ML17178A263
| ML17178A263 | |
| Person / Time | |
|---|---|
| Site: | Salem, Hope Creek  |
| Issue date: | 06/27/2017 |
| From: | US Dept of Homeland Security, Federal Emergency Management Agency |
| To: | Office of Nuclear Security and Incident Response |
| References | |
| Download: ML17178A263 (33) | |
Text
Salelll and Hope Creek Nuclear Generating Station Medical Services Drill After Action Report/Improvement Plan Drill Date - May 12, 2017 Radiological Emergency Preparedness (REP) Program Published June 27, 2017
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station Salem and Hope Creek Nuclear Generating Station Medical Services Drill After Action Report/Improvement Plan
- Published Date: June 27, 2017 Contents EXECUTIVE SUlVIlVIARY............................................................................................................. 3 SECTION 1: EXERCISE OVERVIEW...................................................................................... 4 1.1 Drill Details........................................................................................................................... 4 1.2 Planning Team Leadership.................................................................................................. 4 1.3 Participating Organizations......................................................................................... ~....... 5 SECTION 2: DESIGN SUlVIlVIARY............................................................................................... 6 2.1 Purpose and Design.............................................................................................................. 6 2.2 Objectives, Capabilities and Activities.............................*.................................................. 7 2.3 Scenario Summary................................................................................ *............................... 8 SECTION 3: ANALYSIS OF CAP ABILITIES...............*............................................................. 9 3.1 Evaluation and Results......................................................................................................... 9 3.2 Summary Results of Evaluation.......................................................................................... 9 3.3 Criteria Evaluation Summaries........... ~............................................................................. 12 3.3.1 Private Organizations.............................................................................................. 12 SECTION 4: CONCLUSION....................................................................................................... 13 APPENDIX A: EVALUATORS AND TEAM LEADERS....*. :................................................... 14 APPENDIX B: ACRONYMS AND ABBREVIATIONS.................................... ;........................ 15 APPENDIX C: EXTENT-OF-PLAY AGREEJ\\1ENT................................................................. 16 1
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station This page is intentionally blank.
2
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station EXECUTIVE
SUMMARY
On May 12, 2017 a Medical Services (MS-1) Drill was conducted forthe 10-mile Plume Exposure Pathway, Emergency Planning Zone (EPZ) around the Salem and Hope Creek.Nuclear Generating Station by the Department of Homeland Security (DHS), Federal Emergency Management Agency (FEMA) Region III. The most recent prior MS-1 Drill for this site was conducted on May 6, 2016.
The purpose of the Salem and Hope Creek Nuclear Generating Station (SHCNGS) MS-1 Drill was to assess the State and local offsite response organizations preparedness in responding to a radiological medical emergency. The Drill was held in accordance with FEMA's policies and guidance concerning the evaluation of State and local Radiological Emergency Response Plans (RERP) and procedures.
FEMA wishes to acknowledge the efforts of the many individuals in the Delaware Emergency Management Agency, Kent and New Castle County Emergency Management Agencies, Wilmington Hospital and the Smyrna-Clayton American Legion Station 64 Ambulance, who were evaluated during this Drill.
Protecting the public's health and safety is a full-time job of some of the Drill participants and an additional assigned responsibility for others. Still others have willingly sought this responsibility as volunteers providing vital emergency services twenty-four (24) hours a day to the communities in which they live. Cooperation and teamwork of all the participants was observed during this Drill.
This report contains the final evaluation of the MS-1 Drill. The State of Delaware and local organizations demonstrated knowledge of their emergency response plans and procedures and adequately implemented them. There were no Level 1 or Level 2 Findings or Plan Issues as a result of this Drill.
3
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station SECTION 1: EXERCISE OVERVIEW 1.1 Drill Details Drill Name Wilmington Hospital 2017 Medical Services Drill Type of Drill Medical Services Drill Date May 12, 2017 Program Department of Homeland Security/FEMA Radiological Emergency Preparedness Program Scenario Type Radioactive Contaminated/Injured Person 1.2 Planning Team Leadership Nicholas J. Buls Technological Hazards Program Specialist Federal Emergency Management Agency One Independence Mall 615 Chestnut Street Philadelphia, PA 19106 (202) 355-8134 nicholas.buls@fema.dhs.gov Wilbert Haye~, Planner Delaware Emergency Management Agency 165 Brick Store Landing Road Smyrna, DE 19977 (302) 659-2350 wilbert.hayes@state.de.us Sarah Davis, Planner Delaware Emergency Management Agency 165 Brick Store Landing Road Smyrna, DE 19977 (302) 659-2235 sarah.davisstate.de.us 4
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Tony Serratore, RN Hazrned Consulting 7249 W akeview Drive Davenport, FL 33896 (609) 440-7188 hazrned@comcast.net 1.3 Participating Organizations Salem and Hope Creek Nuclear Generating Station Agencies and organizations of the following jurisdictions participated in the SHCNGS Medical Services Drill:
State Jurisdictions Delaware Emergency Management Agency Risk Jurisdictions Kent County Emergency Management Agency New Castle County Emergency Management Agency Private Sector Organizations Wilmington Hospital Smyrna-Clayton American Legion Station 64 Ambulance 5
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station SECTION 2: DESIGN
SUMMARY
2.1 Purpose and Design On December 7, 1979, the President directed the Federal Emergency Management Agency (FEMA) to assume the lead responsibility for all off-site radiological planning and response.
FEMA's activities were conducted pursuant to 44 Code of Federal Regulations (CFR) Parts 350, 351and352. These regulations are a key element in the Radiological Emergency Preparedness (REP) Program that was established following the TMI accident in March 1979.
44 CFR 350 establishes the policies and procedures for 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 government participation. in joint exercises with licensees. FEMA's responsibilities in radiological emergency planning for fixed nuclear facilities include the following:
A. Taking the lead in offsite emergency planning and in the review and evaluation of radiological emergency response plans and procedures developed by State and local governments; B. 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; C. Responding to requests by the U.S. Nuclear Regulatory Commission (NRC) pursuant to the Memorandum of Understanding between the NRC and FEMA dated December 7, 2015 (Federal Register, Vol. 81, No. 57, March 24, 2016) and; D. Coordinating the activities of the following Federal agencies with responsibilities in the radiological emergency planning process:
- U.S. Department of Commerce
- U.S. Nuclear Regulatory Commission
- U.S. Environmental Protection Agency
- - U.S. Department of Energy
- U.S. Department of Health and Human Services
- U.S. Department of Transportation
- U.S. Department of Agriculture
- U.S. Department of the Interior
- U.S. Food and Drug Administration Representatives of these agencies serve on the Region III Regional Assistance Committee (RAC),
which is chaired by FEMA. A Radiological Emergency Preparedness MS-1 Drill was conducted on May 12, 2017, to assess the capabilities of State and local emergency preparedness organizations in implementing their radiological emergency response plans and procedures to 6
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station protect the public health and safety during a radiological emergency involving Salem and Hope Creek Nuclear Generating Station (SHCNGS).
The purpose of this After Action Report is to present the Drill results, and findings on the performance of the Off-site Response Organizations (OROs) dµring a simulated radiological emergency involving a contaminated injured individual.
The Drill was designed to demonstrate and evaluate the responder's knowledge of patient and responder personal protective measures, equipment preparation and employment, arid decontamination procedures. All activities were demonstrated in accordance with the participants' plans and procedures as they would be performed in an actual emergency, except as agreed to in the Exercise Plan and Extent-of-Play Agreement.
The findings presented in this report are based on the evaluations of the Federal evaluator team, with final determinations made by the FEMA Region III Regional Assistance Committee (RAC)
Chairperson and approved by FEMA Headquarters. These reports are provided to the NRC and participating States. State and local governments utilize the findings contained in these reports for the purposes of planning, training, and improving emergency response capabilities.
Section 1 of this report, entitled Overview, presents the Exercise Planning Team and the Participating Organizations.
Section 2 of this report, e:n,titled Design Summary, and includes the Purpose and Design, Objectives, Capabilities, and Activities, and the Scenario Summary.
Section 3 of this report entitled Analysis of Capabilities contains detailed Evaluation and Results; a Summary Results of Evaluation; and Criteria Evaluation Summary. Information on the demonstration for each jurisdiction or functional entity evaluated is presented in a jurisdiction-based, issue-only format.
Section 4 ofthis report entitled Conclusion, is a description ofFEMA's overall assessment of the capabilities of the participating organizations.
The criteria utilized in the FEMA evaluation process are contained in the following:
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; Radiological Emergency Preparedness Program Manual, January 2016 2.2 Objectives, Capabilities and Activities The SHCNGS MS-1 Drill evaluated by FEMA, was designed to demonstrate that the ORO can transport, transfer, monitor, decontaminate and treat a contaminated/injured person while minimizing any cross contamination during a radiological emergency.
7
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station The demonstration included the ability to:
A. Respond to a radiation medical emergency following Kent and New Castle County Emergency Management Agency, Wilmington Hospital, and Smyrna-Clayton American Legion Station 64 Ambulance procedures.
B. Monitor for radiation contamination and uptake, and to validate persons providing these services are adequately prepared to handle contaminated individuals.
C. Conduct timely and accurate communications between the hospital and offsite response agencies.
D. Exhibit correct priorities and appropriate techniques in Emergency Medical Services (EMS);
transportation of patients; and pre-hospital and hospital emergency care of radioactively contaminated patients.
E. Demonstrate inter-agency cooperation between the Ambulance Service/EMS and the hospital.
2.3 Scenario Summary A General Emergency has occurred at the Salem 1 Nuclear Generatmg Station with a release of radioactive materials. A field monitoring team member has been taking samples at another location and has brought them to Delaware Emergency Management Agency (DEMA)
Headquarters; 165 Brick Store Landing Rd. Smyrna, DE 19977. While exiting the vehicle, carrying a soil sample, he trips and falls, causing a laceration to the lower right anterior leg, with significant bleeding. He is contaminated from the soil sample. He calls for assistance, describes what happened, requests an ambulance.
The Kent County 911 Communications Center dispatches Smyrna-Clayton American Legion No.
64 Ambulance and Kent County Paramedics to the scene. As part of their normal procedures, t4.e 911 Communications Center also notifies Wilmington Medical Center to alert them about the arrival of an injured person with possible radiological contamination.
8 J
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station SECTION 3: ANALYSIS OF CAPABILITIES 3.1 Evaluation and Results Contained in this section are the results and findings of the evaluations of all jurisdictions and l.ocations that participated in the May 12, 2017 SHCNGS MS-1 Drill. The Drill was conducted to demonstrate the ability of the OR Os to respond to a potentially contaminated injured person associated with SHCNGS.
Each jurisdiction and functional entity was evaluated on the basis of its demonstration of the appropriate Demonstration Criteria contained in the REP Program Manual. Detailed information on the Demonstration Criteria and the Extent-of-Play Agreement are found in Appendix C.
The Drill was conducted and evaluated in accordance with the Radiological Emergency Preparedness Program Manual (January 2016) and NUREG-0654/FEMA-REP-1, Rev. 1. The Demonstration Criteria included:
1.e.1-Equipment, maps,_ displays, monitoring instruments, dosimetry, potassium iodide (KI) and other supplies are sufficient to support emergency operations.
3.a.1-The OROs issue 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. OROs maintain appropriate record-keeping of the administration of KI to emergency workers.
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.
3.2 Summary Results of Evaluation The matrix presented in Table 3.1, on the following pages, presents the status of the Demonstration Criteria from the REP Program Manual that were scheduled for demonstration during this Drill by all participating jurisdictions and functional entities. Drill Demonstration Criteria are listed by number and the demonstration status of the criteria is indicated by the use of.
the following letters:
(LI) Level 1 Finding: An observed or identified inadequacy of organizational performance in an exercise that could cause a determination that offsite emergency pryparedness is not adequate to provide reasonable assurance that appropriate protective measures can be taken in event of a radiological emergency to protect the health and safety of the public living in the vicinity of a Nuclear Power Plant (NPP).
(L2) Level 2 Finding: An observed or identified ini:tdequacy of organizational performance in an exercise that is not considered, by itself, to adversely impact public health and safety.
9
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station (P) Plan Issue: An observed or identified inadequacy in the off-site response organizations' emergency plan/implementing procedures, rather than that of the ORO's performance.
(N) Not Demonstrated: The term applied to the status of a REP Evaluation Area Criterion indicating that the ORO, for a justifiable reason, did not demonstrate the Evaluation Area Criterion, as required in the Extent-of-Play Agreement or at the two-year or eight-year interval required in the FEMA REP Program Manual.
(M) Met: The status of a REP 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 findings assessed in the current exercise and no ilnresolved prior findings.
10
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station Table 3.1 - Summary of Drill Evaluation Date: 2017-May-12 Site: Salem and Hope Creek Nuclear Generating Station (M) Met, (1) Level 1 Finding, (2) Level 2 Finding, (P) Planning Issue Mobilization Facilities Direction and Control M
Emergency Worker Ex osure Control Accident Assessment and Pars for the Emergency Event PAD decision-making process and coordination for the General Public P ADs for disabilities & access/functional needs eople Radiological Assessment & Decision making for the Ingestion Pathway Implementation of Emergency Worker Exposure Control M
Implementation of KIP AD for Institutionalized Individuals/Public Implementation of P ADs for disabilities & access/functional needs people Im lementation of PADS for Schools Implementation of Traffic and Access Control Impediments to Evacuation of Relocation/Reentry/Return Decisions RESERVED Field Team Management Plume Phase Field Measurement, Handling, & Analyses Post Plume Phase Field Measurements & Sampling
?JMil'.1trn~Ire,;'.Nt!~§fil19lliilli~:i?,µ~n~riJwiiii,~i'O$f:t:';~;~~~~~~~~~~;~;~~~;i~~~;;pJ~~~;:r-;;
Activation of the Prompt Alert & Notification System (ANS)
RESERVED Activation of the Back-up ANS Activation of the Exception Area ANS Monitoring, Decontamination, & Registration ofEvacuees Monitoring/Decontamination of Emergency Workers and Equipment Temporary Care of Evacuees Transportation/Treatment of Contaminated Injured Individuals M
11
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station 3.3 Criteria Evaluation Summaries 3.3.1 Private Organizations In summary, the status ofDHS/FEMA criteria for the Private Sector Organizations are as follows:
3.3.1.l New Castle County, Wilmington Hospital
- a. MET: l.e.l; 3.a.l; 6.d.l
- b. LEVEL 1 FINDINGS: NONE
- c. LEVEL 2 FINDINGS: NONE
- d. PLAN ISSUES: NONE
- e. PRJOR ISSUES - RESOLVED: NONE
- f.
PRJOR ISSUES - UNRESOLVED: NONE 3.3.1.2 Kent County, Smyrna-Clayton American Legion Station 64 Ambulance
- a. MET: l.e.l; 3.a.l; fr.d.l
- b. LEVEL 1 FINDINGS: NONE
- c. LEVEL 2 FINDINGS: NONE
- d. PLAN ISSUES: NONE
- e. PRJOR ISSUES - RESOLVED: NONE
- f.
PRJOR ISSUES - UNRESOLVED: NONE 12
/
Unclassified Radiological Emergency Preparedness Program (REPP)
Mter Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station SECTION 4: CONCLUSION The State of Delaware and private sector organizations, except where noted in this report, demonstrated knowledge of their radiological emergency response plans and procedures and they were successfully implemented during the Salem and Hope Creek Nuclear Generating Station MS-1 Drill evaluated on May 12, 2017.
Two FEMA evaluators provided analyses of six evaluation criteria. These analyses resulted in a determination of no Findings, no new Plan Issues, and no unresolved Plan Issues.
The Smyrna-Clayton American Legion Station 64 Ambulance (SCALS64A) successfully demonstrated that ne*cessary equipment and supplies were available to support the treatment of an injured/contaminated patient. EMS personnel prioritized life-saving medical practices over contammation concerns, implemented protective measures through the use of Personal Protective Equipment, regular glove changes, and control of cross contamination. Appropriate patient assessments were demonstrated as well as regular and ongoing communications with Wilmington Hospital.
The Wilmington Hospital successfully demonstrated the mobilization of staff, staffing assignments, issue of dosimetry and monitoring equipment, and effective use of Personal Protective Equipment during the exercise. The hospital staff effectively responded to communications from the SCALS64A, initiated the set-up and management of a Radiation Emergency Area, and accepted and successfully treated an injured/contaminated patient while administering life-saving medical attention over contamination concerns. In addition, the medical facility provided security control of the facility including the drop off bay for the patient and overall protective measures for contamination control and prevention of cross contamination.
Based on the results of the Drill and a review of the offsite radiological emergency response plans and procedures submitted, FEMA Region III has determined they are adequate (meet the planning and preparedness standards ofNUREG-0654/FEMA-REP-1, Revision 1., November 1980, as referenced in 44 CFR 350.5) and there is reasonable assurance they can be implemented, as demonstrated during this Drill.
An Improvement Plan (IP) will not be developed as part of this report.
13
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station APPENDIX A: EVALUATORS AND TEAM LEADERS The following is the list of Evaluators and Team Leader for the Salem and Hope Creek Nuclear Generating Station 2017 MS-1 Drill evaluated on May 12, 2017. The following constitutes the managing staff for the Evaluation:
- Thomas Scardino,.DHS/FEMA, Regional Assistance Committee Chairman, Acting Federal Preparedness Coordinator
- Nicholas Buis, DHS/FEMA, Technological Hazards Program Specialist/Site Specialist
- John Price, DHS/FEMA, Acting Technological Hazards Branch Chief/RAC Chair, Lead Evaluator DATE: May 12, 2017 SITE: Salem and Hope Creek Nuclear Generating Station Wilmington Hospital Smyrna-Clayton American Legion Station 64 Ambulance 14 John Price Nicholas Buis FEMARIII FEMARIII
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station APPENDIX B: ACRONYMS AND ABBREVIATIONS DEMA Delaware Emergency Management Agency DHS De artment of Homeland Securi EMS Emergency Medical Services EMT Emergency Medical Technician EPZ Emergency Planning Zone.
FEMA Federal Emergency Management Agency IP Im rovement Plan KCEMA Kent County Emergency Management Agency MS-1 Medical Services NCC EMA New Castle County Emergency Management Agency NPP Nuclear Power Plant NRC Nuclear Regulatory Commission ORO Offsite Res onse Organization RAC Regional Assistance Committee REP Radiological Emergency Pre aredness SCALS64 Smyrna-Clayton American Legion Station 64 Ambulance SHCNGS Salem and Ho e Creek Nuclear Generating Station WH 15
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station APPENDIX C: EXERCISE SCENARIO The Exercise Scenario was drafted by the Delaware Emergency Management Agency and is included in this Report as an Appendix.
The Exercise Scenario was created as an overall tool for facilitation and implementation of the SHCNGS MS-1 Drill and to integrate the concepts and policies of the Homeland Security Exercise Evaluation Program with the Radiological Emergency Preparedness Program Exercise Methodology.
"~'
16
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station I.
RADIOLOGICAL EMERGENCY MS-1 EXERCISE SCENARIO Date:
Time:
Responder Location Hospital Location:
Injury /Illness:
May 12, 2017 0900 Start time DEMA Headquarters 165 Brick Store Landing Rd.
Smyrna, DE 19977 Wilmington Medical Center, Christiana Health Care Services Laceration Anterior Rig ht Lower Leg II.
Purpose A.
To exercise the emergency medical response of Kent County Division of Emergency Medical Services Paramedics, Smyrna American Legion No. 64 Ambulance, and the Christiana Health Care Services, Wilmington Medical Center Emergency Services.
B.
To comply with FEMA Guidance Memorandum MS-1.
Ill.
Objectives A.
Demonstrate the ability to respond to a radiation medical emergency following the procedures of Kent County Division of Emergency Medical Services Paramedics, Smyrna American Legion No. 64 Ambulance, and the Christiana Health Care Services, Wilmington Medical Center Emergency Services.
B.
Demonstrate timely and accurate communications between the hospital and off-site response agencies. (Telephones will be used in lieu of radios whenever possible to limit the potential misinterpretation of the drill as an actual event.)
C.
Demonstrate the assessment and documentation of radiological conditions during the simulated accident.
D.
Demonstrate correct priorities and appropriate techniques in EMS, transportation of patients and pre-hospital and hospital Emergency care of radioactively contaminated patients E.
Demonstrate inter-agency cooperation between Kent County, EMS, and the Hospital.
17
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO IV.
Scenario A
General Emergency has occurred at the Salem 1 Nuclear Generating Station with a release of radioactive materials. A field monitoring team member has been, taking samples at another location and has brought them to DEMA Headquarters 165 Brick Store Landing Rd. Smyrna, DE 19977. While exiting the vehicle, carrying a soil sample, he/she trips and falls, causing a laceration to the lower right anterior leg, with significant bleeding. He/She is contaminated from the soil sample. He/She calls for assistance, (INSERT MESSAGE 1) describes what happened, requests an ambulance.
The KC 911 Communications Center dispatches Smyrna American Legion No. 64 Ambulance and Kent County Paramedics to the scene. As part of their normal procedures, the 911 Communications Center also notifies Wilmington Medical*
Center to alert them about the arrival of an injured person with possible radiological contamination (INSERT MESSAGE 2).
Immediately after the EMS arrives at the meeting point, the victim tells the EMS team what has happened. The EMS team performs medical assessment (INSERT MESSAGE 3). The EMS team may perform radiation surveillance (INSERT MESSAGE 4). During the trip to the Christiana Hospital, the EMS team checks the patient's vital signs (INSERT MESSAGE 5).
Upon arrival at the Wilmington Medical Center, the medical team will meet the EMS team at the exterior entrance to the decontamination unit. The hospital medical team will assess the patient's condition (INSERT MESSAGE 6). The patient is
- transferred from the EMS. stretcher to one of the hospital stretchers using contamination controls.
The medical team surveys the victim for radiological contamination (INSERT MESSAGE 7).
The hospital medical team re-survey~ the victim after the first decontamination procedure on the patient (INSERT MESSAGE 8).
The hospital medical team re-surveys the victim after second decontamination procedure on the patient (INSERT MESSAGE 9).
After third decontamination procedure on the patient, the medical team will have successfully removed surface contamination (INSERT MESSAGE 10).
Post-medical treatment vital signs (INSERT MESSAGE 11 ).
EMS crews, equipment, and ambulance are surveyed by Hospital RSO (Insert Message 12) 18
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO V.
Participants A.
Victim:
B.
Transport:
C.
Hospital:
VI.
Controllers A volunteer will act as the injured accident victim, and will make the calls for assistance.
Smyrna American Legion No. 64 Ambulance and KC Paramedics Christiana Health Care Services, Wilmington Medical Center.
A.
Initiation Scene:
Tony Serratore, RN, Haz/Med, PSEG & DEMA B.
Kent County 911 Communications Center:
To Be Determined C.
Hospital:
Tony Serratore, RN, Haz/Med, PSEG & DEMA 19
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station CONTROLLER MESSAGES Initiating Event or Time Location Issued By Issued To 1
Victim calls NCC 911 DEMA Controller Victim Headquarters 2
After dispatching ambulance Kent County Controller 911 911/ EOC Dispatcher 3
Initial patient medical assessment DEMA Haz/Med EMS by ambulance team Headquarters 4
Radiation surveillance of patient by DEMA Haz/Med EMS ambulance team Headquarters 5
Transportation in ambulance Ambulance Haz/Med EMS 6
Patient's initial medical assessment Hospital REA Haz/Med Hospital Team by hospital 7
Patient's initial radiation survey by Hospital REA Haz/Med Hospital Team hospital team 8
After first decontamination effort Hospital REA Haz/Med Hospital Team 9
After second decontamination effort Hospital REA Haz/Med Hospital Team 10 After third decontamination effort Hospital REA Haz/Med Hospital Team 11 Post-Medical treatment Hospital REA Haz/Med Hospital Team 12 EMS Post Surveys Hospital REA Haz/Med Hospital RSO 20
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO MESSAGE 1 DATE:
May 12, 2017 EVENT:
The Victim calls KC 911 LOCATION:
DEMA Headquarters Accident Scene
. ISSUED BY:
Scene Controller ISSUED TO:
Victim Call instead of 911. This is the administrative line to the KC 911 Section.
READ:
"This message is part of the medical services drill. I repeat, this is a drill. Message as follows: " I have been injured and may be radioactively contaminated. My right leg is lacerated and I am bleeding. Could you please send an ambulance immediately to the DEMA Headquarters 165 Brick Store Landing R, Smyrna, DE 19977 "This is a drill."
Note: If asked the victim will say that they do not know what the contaminant is, but it may be radioactive.
/
21
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO MESSAGE 2 DATE:
f\\(lay 12, 2017 EVENT:
Immediately after dispatching ambulances from the Smyrna American Legion No 64 Ambulance, and KC Paramedics LOCATION:
Kent County 911 Center ISSUED BY:
Kent County Communications Center Controller.
ISSUED TO:
911 Dispatcher (Telephone call from KC 911 Communications Center to the Wilmington Medical Center Emergency Department.)
For the Wilmington Medical Center Emergency Department "PASC will follow their standard operating procedures for notifying the hospital."
READ:
"This message is part of the medical services drill. Repeat, this is a drill. Message follows: A victim has been injured and may be radioactively contaminated. He/she has a laceration to the lower right leg with significant bleeding. Smyrna American Legion no 64 Ambulance and Kent County Paramedics will be transporting this patient to you once his/her condition is assessed and stabilized. This is a drill."
22
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO MESSAGE 3 DATE:
May 12, 2017 EVENT:
Upon medical assessment of patient.
LOCATION:
. Accident Scene ISSUED BY:
Scene Controller, Tony Serratore, RN, Haz/Med ISSUED TO:
EMS Team CONTROLLER NOTE:
. DO NOT GIVE THIS SHEET TO THE MEDICAL TEAM.
VITAL SIGNS INSTEAD, GIVE THEM THE VITAL SIGNS AS THEY ARE TAKEN.
PATIENT Awake~ Alert, & Oriented X3, CO 8/10 Pain Right lower leg, Pulse 100 and regular Respirations 20, Clear Bilaterally Blood Pressure 100/70 Skin Pale, cool, diaphoretic Injuries Patient has a 4 inch laceration to the anterior lower right leg with significant bleeding.
23
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO MESSAGE 4 DATE:
May 12, 2017 EVENT:
Upon performance of radiation surveillance of the patient and area.
LOCATION:
Victim is moved out of the Hot Zone accident area and surveyed ISSUED BY:
Scene Controller Tony Serratore, RN, Haz/Med ISSUED TO:
EMS Team CONTROLLER NOTE:
DO NOT GIVE THIS SHEET TO THE MEDICAL TEAM.
INSTEAD, GIVE THEM THE SURVEY RESULTS AS THEY ARE TAKEN.
RADIATION SURVEY RESULTS:
Right Anertior lower leg 7,000 cpm Remainder of Clothes
Background
NOTES:
All surveys should be performed with a Count Rate Meter with a GM Pancake probe. (Ludlum # 26, model # 3, or equivalent)
If asked the victim will say they do not know the isotope involved.
The only contamination is 7,000 cpm where the victim was laying at the accident scene.
24
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO MESSAGE 5 DATE:
May 12, 2017 EVENT:
During transportation in ambulance LOCAT.ION:
Ambulance ISSUED BY:
Controller, Tony Serratore, RN, Haz/Med ISSUED TO:
EMS Team CONTROLLER NOTE:
DO NOT GIVE THIS SHEET TO THE MEDICAL TEAM.
INSTEAD. GIVE THEM THE VITAL SIGNS AS THEY ARE TAKEN.
VITAL SIGNS:
PATIENT AA&O x3 C/O 8/10 Pain Anterior lower Right leg Pulse 110 Respirations 20 Blood Pressure 11ono Skin Unchanged Other 4 inch Laceration with significant bleeding.
NOTE:
If not properly wrapped, the victim will spread contamination.to the ambulance. (Max 4,000 cpm where cross-contamination is observed by controller. Retain this information and communicate the location(s) to the surveyor at the appropriate time.
25
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO MESSAGE 6 DATE:
May 12, 2017 EVENT:
Patient's initial medical assessment by hospital medical team LOCATION:
Hospital designated Radiation Emergency Area (REA)
ISSUED BY:
Hospital Controller, Tony Serratore, RN, Haz/Med ISSUED TO:
Hospital Medical Team CONTROLLER NOTE:
DO NOT GIVE THIS SHEET TO THE MEDICAL TEAM. INSTEAD, GIVE THEM THE VITAL SIGNS AS THEY ARE TAKEN.
VITAL SIGNS:
PATIENT Awake, Alert, &Oriented x3 Patient C/O 8/10 pain Anterior Right lower leg Pulse Respirations Blood Pressure Skin Other 112 20 110/70 Pale, cool, diaphoretic Anxious, worried about radiation contamination. Pain Right lower leg, with significant bleeding..
26
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO MESSAGE 7 DATE:
May 12, 2017 EVENT:
Monitoring patient for radiation contamination - upon arrival at the hospital Radiation Emergency Area (REA).
LOCATION:
Hospital REA Reception Area ISSUED BY:
Hospital Controller, Tony Serratore, RN, Haz/Med ISSUED TO:
Hospital Medical Team.
CONTROLLER NOTE:
DO NOT GIVE THIS SHEET TO THE MEDICAL TEAM.
INSTEAD, GIVE THEM THE SURVEY RESULTS AS THEY ARE TAKEN.
RADIATION SURVEY RESULTS:
Left Ankle Clothing Ambulance Stretcher/Feet
- See notes below 7,000 cpm Removed Background*
Background*
NOTES:
All surveys should be performed with a Count Rate Meter with a GM Pancake prob.e. (Ludlum # 26, # 3 or equivalent)
If asked the victim will say they do not know the isotope involved.
Contamination limited to the anterior of both thighs if proper contamination controls employed by the ambulance crew. If proper contamination controls were not maintained the ambulance, stretcher and other parts of the patient can be reported as 4,000 cpm.
27
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO MESSAGE 8 DATE:
May 12, 2017 EVENT:
Monitoring patient for radiation contamination - after first decontamination effort.
LOCATION:
Hospital REA ISSUED BY:
Hospital Controller, Tony Serratore, RN, Haz/Med ISSUED TO:
Hospital Medical Team CONTROLLER NOTE:
RADIATION SURVEY RESULTS:
DO NOT GIVE THIS SHEET TO THE MEDICAL TEAM. INSTEAD, GIVE THEM THE SURVEY RESULTS AS THEY ARE TAKEN.
Clothing Removed Right anterior lower leg 1000 cpm Remainder of Body Background*
- See note below NOTES:
All surveys should be performed with a Count Rate Meter with a GM Pancake probe. (Ludlum # 26, # 3 or equivalent)
If proper contamination controls were not maintained report cross-contaminated areas as 2,000 cpm.
28
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO MESSAGE 9 DATE:
May 12, 2017 EVENT:
Monitoring patient for radiation contamination - after second
- decontamination effort LOCATION:
Hospital REA ISSUED BY:
Hospital Controller, Tony Serratore, RN, Haz/Med ISSUED TO:
Hospital Medical Team CONTROLLER NOTE:
RADIATION SURVEY RESULTS:
DO NOT GIVE THIS SHEET TO THE MEDICAL TEAM. INSTEAD, GIVE THEM SURVEY RESULTS SIGNS AS THEY ARE TAKEN.
Anterior lower left leg 500 cpm All Other Areas Background*
- See note below NOTES:
All surveys should be performed with a Count Rate Meter with a GM Pancake probe. (Ludlum # 26, # 3 or equivalent)
If proper contamination controls were not maintained report cross-contaminated areas as 500 cpm.
29
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO MESSAGE10 DATE:
May 12, 2017 EVENT:
Monitoring patient for radiation contamination - after third decontamination effort.
LOCATION:
Hospital REA ISSUED BY:
Hospital Controller, Tony Serratore, RN, Haz/Med ISSUED TO:
- Hospital Medical Team L_ ___
CONTROLLER NOTE:
DO NOT GIVE THIS SHEET TO THE MEDICAL
- TEAM. INSTEAD, GIVE THEM THE SURVEY RESULTS AS THEY ARE TAKEN.
RADIATION SURVEY RESULTS:
All Areas
Background
NOTES:
All surveys should be performed with a Count Rate Meter with a GM Pancakff probe. (Ludlum # 26, # 3 or equivalent) 30
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO MESSAGE 11 DATE:
May 12, 2017 EVENT:
Post-Medical Treatment LOCATION:
Hospital REA ISSUED BY:
Hospital Controller, Tony Serratore, RN, Haz/Med Consultants ISSUED TO:
Hospital Medical Team CONTROLLER NOTE:
DO NOT GIVE THIS SHEET TO THE MEDICAL TEAM. INSTEAD, GIVE THEM THE VITAL SIGNS AS THEY VITAL SIGNS:
AA&O x3 Pulse Respirations Blood Pressure Skin Other ARE TAKEN.
PATIENT Pain is controlled 80, and regular 16, CTA 118/76 Warm, dry, normal color X-rays are negative for fracture. Wound closure is provided in a clean environment.
31
Unclassified Radiological Emergency Preparedness Program (REPP)
After Action Report/Improvement Plan Salem and Hope Creek Nuclear Generating Station RADIATION EMERGENCY MS-1 EXERCISE SCENARIO MESSAGE 12 EMS POST SURVEYS DATE:
May 12, 2017 EVENT:
Upon performance of radiation surveillance of the EMS crews, equipment and ambulance.
LOCATION:
Hospital Ambulance Arrival Area ISSUED BY:
Scene Controller Tony Serratore, RN, Haz/Med ISSUED TO:
EMS Team/ Hospital RSO CONTROLLER NOTE:
DO NOT GIVE THIS SHEET TO THE MEDICAL TEAM.
INSTEAD, GIVE THEM THE SURVEY RESULTS AS THEY ARE TAKEN.
RADIATION SURVEY RESULTS:
Surveys of all EMS crews, equipment and ambulance: Background Remainder of Clothes
Background
NOTES:
All surveys should be performed with a Count Rate Meter with a GM Pancake probe. (Ludlum # 26, model # 3, or equivalent)
. If proper contamination controls were not maintained report cross-contaminated areas may be reported as 4,000 cpm If all areas are background, the EMS crews may be released for service.
IF CONTAMINATION IS FOUND ON EMS CREWS, THEIR EQUIPMENT, OR AMBULANCES, THEY WILL BE SENT TO THE MIDDLETOWN FIRE SUBSTATION# 1 FOR DECONTAMINATION.
32
..