ML17300A945
| ML17300A945 | |
| Person / Time | |
|---|---|
| Site: | Palo Verde  |
| Issue date: | 06/24/1987 |
| From: | Haynes J ARIZONA PUBLIC SERVICE CO. (FORMERLY ARIZONA NUCLEAR |
| To: | NRC OFFICE OF ADMINISTRATION & RESOURCES MANAGEMENT (ARM) |
| References | |
| 161-00313-JGH-J, 161-313-JGH-J, IEB-86-098, IEB-86-98, NUDOCS 8706300986 | |
| Download: ML17300A945 (24) | |
Text
SUBJECT:
Foreards v'esponse to IE Bulletin 86-098', "Offsite Medical, Svc" 5 Guidance Memorandum MS-i> "Medical Svcs.
DISTRIBUTIQN CODE:
IE35D COPIES RECEIVED: LTR g ENCL, +;. SIZE:
TITLE:
Emev gencq Pv eparedness-Apprai sal/Conf iv mat'ov g Action Ltv /Exev cise Rep I
NOTES: Standardi zed plant. N. Davis i NRR: 1Cg.
Standardi zed p lant. N. Davis'RR: 1Cg.
Standardized plant. M. Davisi NRR: 1Cg.
05000528 05000529 05000530 REGULA Y INFORMATION DISTRIBUTIO YSTEN (RIDS)
ACCESSION NBR: 8706300986 DQC. DATE: 87/06/24 NQTARI2ED:
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.Av i zona -Publi 05000530 AUTH. NAME AUTHOR AFFILIATION HAYNES'. G.
Arizona Nucleav Power Pv object (Formerly Arizona Public Sev v RECIP. NAME RECIPIENT AFFlLIATIQN Document Contv ol.Branch (Document Contv'ol Desk)
REC IP IENT ID CODE/NAME PD5 LA LICITRAz E INTERNAL: ARM/DAF/LFMB NRR/PMAS/ILRB RQN5 FILE 01 EXTERNAL:
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Arizona Nuclear Power Project P.o. BOX 52034
~
PHOENIX. ARIZONA85072-2034 June 24, 1987 161-00313-JGH/JBK U. S. Nuclear Regulatory Commission Document Control Desk Washington, DC 20555
Subject:
Palo Verde Nuclear Generating Station (PVNGS)
Units 1, 2 and 3
Docket Nos.
STN 50-528 (License NPF-41) 50-529 (License NPF-51) 50-530 (License NPF-65)
NRC IE Information Notice No. 86-98:
Offsite Medical Services File:
87-055-026
References:
(A)
Letter from U.S.
NRC to ANPP
(
Subject:
Offsite Medical
- Services, dated June 1, 1987).
(B)
Letter from Arizona Division of Emergency Services to ANPP (dated June 12, 1987).
'he subject Information Notice and Guidance Memorandum MS-1 described new NRC policy for 10 CFR 50.47(b)(1),
50.47(b)(12),
50.47(b)(14) and 50.47(b)(15) which ANPP is required to comply with no later than August 13, 1987.
Additionally, ANPP is required to conduct a
Medical Emergency Drill in accordance with 10 CFR 50.47(b)(14)
FEMA guidance/criteria.
Reference (A) requested ANPP to provide a brief report on the status of the offsite plans for Palo Verde to meet the new NRC policy.
Reference (B) states ANPP procedures for evacuation to a medical facility and procedures for emergency treatment were demonstrated in accordance with the State plan and meet the criteria of FEMA Guidance Memorandum MS-1, "Medical Services."
- Also, FEMA evaluated the treatment of a simulated, contaminated injured patient during the exercise conducted on May 11, 1983.
The evaluator's report is stated in the
Medical Emergency Drill in accordance with 10 CFR 50.47(b)(14)
FEMA guidance/criteria.
The Attachment provides a brief response for each Planning Standard Evaluation Criterion which is contained. in Guidance Memorandum MS-l, "Medical Services."
If you have any questions or need additional information, please do not hesitate to call.
Very truly yours, 8706300985 85000gg8 7OS24 pDR IIIIDOCH, 0 pDR 8
JGH/JBK/dim.
Attachment J.
G. Haynes Vice President Nuclear Production rp<
hi 1
U.
S.
NRC Document Control Desk NRC IE Information Notice No. 86-98:
Offsite Medical Services 161- 00312 Page 2
cc:
- 0. M. De Michele E. E.
Van Brunt, Jr.
R. P.
Zimmerman M. J. Davis E. A. Licitra J.
B. Martin A. C. Gehr J.
S. Kyle (all w/a)
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Attachment to 161-00312 ATTACHMENT ANPP RESPONSE TO GM MS-1
0
Attachment to 161-00312 STANDARDS EVALUATIONS CRITERIA AREAS OP REVIES AND ACCEPTANCE CRITERIA A.
Assi nment of Res onsibilit (Or anization Control)
Plannin Standard 10 CFR 50.47(b)(1)
Primary responsibilities for emergency response 'by the nuclear facility
- licensee, and by State and. local organizations within the Emergency Planning Zones have been assigned, the emergency responsibilities of the various supporting organizations have been specifically established, and each principal response organization has staff to respond and to augment its initial response on a continuous basis.
A.3.
Evaluation Criterion Each plan shall include written agreements referring to the concept of operations developed between
- Pederal, State, and local agencies and other support organizations having an emergency response role within the Emergency Planning Zones.
The agreements shall identify the emergency measures to be provided and the mutually acceptable criteria for their implementation, and specify the arrangements for exchange of information.
These agreements may be provided in an appendix to the plan or the plan itself may contain descriptions of these matters and a signature page in the plan may serve to verify the agreements.
The signature page format is appropriate for organizations where response functions are covered by
- laws, regulations or executive orders where separate written agreements are not necessary.
Areas for Review and Acce tance Criteria State or local government should obtain written agreements with the listed medical facilities (Planning Standard L. Evaluation Criteria 1
and 3) and transportation providers (Planning Standard L.
Evaluation Criterion 4).
The written agreements should contain simple assurances that the providers have adequate technical information (e.g.,
treatment protocols) and treatment capabilities for handling "contaminated injured" individuals.
An indication of Joint Commission on Accreditation of Hospitals (JCAH) accreditation will suffice for each assurance.
(Note:
Veterans Administration (VA), military and other government hospitals are not usually accredited by JCAH but usually have the desired capabilities.)
If state or local governments do not obtain written agreements, the licensee should obtain written agreement with the listed medical facilities and transportation providers.
If good faith efforts are not successful in a particular case, the licensee shall provide or arrange for adequate compensatory
- measures, e.g.,
obtain written agreements with other providers or provide temporary field medical care.
0
'\\
Attachment to 161-00312 ANPP Res onse Letters of agreements between APS and the primary and backup hospitals (Maryvale Samaritan and Good Samaritan respectively) are included in the PVNGS Emergency
- Plan, Appendix A
(Agreement Letters).
Also, lists developed by the State are included in the Fixed Nuclear Offsite Emergency
Response
- Plan, Annex D, Appendix 10.
These lists include both hosptials and ambulance services with a description of the facility and transportation resources to support contaminated patients.
I l
Attachment to 161-00312 L.
Medical and Public Health Su ort Plannin Standard 10 CPR 50.47(b)(12)
Arrangements are made for 'medical services for contaminated injured individuals.
L.l.
Evaluation Criterion Each organization shall arrange for local and backup hospital and medical services having the capability for evaluation of radiation exposure and
- uptake, including assurance that persons providing these services are adequately prepared to handle contaminated individuals.
Areas for Review and Acce tance Criteria There should be one primary local hospital and one backup hospital for each site for the evaluation and emergency treatment of "contamination injured" members of the general public.
Hospitals are generally distributed proportional to the population.
Thus, at sites with low population and few hospitals, the primary local and backup hospitals for members of the general public could be the same as those for the utility employees and emergency workers.
ANPP Res onse Letters of agreements between APS and the primary and backup hospitals (Maryvale Samaritan and Good Samaritan, respectively) are included in the PVNGS Emergency Plan, Appendix A (Agreement Letters).
0 t
Attachment to 161-00312 L.
Medical and Public Health Su ort Plannin Standard 10 CFR 50.47(b)(12)
Arrangements are made for medical services for contaminated ingured individuals.
L.3.
Evaluation Criterion Each State shall develop lists indicating the location of public, private and military hospitals and other emergency medical services facilities within the State or contiguous States considered capable of providing medical support for any contaminated ingured individual.
The listing shall include the name, location, type of facility and capacity and any special radiological capabilities.
These emergency medical services should be able to radiologically monitor
,contaminated personnel, and have facilities and trained personnel able to care for contaminated injured persons.
Areas for Review and Acce tance Criteria The lists should be annotated to indicate the ambulatory/
non-ambulatory capacities for providing medical support for "contaminated injured" members of the general public and any special radiological capabilities.
This will enable state and local officials to direct members of the general public to those institutions capable of handling "contaminated injured" patients.
In the event that local and regional medical resources need to be supplemented, additional medical resources would be available through the Federal Radiological Emergency
Response
Plan.
These reources would include the Radiation Emergency Assistance Center/
Training Site at Oak Ridge, Tennessee and the National Disaster Medical System with headquarters in Rockville, Maryland.
ANPP Res onse Lists developed by the State are included in the Fixed Nuclear Facility Offsite Emergency
Response
- Plan, Annex D,
Appendix 10.
These lists include. both hospitals and ambulance services with a description of the facility and transportation resources to support contaminated patients.
l
't t
0
Attachment to 161- 00312 L.
Medical and Public Health Su ort Plannin Standard 10 CFR 50-47(b)(12)
Arrangements are made for medical services for contaminated injured individuals.
L.4.
Evaluation Criterion Each organization shall arrange for transporting victims of radiological accidents to medical support facilities.
Areas for Review and Acce tance Criteria Because the early symptoms of persons exposed to dangerous levels of radiation are usually limited to nausea and vomiting, ambulances may not be required to transport such persons to medical facilities.
- Rather, non-specialized public and private vehicles can be used, supported, if necessary, with agreements in accordance with A.3.
above.
For other types of contaminated injured individuals, specialized transportation resources (e.g.,
ambulances) would be necessary and should be assured by agreements, if necessary, in accordance with A.3. above.
Provisions should be made for the use of contamination control in transporting contaminated persons to medical facilities.
ANPP Res onse An agreement between Samaritan AirEvac and APS has been executed and will be included in the PVNGS Emergency
- Plan, Appendix A (Agreement Letters) at the next annual revision of the Plan.
All specialized ground transportation required will be provided by the onsite ambulances.
Attachment to 161- 00312 O.
Radiolo ical Emer emc Res onse Trainin Plannin Standard - 10 CFR 50.47(b)(15)
'r Radiological emergency response training is provided to those who may be called on to assist in an emergency.
0.4.
Evaluation Criterion Each organization shall establish a
training program for instructing and qualifying personnel who will implement radiological emergency response plans.
The specialized initial training and periodic retraining programs (including the
- scope, nature and frequency) shall be provided in the following categories:
h.
Medical support personnel Areas for Review and Acce tance Criteria Each hopsital listed under Evaluation Criteria L.l and L.3. shall have at least one physician and one nurse on call within about 2
hours who can supervise the evaluation and treatmen tof radiologically "contaminated injured" members of the general public.
There are several sources for this training including NRC licensee sponsored training.
Transportation providers should have basic training in contamination control.
Examples include but are not limited to:
1.
- handbook, videotape, slides and instruction manual titled "Hospital Emergency Department Management of Radiation Accidents,"
SM 80/1984.
2.
Courses from The Radiation Emergency Assistance Center/
Training Site (REAC/TS) at Oak Ridge Associated Universities.
Audiocassette and text
- course, "Radiation Accident Preparedness:
Medical and Managerial Aspects" by Science-Thru-Media Inc.,
303 Fifth Avenue, Suite
- 803, New York, NY 10016.
ANPP Res'nse ANPP provides annual training/retraining for the primary and backup hospitals, AirEvac personnel, and onsite medical emergency response personnel.
The training's performed according to ANPP Procedure No.
8N718.04.00 (Rev.
4)
(Emergency Plan Training) and No. 8I718.04.01 (Rev.
0)
(Emergency Planning Offsite Training Department Instruction).
All shifts of emergency response personnel for the hospitals are offered training to handle contaminated injuries.
'l
Attachment to 00312 N.
Exercises and Drills Plannin Standard 10 CFR 50.47(b)(19)
Periodic exercises are (will be) conducted to evaluate ma)or portions of emergency response capabilities, periodic drills are (will be) condcuted to develop and maintain key skills, and deficiencies identifed as a
result of exercises or drills are (will be) corrected.
N.2.
Evaluation Criterion A drill is a
supervised instruction period aimed at
- testing, developing and maintaining skills in a particular operation.
A drill is often a
component of an exercise.
A drill shall be supervised and evaluated by a qualified drill instructor.
Each organization shall conduct drills, in addition to the biennial exercise at the frequencies indicated below:
c.
Medical emergency drills A
medical emergency drill involving a
simulated contaminated individual which contains provisions for participation by the local support services agencies (i.e.,
ambulance and offsite medical treatment facilitY) shall be conducted annually.
The offsite portions of the medical drill may be performed as part of the required biennial exericse.
Areas for Review and Acce tance Criteria Both hospitals and AirEvac are drilled annually on the capability to respond to a contaminated injury according to ANPP Procedure No.
7N409.08.00 (Rev.
2)
(Emergency Preparedness Drills).
The relocation centers are also drilled annually on the capability to provide
- care, either directly or indirectly, for individuals temporarily displaced by emergency conditions at Palo Verde.
This care would include directing injured persons with possible or actual contamination to the appropriate medical facilities if necessary.
ANPP Res onse Both hospitals and AirEvac are drilled annually on the capability to
, respond to a
contaminated ingury according to ANPP Procedure No.
7N409.08.00 (Rev.
2)
(Emergency Preparedness Drills).
The relocation centers are also drilled annually on the capability to provide
- care, either directly or indirectly, for individuals temporarily displaced by emergency conditions at Palo Verde.
This care would include directing injured persons with possible or actual contamination to the appropriate medical facilities if necessary.
ll I
Attachment to 161- 00312 Im lementation State and local emergency response plans should reflect the provisions of this GM at the next annual update following 9 months from the effective date of this GM.
Plans for plants that do not have a full power operating license should reflect the provisions of this GM within 9 months of the effective date of this GM.
The first medical drill reflecting the provisions of this GM should be conducted by the end of the next biennial-exercise following 1 year from the effective date of this GM.
ANPP Res onse The APS/Samaritan AirEvac agreement will be included 'in the next annual revision of the Emergency Plan.
Medical drills including AirEvac, Maryvale Samaritan
- Hospital, and Good Samaritan Medical center are scheduled for completion by December 1987.
In addition, drills:
PVNGS has successfully completed the following medical April 27, 1983 May 11, 1983 July 20, 1983 September 5, 1984 September 26, 1984 May 7, 1985 September ll, 1985 October 2, 1985 May 21, 1986 December 10, 1986
I I