ML16238A188

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After Action Report/Improvement Plan, Drill Date - June 17, 2016, Radiological Emergency Preparedness Program
ML16238A188
Person / Time
Site: Clinton Constellation icon.png
Issue date: 08/25/2016
From: Velasquez A
US Dept of Homeland Security, Federal Emergency Management Agency
To: Joseph J
Office of Nuclear Reactor Regulation, State of IL, Emergency Management Agency
References
Download: ML16238A188 (34)
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Text

U.S. Department of H omeland Security FEMA Region V 536 South Clark Street, 6th F loor Chicago, IL 60605 FEMA Jam.es K. Joseph, Director Illinois Emergency Management Agency 2200 South Dirksen Parkway Springfield, Illinois 62703

Dear Mr. Joseph:

Enclosed is the Final After Action Report/Improvement Plan for the Order of Saint Francis, Saint Joseph Medical Center June 17, 2016 Radiological Emergency Preparedness Medical Services Drill for the Clinton Power Station.

There were no Level 1 or Level 2 Findings or Plan Issues identified as a result of this drill.

Based on the results of the exercise, the planning and preparedness for the State of Illinois and affected local jurisdictions provide reasonable assurance that appropriate measures can be taken to protect public health and safety. Therefore, Title 44 CFR Part 350 approval of the offsite radiological emergency response plans and preparedness for the State of Illinois remain in effect.

If you have any questions, please contact Sean O' Leary, Chair, Regional Assistance Committee, at (312) 408-5389.

Sincerely,

~-~

~drew Velasquez III Regional Administrator Enclosure (1) cc: Illinois Emergency Management Agency DHS/FEMA Headquarters NRC Region III NRC Headquarters Document Control Desk www.fema.gov

Clinton Power Station After Action Report/

Improvement Plan Drill Date - June 17, 2016 Radiological Emergency Preparedness Program Published July 28, 2016

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station Clinton Power Station After Action Report/Improvement Plan Published July 28, 2016 Contents Executive Summary 3 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 11 2.1 Exercise Purpose and Design 11 2.2 Exercise Objectives, Capabilities and Activities 11 2.3 Scenario Summary 12 Section 3: Analysis of Capabilities 13 3.1 Drill Evaluation and Results 13 3 .2 Summary Results of Drill Evaluation 14 3.3 Criteria Evaluation Summaries 17 3.3. l Illinois Jurisdictions 17 3.3.1.1 State oflllinois - OSF - St. Joseph Medical Center - 17 Medical Service - Transportation 3.3.1.2 State of Illinois - OSF - St. Joseph Medical Center - 17 Medical Service - Facility Section 4: Conclusion 18 Appendix A: Drill Evaluators and Team Leaders 19 Appendix B: Exercise Plan 20 1

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station EXECUTIVE

SUMMARY

On June 17, 2016, the U.S. Department of Homeland Security's (DHS) Federal Emergency Management Agency (FEMA), Region V, evaluated a Medical Services (MS-1) Drill at the Order of Saint Francis (OSF) St. Joseph Medical Center associated with the Clinton Power Station. The purpose of the MS-1 Drill was to assess the ability of offsite agencies to respond to a medical emergency involving a potentially radiologically contaminated member of the public.

The MS-1 Drill was held in accordance with DHS/FEMA policies and guidance concerning the exercise of State and local radiological emergency response plans (RERPs) and procedures.

The DHSIFEMA wishes to acknowledge the efforts of the personnel from the Illinois Emergency Management Agency, Bloomington Fire Department, and the OSF St. Joseph Medical Center who participated in the MS-1 Drill. 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.

The State and local organizations demonstrated knowledge of and adequately implemented organizational emergency response plans and procedures.

There were no Level 1 Findings, Level 2 Findings or Plan Issues identified as a result of this drill and there were no previous Level 1 Findings, Level 2 Finding or Plan Issues to be corrected during this drill.

INTRODUCTION - EXERCISE BASIS On December 7, 1979, the President clirected FEMA to assume the lead responsibility for all offsite nuclear planning and response. The DHS/FEMA's activities ar*e conducted pursuant to Title 44 of the Code of Federal Regulations (CPR) Parts 350 "Review and Approval of State and Local Radiological Emergency Plans and Prepar*edness", 351 "Radiological Emergency Planning and Prepar*edness" and 352 "Commercial Nuclear* Power Plants: Emergency Preparedness 3

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station Planning" (Commonly referred to as 44 CFR 350 through 352). These regulations are a key element in the Radiological Emergency Preparedness (REP) Program that was established following the Three Mile Island Nuclear Station accident in March 1979.

FEMA Regulation 44 CFR 350 establishes the policies and procedures for 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 ofRERPs and procedures developed by State and local governments;
  • 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 Memorandum of Understanding between the NRC and FEMA dated October 1, 2015, 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. Depaitment 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 DHS/FEMA.

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station Formal submission of the RERPs for the CPS to FEMA Region V by the State of Illinois and involved local jurisdictions occurred on November 25, 1986. Formal approval of these RERPs was granted by FEMA on August 5, 1987, under 44 CPR 350.

The purpose of this After Action Report (AAR)/Improvement Plan (IP) is to present the exercise results and findings based on the performance of the Offsite Response Organizations (OROs) during a medical emergency involving a potentially radiologically contaminated member of the public.

The findings presented in this AAR/IP are based on the evaluations of the Federal evaluation team, with final determinations made by the DHS/FEMA Region V RAC Chair, 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;
  • FEMA Radiological Emergency Preparedness: Exercise Evaluation Methodology, as published in the FEMA Radiological Emergency Preparedness Program Manual, dated January 2016.

Section 1 of this report, entitled "Exercise Overview," presents information pertaining to the team that planned and coordinated the exercise. This section also provides a listing of all participating jurisdictions and functional entities that were evaluated.

Section 2 of this rep mt, entitled "Exercise Design Summary," contains the purpose and design of the exercise, a description of the exercise objectives 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 5

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station Level 1 Findings, Level 2 Findings 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 Level 2 Findings assessed during previous exercises and the status of the OROs' 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.

EMERGENCY PLANNING ZONE (EPZ) DESCRIPTION The CPS is located approximately seven miles northeast of the City of Clinton in Harp Township, within DeWitt County, Illinois. DeWitt County is located near the geographical center of the State of Illinois. The topography of the area is predominantly rolling prairies.

The EPZ for the CPS is an area approximately the area of a ten-mile radius with the CPS as the center point. The EPZ extends approximately ten miles outward in all directions from the CPS for the plume exposure pathway planning zone and fifty miles outward for the ingestion exposure pathway planning zone. In the event of a serious accident at the CPS, the plume exposure EPZ will be the area in which intensive efforts will be made to notify and protect residents and transient population from exposure to radiation. The 10-mile EPZ contains a total population of 12,702 (2010 census) within the risk county of DeWitt, and the support counties of Macon, McLean and Piatt. Nearly two-thirds of the total 10-mile EPZ population (8,422) resides in the communities of Clinton, Weldon, Wapella, and DeWitt. The land use within the 10-mile EPZ is predominantly agricultural, with cash grain crops of corn and soybeans. The closest industries are located in the community of Clinton.

Recreational facilities outside the municipalities include the Clinton Lake State Recreation Area and the Weldon Springs State Park. The park encompasses approximately 370 acres and contains a 28-acre lake with camping, fishing, and picnicking facilities. Weldon Springs is one of the two sizable lakes within 10 miles of the site. Clinton Lake is a 4,895 acre man-made cooling lake within the CPS property lines. Recreational facilities accommodate camping, boating, hunting, fishing and hiking.

The nearest major highways are State Highways 54, 10, and 48, all of which intersect the plant location. Other major thoroughfares are U.S. Highway 51, located about six miles west of the 6

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station plant and Interstate Highway 74, located about 11 miles northeast of the plant. The nearest railroad is the Canadian National Railway (CN), which crosses the site east to west and comes within about three-fourths of a mile to the north of the reactor centerline. Another CN track is located approximately three and a half miles south of the CPS.

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station SECTION 1: EXERCISE OVERVIEW 1.1 Exercise Details Exercise Name Clinton Power Station Type of Exercise Drill Exercise Date June 17, 2016 Program Department of Homeland Security/FEMA Radiological Emergency Preparedness Program Scenario Type Radiological Emergency 1.2 Exercise Planning Team Leadership Sean O'Leary Regional Assistance Committee, Chair Chief, Technological Hazards Branch DHS/FEMA Region V 536 South Clark Street Chicago,IL,60605 (312) 408-5389 sean.oleary@fema.dhs.gov Stephen Tulley Exercise Director Supervisory REP Team Leader DHSIFEMA Region V 536 South Clark Street Chicago,IL,60605 (312) 408-4425 stephen.tulley@fema.dhs.gov 8

Unclassified Radiological Emergency Preparedness Program After Action Reportllmprovement Plan Clinton Power Station David Ortman Site Specialist Emergency Management Specialist DHS/FEMA Region V 536 South Clark Street Chicago, IL, 60605 (312) 408-4429 david.01tman@fema.dhs.gov Joni Estabrook State Controller Illinois Emergency Management Agency Nuclear Safety Sr. Emergency Response Coordinator 1035 Outer Park Drive Springfield, lliinois, 62704 217-524-0888 joni.estabrook@illinois.gov Ed Ingram Offsite Planner Exelon Offsite Programs 4300 Winfield Road Warrenville, illinois, 60555 630-470-7859 edward.ingram@exeloncorp.com 9

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station 1.3 Participating Organizations Agencies and organizations of the following jurisdictions participated in the Clinton Power Station drill:

State Jurisdictions Illinois Emergency Management Agency Order of Saint Francis St. Joseph Medical Center Bloomington Fire Depaitment 10

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station SECTION 2: EXERCISE DESIGN

SUMMARY

2.1 Exercise Purpose and Design On June 17, 2016, the U.S. Department of Homeland Security's (DHS) Federal Emergency Management Agency (FEMA), Region V, evaluated a Medical Services (MS-1) Drill at the Order of Saint Francis St. Joseph Medical Center associated with the Clinton Power Station. The purpose of the MS-1 Drill was to assess the ability of offsite agencies to respond to a medical emergency involving a potentially radiologically contaminated member of the public. The MS-1 Drill was held in accordance with the DHSIFEMA policies and guidance concerning the exercise of State and local radiological emergency response plans and procedures.

2.2 Exercise Objectives, Capabilities and Activities Exercise objectives and identified Capabilities/REP Criteria selected to be demonstrated are discussed in Appendix B 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 Offsite Response Organizations (OROs) and stakeholders. The following criteria, which are part of the six Exercise Evaluation Areas described in the DHSIFEMA Radiological Emergency Preparedness (REP) Program Manual, dated January2016, were evaluated during the MS-1 Drill:

  • Criterion l.d. l - 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.

  • Criterion 1.e.1 - Equipment, maps, displays, dosimetry, potassium iodide (KI), and other supplies are sufficient to support emergency operations.
  • Criterion 3.a.1- The Offsite Response Organizations (ORO) issue appropriate dosimetry, KI 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 record or chart. The ORO's maintain appropriate record-keeping of the administration of KI to emergency workers.

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station

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

2.3 Scenario Summary Appendix B Exercise Plan," contains a summary of the Exercise Scenario, a simulated sequence of events that was used as the basis for invoking emergency response actions by Offsite Response Organizations (OROs) in the Clinton Power Station MS-1 Drill.

During the exercise, controllers from the State of Illinois 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 After Action Report/Improvement Plan Clinton Power Station SECTION 3: ANALYSIS OF CAPABILITIES 3.1 Drill Evaluation and Results Contained in this section are the results and findings of the evaluation of all jurisdictions and functional entities that participated in the June 17, 2016, Medical Services (MS-1) Drill conducted to assess the ability of offsite agencies to respond to a medical emergency involving a potentially radiologically contaminated member of the public;::.

Each jurisdiction and functional entity was evaluated based on its demonstration of exercise criteria delineated in DHS/.FEMA Radiological Emergency Preparedness: Exercise Evaluation Methodology; as published in the FEMA Radiological Emergency Preparedness Program Manual, dated January 2016. Detailed information on the exercise criteria and the extent-of-play agreements used in this exercise are found in Appendix B 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 Offsite Response Organization (ORO) demonstrated all demonstration criteria for the Evaluation Area Criterion to the level required in the extent-of-play agreement with no Deficiencies or Level 2 Finding assessed in the current exercise and no unresolved prior Level 2 Finding.
  • Ll - Level 1 Finding: An observed or identified inadequacy of organizational performance in an exercise that could cause a determination 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.
  • L2 - Level 2 Finding - An observed or identified inadequacy of organizational performance in an exercise that is not considered, by itself, to adversely impact public health and safety.
  • P-Plan Issue -An observed or identified inadequacy in the ORO's emergency plan or implementing procedures, rather than in the ORO's performance.

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Unclassified Radiological Emergency Preparedness Program After Action Report/lmprovement Plan Clinton Power Station 3.2 Summary Results of Drill Evaluation The matrix presented in Table 3 .1, on the following pages, presents the status of all exercise criteda from the DHS/FEMA REP: Exercise Evaluation Methodology, as published in the DHS/FEMA REP Program Manual, dated January 2016, 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 functional entity in a jurisdiction-based, issues-only format.

The DHS has developed a standardized system for numbering exercise issues. This system is used to achieve consistency in numbering exercise issues among DRS 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 Level 1 Findings, Level 2 Finding, 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 (06 for Clinton Power Station).
  • Exercise Year - The last two digits of the year the exercise was conducted.
  • Criterion Number - An alpha and two-digit number corresponding to the cdteria numbers in the six Exercise Evaluation Areas described in Part III.C of the DHS/FEMA REP Program Manual, January 2016.
  • Issue Classification Identifier- (Ll ==Level 1 Finding, L2 =Level 2 Finding, 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 After Action Report/Improvement Plan Clinton Power Station Table 3.1 - Summary of Drill Evaluation E-<

U)

~

s DATE
2016-06-17 .Q SITE: Clinton Power Station, IL P.

d.l ~

"'0 U)

M: Met, L2: Level 2 Finding, Ll: Level 1 Finding, P: Plan Issue, N: Not Demonstrated ':J U) ~

0 p!.

U) 0

~

en d d

"'"'"' "~ le Mobilization lal Facilities lbl Direction and Control lcl Communications Eauipment ldl M M Eauipment and Supplies to Support Operations lel M M EW Exoosure Control Decisions 2al PARs 2bl PADs 2b2 PADs for Disabled/Functional Needs 2cl Jngestion PADs 2dl RRRDecisions 2el EW Exposure Control Implementation 3al M M KI Public/Institutionalized 3bl PAD Implementation Disabled/Functional Needs 3cl PAD Imolementation Schools 3c2 TACP Establishment 3dl Imoediments 3d2 Implement Ingestion PADs 3el Ingestion Pathwav Decisions 3e2 Implementation of RRR Decisions 3fl RESERVED 4al Field Team Management 4a2 Field Team Ooerations 4a3 Field Team Samolin!! 4bl Laboratory Operations 4cl

~***~*~' '" .,.,

Initial Alert & Notification 5al RESERVED 5a2 Backup Alert & Notification 5a3 Exception Area Alerting 5a4

~Jnforma~~~ & Instructions 5bl Reception Center Operations 6al EW Monitoring & Decontamination 6bl Congregate Care 6cl Contaminated Injured Transport & Care 6dl M M 15

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station 3.3 Criteria Evaluation Summaries 3.3.1 Illinois Jurisdictions 3.3.1.1 State of Illinois - OSF - St. Joseph Medical Center - Medical Service

- Transportation In summary, the status ofDHSIFEMA criteria for this location is as follows:

a. l\.1ET: 1.d.l, 1.e.1, 3.a.l, 6.d.l.
b. LEVEL 2 FINDINGS: None
c. LEVEL 1 FINDINGS: 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 Illinois - OSF - St. Joseph Medical Center - Medical Service - Facility In summary, the status ofDHS/FEMA criteria for this location is as follows:
a. l\.1ET: 1.d.l, 1.e.l, 3.a.1, 6.d.l.
b. LEVEL 2 FINDINGS: None
c. LEVEL 1 FINDINGS: None
d. PLAN ISSUES: None
e. NOT DEMONSTRATED: None
f. PRIOR ISSUES - RESOLVED: None
g. PRIOR ISSUES - UNRESOLVED: None 16

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station SECTION 4: CONCLUSION There were no Level 1 Findings, Level 2 Findings or Plan Issues identified as a result of this drill and there were no previous Level 1 Findings, Level 2 Finding or Plan Issues to be corrected during this drill.

Based on the results of the June 17, 2016 drill, the offsite radiological emergency response plans and preparedness for the State of Illinois and affected local jurisdictions, site-specific to the Clinton Power Station, can be implemented and are adequate to provide reasonable assurance that appropriate measure can be taken offsite to protect the health and safety of the public in the event of a radiological emergency at the site.

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station APPENDIX A: DRILL EVALUATORS AND TEAM LEADERS DATE: 2016-06-17, SITE: Clinton Power Station, IL li~fil~1'.U~!l~1l~tll~ ~liEl~'.lit~

FEMARV FEMARV 18

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station APPENDIX B: EXERCISE PLAN This appendix lists the exercise criteria, which were scheduled for demonstration in the Medical Services (MS-1) Drill associated with the Clinton Power Station on June 17, 2016 and the offsite extent-of-play agreement accepted by DHS/FEMA Region V. The exercise criteria, contained in the DHS/FEMA Radiological Emergency Preparedness (REP) Program Manual, dated January 2016, represent a functional translation of the planning standards and evaluation criteria of NUREG-0654/FEMA-REP-1, Revl, "Criteria for the Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants," November 1980. Because the exercise criteria are intended for use at all nuclear power plant sites, and because of variations among offsite plans and procedures, an extent-of-play agreement is prepared by the State and accepted by the DHS/FEMA to provide evaluators with guidance on expected actual demonstration of the criteria.

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station Offsite Medical Drill Extent of Play and Injects for Clinton Medical Services Drill OSF St. Joseph Medical Center Bloomington, Illinois June 17th, 2016 Start time 10:00 a.m.

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Unclassified Radiological Emergency Preparedness Program After Action Report!Improvement Plan Clinton Power Station Extent of Play Agreement Medical Services Exercise June 17, 2016 Location: OSF St. Joseph Medical Center 2200 East Washington Bloomington, IL 61071 Transp01tation Provider: Bloomington Fire Ambulance Participant Roster:

Contaminated Patient: Hospital Staff Lead Controller: Joni Easterbrook (IEMA)

Ambulance Controller: Joni Estabrook (IEMA)

Hospital Controller: Tolly Knezevich (IEMA)

Float Controller: Tarver Haven (IEMA)

Ambulance MRT: Don Eastep (JEMA)

Criteria that can be re-demonstrated immediately for credit at the discretion of the evaluator, include the following: Fo~ Transportation: l.dl, l.e.l, 3.a.l and 6.d.1; for the Hospital l.dl, l.e.l, 3.a.1and6.d.l. Criteria may be re-demonstrated, as agreed by the Lead Controller and FEMA.

EVALUATION AREA 1 -EMERGENCY OPERATIONS MANAGEMENT Criterion 1.d.l: At least two communication systems are available, at least one operated properly, and communication links are established and maintained with appropriate locations.

The Ambulance will use 2-way radios to communicate with OSF St. Joseph Medical Center. Other communication systems that may be used include commercial telephone or cell phones.

Criterion l.e.1: Equipment, maps, displays, dosimetry, potassium iodide (KI) and other supplies are sufficient to suppmt emergency operations.

OSF St. Joseph Medical Center will adequately demonstrate the ability to support operations, with adequate resources. OSF St. Joseph Medical Center will also issue dosimetry and perform a dosimetry control briefing to staff prior to drill start.

EVALUATION AREA 3 - PROTECTIVE ACTION IMPLEMENTATION Criterion 3.a.1: The ORO's issue appropriate dosimetry, and procedures, and manage radiological exposure to emergency workers in accordance with the plan/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.

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station EVALUATION AREA 6.d-TRANSPORTATION AND TREATMENT OF CONTAMINATED INJURED INVIDUALS Criterion 6.d.l: The facility/ORO has the appropriate space, adequate resources, and trained personnel to provide transport, monitoring, decontamination, and medical services to contaminated injured :individuals.

Extent of Play for OSF St. .Toseph Medical Center Medical Drill

==

Introduction:==

An offsite medical drill will be conducted to demonstrate the State oflli:inois' concept of operations of handling contaminated injured :individuals. The drill is structured to address MS-1 Hospital and Transportation Criteria.

Extent of Play:

The Clinton Nuclear Power Station has declared a general emergency. The emergency alert sirens have sounded, the public has been directed to evacuate affected areas and to report to reception centers set up in the local area. The scenario is based on a local resident and her two daughters who has reported to the reception center from a rural area and spent an extended time in the Clinton EPZ. The drill will begin at the pickup of the patient and parent by the ambulance. Any reception center activities will be demonstrated at the reception center demonstration.

Hospital and Transportation:

The hospital will demonstrate procedures for limiting exposure to hospital staff, decontaminating a patient, and restricting access to the area where the patient is being treated and monitored.

Bloomington Fire will demonstrate the capability to transport a contaminated, injured individual to St. Joseph's. The ambulance crew will pick up a contaminated injured patient near the hospital at a simulated reception center. IEMAMRT staff will accompany the ambulance staff during the transportation portion of the drill. The mother will simulate driving to the facility so that exercise evaluators and controllers can observe the transportation and treatment of the child.

Bloomington Fire will call in the information regarding the patient to hospital so they can prepare the receipt of a contaminated injured patient. St. Joseph's will implement their plan for receipt, isolation and treatment of an injured contaminated patient. Medical personnel will utilize universal precautions and good housekeeping practices to minimize the spread of contamination, and will focus on treating the patient's medical condition. Simple decontamination eff01is will be demonstrated after the patient has been medically stabilized. The hospital will demonstrate procedures for limiting exposure to hospital staff, decontaminating a patient, and restricting access to the area where the patient is being treated and monitored. Hospital personnel will demonstrate their knowledge of who to call beyond IEMA for assistance in Radiological Accidents, e.g.,

REAC/TS.

One IEMA MRT will be participating in this drill. One IEMA MRT is to facilitate monitoring the parent of the patient, ambulance staff and ambulance itself so it can be put back into service as 22

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station soon as possible. However, if the IEMA MRT requests assistance from the reception center supervisor the float controller will be available to assist. The ambulance MRT will be available to assist Hospital Staff in the REA if needed.

The drill will conclude with hospital nuclear medicine staff supervising the removal of protective clothing and surveying of the emergency room and hospital personnel.

IEMA will also advise on the proper procedure for release or disposal of contaminated material.

Objectives:

1. Demonstrate the ability of EMS personnel to transport a contaminated injured patient.
2. Demonstrate the ability of hospital personnel to treat a contaminated injured patient.
3. Demonstrate the ability of personnel to exercise proper radiological controls and issuance of dosimetry.
4. Demonstrate the proper techniques of personnel decontamination.
5. Demonstrate proper communication between medical personnel and IEMA staff.
6. Demonstrate proper use of radiation detectors.

IEMA Players and Controllers Contaminated Patient IEMA Ambulance MRT IEMA Ambulance Controller IEMA Hospital Controller IEMA Float Controller 23

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station Extent of Play for OSF St. Joseph Medical Center Clinton Power Station has declared a general emergency. The emergency alert sirens have sounded, the public has been directed to evacuate affected areas and to report to reception centers set up in the local area. The scenario is based on a local resident who had stayed in the EPZ when the release occurred.

This drill will originate near the hospital at a simulated reception center.

1. An ambulance and EMS staff will be used to demonstrate loading, transporting and unloading the victim. EMS personnel will pick up the patient at a staged location close to the hospital. The patient will be pre-staged for the ambulance arrival. IEMA staff will be present for the transportation portion of the drill.
2. The ambulance crew will communicate with the receiving hospital regarding the medical status of the patient and any additional precautions taken to prevent spread of contamination.
3. IEMA:MRT and hospital nuclear medicine staff will be providing radiological exposure control and monitoring of EMS and hospital personnel.
4. Decontamination is determinant on ambulance protocols and injury that the patient presents.
5. Hospital nuclear medicine personnel will be responsible for any patient and staff radiological monitoring and contamination control activities until an IEMA MRT arrives on scene.
6. The IEMA MRT will supervise the ingress and egress of radiological control areas.

Monitoring will be performed prior to personnel leaving the potentially contaminated patient treatment area. Protective clothing used by hospital personnel will be similar to that used for a chemical or biological agent in accordance with hospital protocol. Multiple methods of decontainination, including dry, damp or wet, may be utilized for the removal of contamination.

7. The medical facility will demonstrate or describe their procedures for the medical treatment and necessary decontamination of a contaminated injured individual. Multiple methods of decontainination, including dry, damp or wet, may be utilized for the removal of contamination. !EMA/hospital nuclear medicine personnel will survey the hospital REA and medical personnel to maintain contamination control. These methods will include taking swipes of floors and surfaces so that the hospital and ambulance can be cleared for normal operations.
8. The hospital may need to contact REAC/TS to determine appropriate samples needed to assess internal contamination. Any samples collected will be sent to REAC/TS for analyzing, IEMA does not process biological samples.
9. Emergency medical personnel will be able to maintain their exposure below the limits specified in 10 CFR Part 20 because for the exercise, the dose rate from the patient is below 2 mr/hr.
10. After the Hospital is notified, hospital personnel will prepare the area to receive the patient in accordance with their procedures and provide security as necessary. IEMA as a general practice would, if necessary, post radiation signs in accordance with the requirements as set forth in 10 CFR Part 20. Hospital security will control the area in accordance with the 24

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station same policies and procedures used to provide isolation in the treatment of a chemical or biological agent.

11. Regardless of specific written hospital procedures for addressing radiation contamination, the supervision and advice provided by IEMA personnel should be the governing guidance for determining whether the patient's contamination situation is appropriately addressed.
12. The contaminated injured patient will be accompanied by a parent and infant that needs to be monitored. The pediatric and infant decon will be an objective to be performed and evaluated by the hospital, per hospital request.
13. After monitoring and decon has occurred the patient will utilize the decon room for final shower purpose.

The drill terminate when the controller verifies that the criteria under Evaluation Area 6, Sub-element 6.d.l and Evaluation Area 3, Sub-element 3.a.l, have been satisfied.

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station TIME: Pre t = 0 Contaminated Patient MESSAGE FORM

() Controller (X) Player ( ) Contingency Drill/Exercise Type: OSF St. Joseph Medical Center Message for: Victim and EMS staff MESSAGE The Clinton Power Station has issued a public broadcast that a radioactive release has occurred and that the residents and those working in the Clinton EPZ area are being evacuated.

Before evacuating you spend extended time in the EPZ during the release, which delays you and your daughters reporting to the reception center. You have been exposed and contaminated with low levels of radioactive materials. Upon arrival at the reception center your daughter falls and starts bleeding in one arm. Your daughter has glass embedded in her hand limiting the mobility of your fingers. The reception center staff notifies 911.

FOR CONTROLLERS USE ONLY The information would be available to the hospital as they received preliminary notification information from outbound ambulance calls.

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Unclassified Radiological Emergency Preparedness Program After Action Report1Improvement Plan Clinton Power Station TIME: TimeO

MESSAGE: Initial Conditions MESSAGE FORM (X) Controller (X) Player ( ) Contingency Drill/Exercise Type: OSF St. Joseph Medical Center Medical Drill Message for: Hospital Personnel MESSAGE Initial Conditions:

Contamination* Initial FirstDecon Second Decon ThirdDecon Levels: survey Readin!!:

Right palm 700 cpm 500 cpm 300 cpm 75cpm Left palm 600 cpm 300 cpm 60cpm Pant legs at knee 500 cpm Should be removed Shoes (should be 900 cpm 0 should be removed) removed

  • Pant/shoes should be removed and bagged.
    • Contamination would likely be spread from hand to other parts of the patient's skin or clothing.

Current Medical Conditions:

Complaining of pain in palm of hand, 5 out of 10 scale, conscious, ale1i pulse present, bleeding or other obvious signs of injury.

FOR CONTROLLERS USE ONLY 27

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station TO: First Responders/EMS FROM: EMS Controller NOTE: Do not provide the data to players unless the means to obtain it are demonstrated.

THIS IS A DRILL DO NOT initiate actions affecting safe operations Message: 8 yr old female patient complaining of hand pain, bleeding and numbness. Patient has allergy to penicillin.

EMS Arrival on Enroute to In REA Scene Hospital Level of consciousness:

ResponsiveX3 *

  • Respirations: 24 *
  • Pulse: 65 *
  • Skin: *
  • Blood Pressure: 140/74 110/70 100/68 Visual: *
  • Note:
  • Patient condition en route and in REA are dependent on EMT actions and level of training.
  • Allergy to penicillin Expected Action:

Follow local protocols or standing orders.

THIS IS A DRILL DO NOT initiate actions affecting safe operations 28

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station TIME: 0 + 5 min.

MESSAGE: ~~~~~

MESSAGE FORM (X) Controller (X) Player ()Contingency Drill/Exercise Type: OSF St. Joseph Medical Center Medical Drill Message for: Hospital Personnel MESSAGE When the Hospital is notified that a potentially contaminated patient will be arriving, the Hospital should make preparations to receive patient in accordance with hospital procedures.

FOR CONTROLLERS USE ONLY ED controller may inject, with permission of Evaluator, a time jump to expedite REA preparedness.

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station TIME: After patient arrival at hospital MESSAGE: Decontamination Activities MESSAGE FORM (X) Controller ()Player ( ) Contingency Drill/Exercise Type: OSF St. Joseph Medical Center Drill Message for: IEMA RAD Controllers MESSAGE If proper radiological controls are in place no contamination is found in the ambulance. All areas of the hospital and path from ambulance to treatment room will be surveyed and read as background.

The controller may adjust contamination levels based on actions of the players.

The patient has contamination on right palm, left palm, pant knees and shoes. The parent has contaminated shoes and one contaminated hand that was held by pediatric patient. Contamination levels and locations on parent and infant will be adjusted at the discretion of the controller.

IT DOES NOT MATIER IF THE CLOTHING IS REMOVED BY THE AMBULANCE OR HOSPITAL PERSONNEL. Clothing should be bagged and labeled.

FOR CONTROLLERS USE ONLY 30

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan Clinton Power Station This page is intentionally blank.

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