center John Wills ICF]

Goodhue County - Cannon Falls Fire Department - Emergency Bart Ray ICFI Worker Monitoring, Decontamination and Registration Goodhue County - Cannon Falls Fire Department - Emergency *Clinton Crackel FEMA RV Worker Vehicle Monitoring, Decontamination and Registration

• Team Leader 26

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/improvement Plan Prairie Island Nuclear Generating Plant APPENDIX B: ACRONYMS AND ABBREVIATIONS ARC American Red Cross ARCA Areas Requiring Corrective Action ARES Amateur Radio Emergency Services CCC Congregate Care Center CPM Counts Per Minute DCA Dosimetry Corporation of America DECON Decontamination DHS Department of Homeland Security DRD Direct - Reading Dosimeter ED Emergency Department EPZ Emergency Planning Zone EWMDRC Emergency Worker Monitoring, Decontamination and Registration Center FEMA Federal Emergency Management Agency HEPA High Efficiency Particulate Air IC Incident Command NRC Nuclear Regulatory Commission ORO Offsite Response Organizations PINGP Prairie Island Nuclear Generating Plant PPE Personal Protective Equipment PRD Permanent Record Dosimeter RAC Regional Assistance Committee RACES Radio Amateur Civil Emergency Services RC Reception Center REA Radiation Emergency Area REP Radiological Emergency Preparedness RO Radiological Officer SEOC State Emergency Operations Center TEDE Total Effective Dose Equivalent TLD Thermoluminescent Dosimeter 27

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant APPENDIX C: EXERCISE PLAN The following documents are included in the Exercise Plan:

State of Minnesota and Goodhue Counties Extent-of-Play Agreement Emergency Worker Decon: Personnel Decon Emergency Worker Decon: Vehicle Decon Reception Center: Personnel Decon Reception Center: Vehicle Decon 2013 REP Exercise Medical Scenario (MS-I) Wabasha Community Ambulance Service 2013 REP Exercise Medical Scenario (MS-1) Saint Elizabeth's Medical Center 28

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 August 2013 Prairie Island Nuclear Generating Plant Reception Center, Hospital and EWD Demonstration Extent of Play Agreement State of Minnesota/Wabasha and Goodhue Counties This Extent of Play is written and provided for the Wabasha St. Elizabeth's Hospital (MS-i), Wabasha Ambulance (MS-i), Cannon Falls Fire Department (EWD) and the Wabasha Reception Center demonstrations. MS-1 and the Emergency Worker Monitoring & Decontamination exercise demonstration will be on August 13, 2013. Wabasha Reception Center exercise demonstration will be on August 15, 2013.

Criteria that can be re-demonstrated immediately for credit, at the discretion of the evaluator, include the following: 3.a.1, 6.a.1, 6.b.1, 6.c.1 and 6.d.1. It is the desire of the State of Minnesota to re-demonstrate (as needed) any areas of concern during the week of the exercise as possible.

Overview of Exercise Schedule and Sites Tueda August1P Partial scale Plume Phase Exercise Evaluator Briefing 7:00 am St Elizabeth Hospital - Wabasha MN 1200 5th Grant Blvd West Wabasha, MN 55981 (parking lot)

Wabasha Ambulance 7:30 am St Elizabeth Hospital - Wabasha MN 1200 51h Grant Blvd West Wabasha, MN 55981 (parking lot)

St. Elizabeth's Hospital 8:30-10:30 St Elizabeth Hospital - Wabasha MN am 1200 5 th Grant Blvd West Wabasha, MN 55981 Cannon Falls Fire Department 6:00 - 9:00 Cannon Falls Fire Department EWD pm 320 Hoffman Street West Cannon Falls, MN 55009 Wabasha Reception Center 6:00-9:00 pm Wabasha-Kellogg School 2113 Hiawatha Drive East Wabasha, MN 55981 Wabasha Reception Center: 6:00-9:00 pm Wabasha City Public Works Building Vehicle Decontamination 700 10th Street W.

Wabasha, MN 55981 Congregate Care 6:00-9:00 pm Wabasha-Kellogg School 2113 Hiawatha Drive East Wabasha, MN 55981 29

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 Additional Exercise Notes

" New green cards will be available as part of the briefing packet for emergency workers to obtain their briefing and may read and sign to substitute for a spoken Briefing.

" Hospital, Ambulance and Cannon Falls EWD will exercise August 13, 2013.

• Wabasha Reception Center will exercise August 15, 2013.

EVALUATION AREA 1 - EMERGENCY OPERATIONS MANAGEMENT SUB-ELEMENT 1.a - Mobilization Criterion 1.a.1: OROs use effective procedures to alert, notify, and mobilize emergency personnel and activate facilities in a timely manner.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

SUB-ELEMENT 1.b - Facilities Criterion 1.b.1: Facilities are sufficient to support the emergency response.

State of Minnesota The state will demonstrate that all facilities used to support emergency activities are adequate and will be set up based on plans and procedures just as they would be for an actual emergency in regard to the new reception center, congregate care and MS-1 facilities.

The State of Minnesota will demonstrate new facilities for initial certification for 44CFR 350 in off-line exercises. The new facilities are the Wabasha-Kellogg School Reception Center, Wabasha-Kellogg School Congregate Care Center on Thursday August 15th at Wabasha-Kellogg School 2113 Hiawatha Drive East Wabasha, MN 55981. The facilities will demonstrate their capabilities to be used to support emergency activities, is adequate and will be based on plans and procedures just as they would be for an actual emergency.

Goodhue County Goodhue County will demonstrate that all facilities used to support emergency activities are ,

adequate and will be set up based on plans and procedures just as they would be for an actual emergency in regard to the new Emergency Worker Decontamination. Goodhue County will demonstrate the new facility for initial certification for 44CFR 350 in off-line exercises located at Cannon Falls Fire Department 320 Hoffman Street West Cannon Falls, MN 55009 for EWD.

30

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 SUB-ELEMENT 1.c - Direction and Control Criterion 1.c.1: Key personnel with leadership roles for the ORO provide direction and control to that part of the overall response effort for which they are responsible.

State of Minnesota The facility Director of Operations is a Safety Officer from the Minnesota Department of Human Services (DHS) will coordinate decisions and emergency activities for the Reception Center with the American Red Cross shelter manager coordinating decisions for the Congregate Care facility.

Goodhue County The Decontamination Chief as the Cannon Falls fire chief will coordinate decisions and activities within the Emergency Work Decontamination facility.

SUB-ELEMENT 1.d - Communications Equipment Criterion I.d.1: At least two communication systems are available, at least one operates properly, and communication links are established and maintained with appropriate locations.

Communications capabilities are managed in support of emergency operations.

State of Minnesota The Reception Center will demonstrate at least one of the lines of communication for the initial evaluation for the new facility.

Line of Communication Primary Secondary Tertiary Alternative SEOC to County EOC Private Branch Commercial Public Safety Radio Satellite telephone Goodhue Exchange number telephone/FAX VHF/800 MHz (PBX) machine ARMER system Wabasha Reception Cellular Phone Commercial ARIES radio group Center telephone (landlines)

Goodhue County to Public Safety Radio Cannon Falls EWD Commercial telephone Cellular phone VHF/800 MHz ARMER system Public Safety Radio SEOC to Fixed Medical Commercial Satellite Phone VHF/800 MHz Amateur Radio Support Facility (primary telephone/FAX Machine ARMER system and backup hospitals)

Public Safety Radio SEOC to Mobile Medical Commercial telephone VHF/800 MHz Amateur Radio Support to primary/backup ARMER system hospital Goodhue County The Goodhue County EWD's primary communication links are commercial telephone lines to the county EOC. The first back-up communication method is cellular phone lines. Secondary back-up communication pertains to Public Safety Radio VHF/800 MHz ARMER system.

31

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 SUB-ELEMENT 1.e - Equipment and Supplies to Support Operations Criterion 1.e.1: Equipment, maps, displays, dosimetry, KI, and other supplies are sufficient to support emergency operations.

State of Minnesota Equipment, Maps and Displays:

The state will demonstrate the use of equipment and displays at the Reception Center and MS-1 as necessary to support emergency operations as per their procedures.

Dosimetry:

Emergency workers will use DRDs and TLDs to control exposure as followed in their procedures.

Note: Initial briefing will be provided; through the use of the Emergency Worker Exposure cards with QR code and dosimetry to the ambulance personnel in the parking lot just before the demonstration.

Potassium Iodide (KI):

The shelf life of Minnesota's current supply of KI is approved until July 2015.

Per the State of Minnesota Emergency Operations Plan, emergency workers located outside the 10 mile EPZ such as at the reception center do not take KI.

Monitorinf Instruments:

All instruments will be operationally checked before use. Instruments have been calibrated in accordance with the manufacturer's recommendations and calibration documentation will be supplied.

Equipment Maintenance:

All routine equipment checks and maintenance are documented in the current PR-1 report, which has been provided. All radiation monitoring equipment will be operationally checked prior to use to verify proper functioning within a specified operational range.

Goodhue County Equipment, Maps and Displays:

Goodhue County will demonstrate the use of equipment and displays at the Cannon Falls EWD as necessary to support emergency operations. All instruments will be operationally checked before use. County decontamination equipment is stored at the Cannon Falls Fire Department located at 320 Hoffman Street West Cannon Falls, MN 55009.

Dosimetry:

County emergency workers will wear direct reading dosimeters and TLDs as followed in their procedures.

Potassium Iodide (KI):

KI for emergency workers is stored at the County EOC. The shelf life of Minnesota's current supply of KI has been approved and expires on July 2015.

• Decontaminationstaff do not take KI.

32

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 EVALUATION AREA 2 - PROTECTIVE ACTION DECISION-MAKING SUB-ELEMENT 2.a - Emergency Worker Exposure Control Criterion 2.a.1: OROs use a decision-making process, considering relevant factors and appropriate coordination, to ensure that an exposure control system, including the use of KI, is in place for emergency workers, including provisions to authorize radiation exposure in excess of administrative limits or PAGs.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

SUB-ELEMENT 2.b - Dose Assessment & PARs & PADs for the Emergency Event Criterion 2.b.1: Appropriate PARs are based on available information on plant condition, field monitoring data, and licensee and ORO dose projections, as well as knowledge of onsite and offsite environmental conditions.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

Criterion 2.b.2: A decision-making process involving consideration of appropriate factors and necessary coordination is used to make PADs for the general public (including the recommendation for the use of KI, if ORO policy).

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

SUB-ELEMENT 2.c - PADs for the Protection of persons with disabilities and access/functional needs Criterion 2.c.1: PADs are made, as appropriate, for groups of people with disabilities and those with access/functional needs.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

33

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 SUB-ELEMENT 2.d - Radiological Assessment and Decision-Making for the Ingestion Exposure Pathway Criterion 2.d.l: Radiological consequences for the ingestion pathway are assessed and appropriate PADs are made based on the ORO planning criteria.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

SUB-ELEMENT 2.e - Radiological Assessment & Decision-making Concerning Post-Plume Phase Relocation, Re-entry, and Return Criterion 2.e.1: Timely post-plume phase relocation, re-entry, and return decisions are made and coordinated as appropriate, based on assessments of radiological conditions and criteria in the ORO's plan and/or procedures.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

EVALUATION AREA 3 - PROTECTIVE ACTION IMPLEMENTATION SUB-ELEMENT 3.a - Implementation of Emergency Worker Exposure Control Criterion 3.a.1: The OROs issues appropriate dosimetry, KI, and procedures, and manage radiological exposure to emergency workers in accordance with the plans/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. Appropriate record-keeping of the administration of KI for emergency workers is maintained.

State of Minnesota All emergency workers that are issued dosimetery will demonstrate appropriate use of that dosimetry and record keeping in accordance with their established procedures/guidelines. A briefing or the new Emergency Worker Exposure cards with the QR code may be used as a dosimetry briefing. The emergency workers will demonstrate their knowledge of exposure rate and administrative limits. The reception center will use a combination of group and individual dosimetry per procedures while the hospital uses group dosimetry and ambulance personnel use individual dosimetry. KI will not be issued due to the facilities not being with in the 10 Emergency Planning Zone (EPZ). There shall be a brief on radiation protection prior to deployment per procedure. The briefing to the ambulance crew participating in the MS-1 evaluation will be simulated as though they are being deployed from a reception center.

Workers may use any available resources (e.g., written procedures, the new Emergency Worker Exposure cards with the QR code and/or coworkers) in providing responses.

34

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 Note: Initial briefing will be provided; through the use of the Emergency Worker Exposure cards with QR code and dosimetry to the ambulance personnel in the parking lot just before the demonstration.

Goodhue County All emergency workers that are issued dosimetry will demonstrate appropriate use of the dosimeter and record keeping in accordance with their established procedures/guidelines. A briefing or the new Emergency Worker Exposure cards with the QR code may be used as a dosimetry briefing. This can be accomplished by an interview with the evaluator. Workers may use any available resources (e.g., written procedures, the new Emergency Worker Exposure cards with the QR code and/or coworkers) in providing responses.

SUB-ELEMENT 3.b - Implementation of KI Decision for Institutionalized Individuals and the Public Criterion 3.b.1: KI and appropriate instructions are made available in case a decision to recommend use of KI is made. Appropriate record keeping of the administration of KI for institutionalized individuals and the general public is maintained.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

SUB-ELEMENT 3.c - Implementation of Protective Actions for persons with disabilities and access/functional needs Criterion 3.c.1: PADs are implemented for people with disabilities and those with access/functional needs other than schools within areas subject to protective actions.

State of Minnesota This is a county responsibility and will not be demonstrated by the state. This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

Criterion 3.c.2: OROs/School officials implement protective actions for schools.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation 35

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 SUB-ELEMENT 3.d - Implementation of Traffic and Access Control Criterion 3.d.1: Appropriate traffic and access control is established. Accurate instructions are provided to traffic and access control personnel.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

Criterion 3.d.2: Impediments to evacuation are identified and resolved.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

SUB-ELEMENT 3.e - Implementation of Ingestion Pathway Decisions Criterion 3.e.1: The ORO demonstrates the availability and appropriate use of adequate information regarding water, food supplies, milk and agricultural production within the ingestion exposure pathway emergency planning zone for implementation of protective actions.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

Criterion 3.e.2: Appropriate measures, strategies, and pre-printed instructional material are developed for implementing PADs for contaminated water, food products, milk, and agricultural production.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

SUB-ELEMENT 3.f - Implementation of Post-Plume Phase Relocation, Re-entry, and Return Decisions Criterion 3.f.1: Decisions regarding controlled re-entry of emergency workers and relocation and return of the public during the post emergency phase are coordinated with appropriate organizations and implemented.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

36

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 EVALUATION AREA 4 - FIELD MEASUREMENT AND ANALYSIS SUB-ELEMENT 4.a - Plume Phase Field Measurement and Analyses Criterion 4.a.1: [RESERVED]

Criterion 4.a.2: Field teams (two or more) are managed to obtain sufficient information to help characterize the release and to control radiation exposure.

State of Minnesota This criterion was not selected for evaluation.

Goodhue County This is a state function and will not be demonstrated.

Criterion 4.a.3: Ambient radiation measurements are made and recorded at appropriate locations, and radioiodine and particulate samples are collected. Teams will move to an appropriate low background location to determine whether any significant (as specified in the plan and/or procedures) amount of radioactivity has been collected on the sampling media.

State of Minnesota This criterion was not selected for evaluation.

Goodhue County This is a state function and will not be demonstrated.

SUB-ELEMENT 4.b - Post Plume Phase Field Measurements and Sampling Criterion 4.b.1: The field teams (two or more) demonstrate the capability to make appropriate measurements and to collect samples (e.g., food crops, milk, water, vegetation, and soil) to support adequate assessments and protective action decision-making.

State of Minnesota This criterion was not selected for evaluation.

Goodhue County This is a state function and will not be demonstrated.

SUB-ELEMENT 4.c - Laboratory Operations Criterion 4.c.1: The laboratory is capable of performing required radiological analyses to support PADs.

State of Minnesota This criterion was not selected for evaluation.

Goodhue County This is a state function and will not be demonstrated.

37

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 EVALUATION AREA 5 - EMERGENCY NOTIFICATION AND PUBLIC INFORMATION SUB-ELEMENT AREA 5.a - Activation of the Prompt Alert and Notification System Criterion 5.a.1: Activities associated with primary alerting and notification of the public are completed in a timely manner following the initial decision by authorized offsite emergency officials to notify the public of an emergency situation. The initial instructional message to the public must include as a minimum the elements required by current REP guidance.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

Criterion 5.a.2: [RESERVED]

Criterion 5.a.3: Backup alert and notification of the public is completed within a reasonable time following detection by the ORO of a failure of the primary alert and notification system.

State of Minnesota This criterion is the responsibility of the counties and will not be demonstrated by the state. This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

Criterion 5.a.4: Activities associated with FEMA approved exception areas (where applicable) are completed within 45 minutes of the initial decision by authorized offsite emergency officials to notify the public of an emergency situation State of Minnesota This criterion is the responsibility of the counties and will not be demonstrated by the state. This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

SUB-ELEMENT 5.b - Emergency Information and Instructions for the Public and the Media Criterion 5.b.1: OROs provide accurate emergency information and instructions to the public and the news media in a timely manner.

State of Minnesota This criterion is not selected for evaluation.

Goodhue County This criterion is not selected for evaluation.

38

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 EVALUATION AREA 6 - SUPPORT OPERATION/FACILITIES SUB-ELEMENT 6.a - Monitoring, Decontamination, and Registration of Evacuees Criterion 6.a.1: The reception center facility has appropriate space, adequate resources, and trained personnel to provide monitoring, decontamination, and registration of evacuees.

State of Minnesota Evacuee monitoring will be demonstrated on August 15, 2013 at 6:00 pm at the Wabasha-Kellogg School located at 2113 Hiawatha Dr E in Wabasha, MN in Wabasha County. All emergency workers that are issued dosimetery will demonstrate appropriate use of that dosimetry and record keeping in accordance with their established procedures/guidelines. A briefing or the new Emergency Worker Exposure cards with the QR code may be used as a dosimetry briefing. The emergency workers will demonstrate their knowledge of exposure rate and administrative limits.

The reception center will use a combination of group and individual dosimetry per procedures. KI will not be issued due to the facilities not being with in the 10 Emergency Planning Zone (EPZ).

The facility Director of Operations is a Safety Officer from the Minnesota Department of Human Services (DHS). The evacuee monitoring stations use both vehicle and personnel portal monitors and will process at least 6 evacuees to demonstrate the 20% EPZ population monitoring capability in a 12-hour period. Hand held survey instruments (Ludlum Model 26s) are used by monitoring staff in the decontamination areas and will be operationally checked prior to use.

Reception Center volunteer staff will conduct monitoring and serve as recorders. Volunteer mock evacuees will go through the reception center monitoring, decontamination and registration process. At least one "evacuee" will require decontamination. The decontamination process will be demonstrated by interview with reception center staff. Contamination levels, monitoring and decontamination results will be provided by controllers.

All evacuees who pass through the Reception Center will be processed through the registration station.

Vehicle Monitoring and Decontamination At least one evacuee vehicle will be monitored and will require decontamination. The vehicle monitoring process will be demonstrated using a combination of portal monitors and hand held survey instruments at the Wabasha-Kellogg School located at 2113 Hiawatha Dr E in Wabasha, MN in Wabasha County. Monitoring and decontamination processes will be demonstrated at the City Public Works Building located at 700 1 0 th Street W. Wabasha, MN.

Controllers will provide contamination and monitoring levels along with decontamination results.

Ambulance personnel may be set up onsite to respond to potentially contaminated and injured evacuees, but this portion will not be evaluated. Evaluation of the ambulance response (MS-i) will occur on Tuesday August 13th at 7:30 AM at St. Elizabeth's Hospital in Wabasha, MN.

Household pet decontamination and monitoring may be set up, but will not be evaluated as a part of this exercise.

This is a state function and will not be demonstrated by the counties.

39

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 SUB-ELEMENT6.b - Monitoring and Decontamination of Emergency Workers and their Equipment and Vehicles Criterion 6.b.1: The facility/ORO has adequate procedures and resources to accomplish monitoring and decontamination of emergency workers and their equipment and vehicles.

State of Minnesota This is a county responsibility and will not be demonstrated by the state.

Goodhue County Emergency Worker Monitoring and Decontamination will be demonstrated at 6:00 PM Tuesday August 13, 2013 at the Cannon Falls Fire Station located at 320 Hoffman Street West in Cannon Falls in Goodhue County. All emergency workers that are issued dosimetery will demonstrate appropriate use of that dosimetry and record keeping in accordance with their established procedures/guidelines. A briefing or the new Emergency Worker Exposure cards with the QR code may be used as a dosimetry briefing. The emergency workers will demonstrate their knowledge of exposure rate and administrative limits. The EWD personnel use individual dosimetry per procedures. KI will not be issued due to the facilities not being with in the 10 Emergency Planning Zone (EPZ).

At least one emergency worker will go through the EWD monitoring, decontamination and registration process. One emergency worker will be required to undergo decontamination. The decontamination process will be demonstrated by interview with Emergency Worker Decontamination Center staff.

One emergency worker vehicle will be monitored and will require decontamination. The vehicle decontamination process will be demonstrated by an interview with the Cannon Falls Emergency Worker Decontamination Center staff.

A combination of portal monitors and hand held survey instruments (Ludlum Model 3s) will be used by the Emergency Worker Decontamination Center staff to monitor emergency workers, their vehicles and their equipment. The survey instruments will be operationally checked prior to use.

Controllers will provide contamination and monitoring levels along with decontamination results.

SUB-ELEMENT 6.c - Temporary Care of Evacuees Criterion 6.c.1: Managers of congregate care facilities demonstrate that the centers have resources to provide services and accommodations consistent with planning guidelines.

Managers demonstrate the procedures to assure that evacuees have been monitored for contamination and have been decontaminated as appropriate before entering congregate care facilities.

State of Minnesota Congregate Care will be demonstrated Thursday August 15, 2013 in conjunction with the Wabasha Reception Center stationed in the Wabasha-Kellogg School. The Congregate Care demonstration will be held in Wabasha County at the Wabasha-Kellogg School located at 2113 Hiawatha Dr E in Wabasha, MN.

An American Red Cross shelter manager and nurse will meet the evaluator at the Wabasha-40

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 Kellogg School reception center. They will proceed to the selected mass shelter location and conduct a walk-through of the facility. The evaluator will be provided with a list of supplies, equipment, personnel and logistical information for review. The shelter agreement will also be available for review.

Note: Congregate Care Facilitiesare designatedand operated by the Red Cross.

This is a state function and will not be demonstrated by the counties.

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.

State of Minnesota MS-1 Transportation (Ambulance)

Wabasha Emergency Services will demonstrate this objective in the parking lot outside of St.

Elizabeth's Hospital (simulating the reception center) located at 1200 5 th Grant Blvd West Wabasha, MN 55981 at 7:30 am on August 13, 2013. All emergency workers that are issued dosimetery will demonstrate appropriate use of that dosimetry and record keeping in accordance with their established procedures/guidelines. A briefing or the new Emergency Worker Exposure cards with the QR code may be used as a dosimetry briefing. The emergency workers will demonstrate their knowledge of exposure rate and administrative limits. The hospital uses group dosimetry per procedures. KI will not be issued due to the facilities not being with in the 10 Emergency Planning Zone (EPZ).

A person will portray an injured contaminated individual. The ambulance crew will respond and assess the patient's medical condition. The ambulance crew will wrap the patient up, remove the victim and transport them to the hospital. Communications between the Ambulance and the Hospital will be demonstrated at this time. Ambulance contamination monitoring will be demonstrated by St. Elizabeth's Hospital in Wabasha, MN.

MS- 1 (Facilities)

St. Elizabeth's Hospital (1200 5 th Grant Blvd West Wabasha, MN 55981) will demonstrate this objective at 8:30 am on Tuesday August 13, 2013. Upon notification, the hospital personnel will prepare the emergency room area for arrival of a contaminated patient, including appropriate contamination control measures. The hallway rugs, for the purpose of the exercise, will remain in place; however, they would be removed during a real incident. All emergency workers that are issued dosimetery will demonstrate appropriate use of that dosimetry and record keeping in accordance with their established procedures/guidelines. A briefing or the new Emergency Worker Exposure cards with the QR code may be used as a dosimetry briefing. The emergency workers will demonstrate their knowledge of exposure rate and administrative limits. The ambulance personnel use individual dosimetry per procedures. KI will not be issued due to the facilities not being with in the 10 Emergency Planning Zone (EPZ).

Hand held survey instruments (Ludlum 26s) will be used by the hospital personnel to monitor the victim. All instruments will be operationally checked before use. Hand held instruments are calibrated annually.

A contaminated injured evacuee will be delivered by Wabasha Emergency Services Ambulance.

Hospital radiation specialists will conduct radiological monitoring as necessary. Appropriate 41

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant REV 2.2 equipment and supplies will be available. The setting of priorities between medical treatment and contamination controls will be demonstrated. Samples will be collected and decontamination procedures will be demonstrated. The screening of the ambulance for contamination will be demonstrated at this time.

This is a state function and will not be demonstrated by the counties.

Note: Hospitalhallway rugs, due to size and weight, will remain in place for the exercise; however, the rugs would be removed for a real incident.

42

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant EMERGENCY WORKER DECON:

PERSONNEL DECON 43

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant Emergency Worker Decon Contaminated Worker #1 1 C 2000 cP i I Chest -900 CPM Beor , -I-.

Hands - 2000 CPM with gloves on Feet 1500 CPM with boots on 44

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant

/

1540C 1500 CPM "A

.1 Afe -off.ng 45

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant Si.

Background

I~- Afe eo Hands - Background 46

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant EMERGENCY WORKER DECON:

VEHICLE DECON 47

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant Emergency Worker Decon Contaminated Vehicle 1200 CPM Hood of Vehicle - 1200 CPM 48

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant Hood of Vehicle - Background 49

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant RECEPTION CENTER:

PERSONNEL DECON 50

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant RECEPTION CENTER Contaminated Person #1 g,-

900 CPM I

I 1 -11.

I-.W I Beor 0eo Hands gloves on - 900 CPM 51

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant

ýy 900 CPM 3'

I ir -1b ..I 1~~3 1 .De I Hands - Gloves off- 900 CPM I

52

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant

(-"I 1 ~~~I 2 .dDeo Hands - Background I

53

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant RECEPTION CENTER:

VEHICLE DECON 54

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant RECEPTION CENTER Contaminated Vehicle 1000 CPM Beor Deco.

Driver Door - 1000 CPM 55

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant

Background

IDriver Door -Background 56

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-I)

Wabasha Community Ambulance Service PROPOSED SCHEDULE Injury: Right radius compound open fracture with cuts/abrasions to right elbow Date: Tuesday, August 13, 2013 Time: 7:30 AM start time Location: St. Elizabeth's Hospital - Wabasha, MN II. PURPOSE This simulated medical emergency of a contaminated patient is being conducted in order to exercise and test the emergency medical response and transport by Wabasha Ambulance Service to St. Elizabeth's Hospital in Wabasha, MN.

Ill. CRITERION OF THE EXERCISE Evaluation Area 6, Sub-element 6.d - Transportation and Treatment of Contaminated Injured Individuals.

Criterion 6.d.1: The facility/ORO (Offsite Response Organization) has the appropriate space, adequate resources, and trained personnel to provide transport, monitoring, decontamination, and medical services to contaminated injured individuals.

IV. SCENARIO/BACKGROUND

Background

The exercise will begin at approximately 7:30 am when the Wabasha Ambulance Service is staged in the St. Elizabeth's Hospital parking lot (Controller inject message #1).

Ambulance (Controller inject message #2A and #2B) Wabasha Ambulance will assess, treat and transport the patient while taking into account medical and contamination issues.

57

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-I)

Wabasha Community Ambulance Servic6 Scenario An individual evacuating from the Prairie Island 10-mile EPZ comes to the general public reception center. This patient had been near the Prairie Island Nuclear Power Plant to get a better look at what was happening as the sirens were sounding. She walked through some tall grass near the fence boundary without being spotted by any responders or field team members. The patient got scared and left after she saw the field team members in suits near where she had been. She then got back to her vehicle and went to the general public reception center to get checked out.

Upon arriving, her vehicle was flagged as contaminated. As she exited her vehicle, she slipped and fell injuring her right lower arm. In addition, the victim has various minor cuts, scratches and pain in the right elbow. The patient is confused and experiencing intense pain to her right lower arm (the level of pain is 8 out of 10 with 10 being the highest). The person has contamination on the feet, legs, arms, hands, and clothing from her proximity to the Nuclear Generating plant during the General Emergency.

• • Any real emergency takes precedence over scenario play. Inform lead controller of any event that comes up during play. Scenario play will be stopped until the real emergency has been taken care of.**

58

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-I)

Wabasha Community Ambulance Service CONTROLLER MESSAGE #1 Issued To: Ambulance Issued From: Controller THIS IS A DRILL Do not take any action that will adversely affect normal operations.

Location: St. Elizabeth's Hospital parking lot (Simulated)

Message: Initial Conditions 7:30 AM THIS IS A DRILL This is the Wabasha reception center Incident Commander, requesting Wabasha Ambulance Service to respond onsite to the general population reception center in Wabasha for a patient with a possible broken arm and radiological contamination. THIS IS A DRILL.

59

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-I)

Wabasha Community Ambulance Service CONTROLLER MESSAGE #2A Issued To: Ambulance Crew Issued From: Controller THIS IS A DRILL Do not take any action that will adversely affect normal operations.

Note: Do not give this sheet to participants. Give accident information as necessary. Make them work for the numbers.

Location: St. Elizabeth's Hospital parking lot (Simulated)

Message: Patient Status Vital Signs Pulse: 110 Respiration: 22 Blood pressure: 160/96 Skin: pale, cool, diaphoretic Other Female Age 38 Pain is 8 out of 10 (10 being the worst)

Right radius compound open fracture Cuts/abrasions to right elbow Adequate neural muscular function Patient Chief Complaint: Pain and swelling.

Physical: Edema, ecchymosis, and point tenderness. Gross deformities noted. Neurovascular deficits are not present.

60

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-I)

Wabasha Community Ambulance Service (INITIAL CONTAMINATION LEVELS) CONTROLLER MESSAGE #2B THIS IS A DRILL Do not take an*y.aqct.n that will adversely affqct.tiormal operations..

/1 <2

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!' CPM 1200 100 " '-10 CM90 P 4000 CPM 800 CPM

'.. 61 I 1300 CPM 1300 CPM

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Inmprovement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-I)

Wabasha Community Ambulance Service Issued To: MS-1 Participants Issued From: Controller THIS IS A DRILL Do not take any action that will adversely affect normal operations.

Location: St. Elizabeth's Hospital parking lot (Simulated)

Message: Controller terminates MS-1 when all criterions have been met.

62

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-i)

Saint Elizabeth's Medical Center Wabasha, MN PROPOSED SCHEDULE Injury: Right radius compound fracture with cuts/abrasions to right elbow Date: Tuesday, August 13, 2013 Time: 8:30 AM start time Location: St. Elizabeth's Hospital - Wabasha, MN II. PURPOSE This simulated medical emergency of a contaminated patient is being conducted in order to exercise and test the hospital's evaluation and treatment of a contaminated injured patient.

Ill. CRITERION OF THE EXERCISE Evaluation Area 6, Sub-element 6.d - Transportation and Treatment of Contaminated Injured Individuals.

Criterion 6.d.1: The facility/ORO (Offsite Response Organization) has the appropriate space, adequate resources, and trained personnel to provide transport, monitoring, decontamination, and medical services to contaminated injured individuals.

IV. SCENARIO/BACKGROUND

Background

A controller, acting as the SEOC Planning and Assessment center, will initiate the exercise (controller message #1) at approximately 8:30am by calling St. Elizabeth's Hospital. Transport will be provided by Wabasha Ambulance Service.

63

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-i)

Saint Elizabeth's Medical Center Wabasha, MN Hospital St. Elizabeth's Hospital will initiate their callout and procedures at approximately 8:30 AM August 13, 2013 after receiving the call from the State Emergency Operations Center (controller will simulate the role of the SEOC). The ambulance personnel will provide communications to the hospital per normal SOPs (may be simulated using controller message

1. 2). Radiological monitoring will be conducted by staff from the hospital (determined in accordance with their procedures). Appropriate equipment and supplies will be available. Radiation Protection Technicians (RPTs) will survey the patient (controller message #3B-3E) and the ambulance survey will be conducted by an interview. The exercise will terminate once all criteria are met (controller messages #4 and #5).

Scenario An individual evacuating from the Prairie Island 10-mile EPZ comes to the general public reception center. This patient had been near the Prairie Island Nuclear Power Plant to get a better look at what was happening as the sirens were sounding. She walked through some tall grass near the fence boundary without being spotted by any responders or field team members. The patient got scared and left after she saw the field team members in suits near where she had been. She then got back to her vehicle and went to the general public reception center to get checked out.

Upon arriving, her vehicle was flagged as contaminated. As she exited her vehicle, she slipped and fell injuring her right lower arm. In addition, the victim has various minor cuts, scratches and pain in the right elbow. The patient is confused and experiencing intense pain to her right lower arm (the level of pain is 8 out of 10 with 10 being the highest). The person has contamination on the feet, legs, arms, hands and clothing from her proximity to the Nuclear Generating plant during the General Emergency.

64

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-I)

Saint Elizabeth's Medical Center Wabasha, MN

• • Any real emergency takes precedence over scenario play. Inform lead controller of any event that comes up during play. Scenario play will be stopped until the real emergency has been taken care of**

Additional: Open fractures require antibiotics and an emergent orthopedic consultation. If orthopedic consultation/transfer is immediately called for, controller will inject consultation/transfer to occur in 30-60 minutes.

65

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-i)

Saint Elizabeth's Medical Center Wabasha, MN CONTROLLER MESSAGE #1 Issued To: MS-1 Participants Initial call for Hospital and EMS (1-651-565-5624)

Issued From: Controller THIS IS A DRILL Do not take any action that will adversely affect normal operations.

Location: St. Elizabeth's Hospital - Wabasha, MN.

Message: Initial Conditions 7:30 AM - For Hospital THIS IS A DRILL - This is the MN State Emergency Operations Center, due to a General Emergency at the Prairie Island Nuclear Plant, please get ready to potentially receive contaminated injured individuals shortly. There is a release in progress at the plant. The public is being evacuated and the (simulated) reception center is open for evacuees. THIS IS A DRILL.

• • (Controller will thoroughly explain that this is a drill).

66

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-i)

Saint Elizabeth's Medical Center Wabasha, MN CONTROLLER MESSAGE #2A Issued To: Hospital's Radiation Protection Technician (RPT)

Issued From: Controller THIS IS A DRILL Do not take any action that will adversely affect normal operations.

Note: Do not give this sheet to the Hospitals RPT. Give accident information as necessary. Make them work for the numbers.

Message: Radiation Survey Results and Physical Condition (Also see diagram)

Physical Condition Arrival at Hospital After Completing Decon Pulse 104 80 Respirations 20 18 Blood Pressure 134/88 114/76 Skin Pale, Cool, Diaphoretic Normal Other Distal pulse present, good neural OR Consultation muscular function 67

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-1)

Saint Elizabeth's Medical Center Wabasha, MN (INITIAL CONTAMINATION LEVELS) CONTROLLER MESSAGE #2B THIS IS A DRILL Do not take any action that will adverselyaffect normal operations.

Location of Contaminated Areas t 1 000 1200 CPM 1000 CPM 1300 CPM

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-i)

Saint Elizabeth's Medical Center Wabasha, MN (After Ist Decon - Clothes Removal) CONTROLLER MESSAGE #2C THIS IS A DRILL Do not take anj' action that will adversely affect normal operations.

Location of Contaminated Areas

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-i)

Saint Elizabeth's Medical Center Wabasha, MN (After 2nd Decon) CONTROLLER MESSAGE #2D THIS IS A DRILL Do not take any action that will adversely affect normal operations.

Location of Contaminated Areas

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-I)

Saint Elizabeth's Medical Center Wabasha, MN (After 3rd Decon) CONTROLLER MESSAGE #2E THIS IS A DRILL Do not take any action that will adversely affect normal operations.

Location of contaminated areas

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IL

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-i)

Saint Elizabeth's Medical Center Wabasha, MN CONTROLLER MESSAGE #3 Issued To: Radiation Protection Technician (RPT)

Issued From: Controller THIS IS A DRILL Do not take any action that will adversely affect normal operations.

Note: Do not give this sheet to radiation protection technician. Give accident information as necessary. Make them work for the numbers.

Location: Radiation Emergency Area Message: Exit Survey All areas of patient: Background All areas of hospital staff that have been in the contaminated area (REA):

Background

Gurney: Background 72

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant 2013 REP Exercise Medical Scenario (MS-i)

Saint Elizabeth's Medical Center Wabasha, MN CONTROLLER MESSAGE #4 Issued To: MS-1 Participants Issued From: Controller THIS IS A DRILL Do not take any action that will adversely affect normal operations.

Location: St. Elizabeth's Hospital, Wabasha, MN Message: Controller terminates MS-1 when all criterions have been met.

73

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Prairie Island Nuclear Generating Plant This page is intentionally blank.

74