ML18260A088

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FEMA - Waterford, Unit 3, After Action Report/Improvement Plan Radiological Emergency Preparedness Drill Date on 07/26/2018
ML18260A088
Person / Time
Site: Waterford 
Issue date: 09/07/2018
From:
US Dept of Homeland Security, Federal Emergency Management Agency
To:
Office of Nuclear Reactor Regulation
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Download: ML18260A088 (26)
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Waterford 3 Steam Electric Station After Action Report/

Improvement Plan Drill Date - July 26, 2018 Radiological Emergency Preparedness (REP) Program Published: September 7, 2018

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station This page is intentionally blank.

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I Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Table of Contents Page Contents Executive Summary.......... _................................................................................................................. 4 Section 1: Exercise Overview........................................................................................................... 5 1.1 Exercise Details....................................................................................................... 5 1.2 Exercise Planning Team Leadership........................................................................ 5 1.3 Participating Organizations.......................................................................................... 6 Section 2: Exercise Design Summary................................................................................................ 7 2.1 Exercise Purpose and Design................................................................................... 7 2.2 Exercise Objectives, Capabilities, and Activities..................................................... 7 2.3 Scenario Summary.. :................................................................................................ 7 Section 3: Analysis of Capabilities.................................................................................................... 8 3.1 Exercise Evaluation and Results.............................................................................. 8 3.2 Summary Results of Drill Evaluation......................................................................... 9 3.3 Criteria Evaluation Summaries.............................................................................. 10 3.3.1 RiskJurisdictions........................................................................'........................ 10 3.3.2 PrivateJurisdictions............................................................................................ 11 Section 4: Conclusion...................................................................................................................... 12 Appendix A: Exercise Evaluators and Team Leaders...................................................................... 13 Appendix B: Acronyms and Abbreviations........................................................................................ 14 Appendix C: Exercise Plan.............................................................................................................. 16 3

Unclassified I

Radiological Emergency Preparedness Program

_A_ft_e_r_A_c_t_io_n_R_~~o_&_Im~p_ro_v_e_m_e_n_t_P_l_an ________

2_0_18_W_fil_e_r£_o_rd_3_S_t_ea_m_E_l_e_ct_r_ic_S_t_a_ti_o_n ___ ~I' Executive Summary On July 26, 2018, an out of sequence Medical Services drill was conducted for the Waterford 3 Steam Electric Station (Waterford 3), located near Taft, St. Charles Parish, Louisiana.

Personnel from the U.S. Department ofHomeland'Security/Federal Emergency Management Agency (DHS/FEMA) Region VI, evaluated all activities. The purpose of the drill was to assess the level of preparedness of local responders to react to a simulated radiological emergency at Waterford 3. The previous Medical Services drill was conducted on September 15, 2016.

Personnel from the State of Louisiana, Waterford 3, West Jefferson Medical Center, and St.

Charles Parish Hospital Emergency Medical Services participated in the drill. Evaluation areas demonstrated included: Emergency Operations/Facilities, Protective Action Implementation, and Support Operations/Facilities. Cooperation and teamwork of all the participants was evident during the drill and DHS/FEMA wishes to acknowledge these efforts.

This report contains the final evaluation of the out of sequence drill. The participants demonstrated know ledge of their emergency response plans and procedures and adequate! y demonstrated them. There were no Level 1 Findings or Plan Issues identified as a result of this evaluation. One Level 2 Finding was observed and corrected on the spot.

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I Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Section 1: Exercise Overview 1.1 Exercise Details 1.2 Exercise Name 2018 Waterford 3 Steam Electric Station Radiological Emergency Preparedness (REP)

Program Evaluated Exercise Type of Exercise Medical Services Drill Exercise Date July 26, 2018 Program Department of Homeland Security (DHS) Federal Emergency Management Agency (FEMA) REP Program Scenario Type Radiological Emergency Exercise Planning Team Leadership Nan Williams RAC Chair FEMA Region VI Technological Hazards Branch 800 N. Loop 288 Denton, Texas 76209 940-898-5398 N an.Williams@fema.dhs.gov Linda Gee Federal Evaluation Team Lead FEMA Region VI Technological Hazards Branch 800 N. Loop 288 Denton, Texas 76209 940-898-5368 Linda.Gee@fema.dµs.gov 5

Unclassified Radiological Emergency Preparedness Program After Action Report/hnprovement Plan 2018 Waterford 3 Steam Electric Station 1.3 Toni Booker State Planning Team Lead Louisiana Department of Environmental Quality Environmental Scientist 602 N. Fifth Street Baton Rouge, Louisiana 70802 225-219-3627 Toni.Booker@la.gov Don Vincent Utility Planning Team Lead Waterford 3 Steam Electric Station Senior Emergency Planner 172265 River Rd Killona, Louisiana 70057 504-739-6694 DVince2@entergy.com Participating Organizations Agencies and organizations of the followingjurisdictions participated in the 2018 Waterford 3 Steam Electric Station drill:

State Jurisdictions:

Louisiana Department of Environmental Quality Risk Jurisdictions:

St. Charles Parish Hospital Emergency Medical Services Private Organizations:

West Jefferson Medical Center 6

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Radiological Emergency Preparedness Program After Action Report/hnprovement Plan 2018 Waterford 3 Steam Electmc Station Section 2: Exercise Design Summary 2.1 Exercise Purpose and Design The DHS/FEMA Region VI Office evaluated drill conducted on July 26, 2018 to assess the capabilities of local emergency preparedness organizations in implementing their Radiological Emergency Response Plans and Procedures to protect the public health and safety during a radiological emergency involving Waterford 3 Steam Electric Station (Waterford_3). The purpose of this report is to present the results and findings on the performance of the offsite response organizations during a simulated radiological emergency.

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

2.3 Scenario Summary The Medical Services drill was developed to evaluate the response of drill participants to an incident at Waterford 3 requiring the transportation, treatment, and decontamination of a radiologically contaminated injured individual. The Medical Services drill scenario provided for the evaluation of West Jefferson Medical Center and St. Charles Parish Hospital Emergency Medical Services.

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Section 3: Analysis of Capabilities 3.1 Exercise Evaluation and Results This section contains the results and findings of the evaluation of all jurisdictions and functional entities that participated in the July 26, 2018 evaluated drills to test the offsite emergency response capabilities of local governments in the Emergency Planning Zone surrounding Waterford 3 Steam Electric Station.

Each jurisdiction and functional entity was evaluated based on their demonstration of*

Capabilities and their equivalent REP criteria as delineated in the FEMA REP Program Manual dated January 2016.

3.2 Summary Results of Drill Evaluation The matrix presented in the table on the following page presents the status of all exercise evaluation area criteria which were scheduled for demonstration during these drills by all participating jurisdictions and functional entities. Exercise criteria are listed by number and the demonstration status is indicated by the use of the following letters:

M - Met (No Findings assessed and no unresolved Findings from prior exercise)

Ll - Level 1 Finding L2 - Level 2 Finding P - Plan Issue N -Not Demonstrated 8

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After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station I

Table 3.2 - Summary of Drill Evaluation I

DATE: July 26, 2018

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Emergency Worker Exposure Control 2al Dose Assessment & P ARs & P ADs for the Emergency Event 2bl I

Dose Assessment & P ARs & P ADs for the Emergency Event 2b2 P ADs for the Protection of persons with disabilities and access/functional 2cl needs I

Radiological Assessment and Decision-making for the Ingestion 2dl Exoosure Pathway Radiological Assessment & Decision-making Concerning Post-Plume 2el Phase Relocation, Reentry, and Return I

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Implementation oflngestion Pathway Decisions 3el Implementation oflngestion Pathway Decisions 3e2 Implementation of Post-Plume Phase Relocation, Reentry, and Return 3fl Decisions I

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Activation of the Prompt Alert and Notification System Sal RESERVED 5a2 I

I Activation of the Prompt Alert and Notification System 5a3 9

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Activation of the Prompt Alert and Notification,System Sa4 SµppoftOperatipi{sfFa-diiti~,',.**.*.*.. t,;, ::*_.,: ;, ;,;,;*,~/;(\\:~ ( c r>\\r,'; :** *./ ::,,l:r,,'{ <1,,.,::: \\,,.'.,..,<.;

Reception Center Operations 6a I EW Monitoring & Decontamination 6b I Congregate Care 6cl Contaminated Injured Transport & Care 6dl M M 3.3 Criteria Evaluation Summaries 3.3.1 RiskJurisdictions 3.3.1.1 St. Charles Parish Hospital Emergency Medical Services In summary, the status ofDHS/FEMA criteria for this location is as follows:

a. MET: 1.e.1, 3.a.1. 6.b.l
b. LEVEL 1 FINDING: None
c. LEVEL 2 FINDING: 1.e.l ISSUE NO.: 70-16-lel-L2-0l CRITERION: Equipment, maps, displays, dosimetry, KI, and other supplies are sufficient to support the emergency operations.

CONDITION: The electronic dosimeters issued to both ambulance technicians did not tum on and did not display readings. When the HP Technician asked the ambulance technicians to take readings, both technicians provided him a zero reading; yet, the equipment was not functioning.

POSSIBLE CAUSE:

The electronic dosimeters initially issued were considered training equipment and did not function.

REFERENCE:

NUREG-0654/FEMA-REP-1, K.3.a REP Program Manual, REP Program Manual, Part III, Assessment Area 1, Criterion l.e. l St. Charles Parish.Hospital Policy & Procedure Manual, Rev. 2 (09/2012)

EFFECT: If electronic dosimeters are on not properly functioning, the device may not accurately display the emergency workers' radiation exposure which could lead to workers receiving unknown exposures.

CORRECTIVE ACTION DEMONSTRATION: A timeout was called. Two electronic dosimeters were issued, training was conducted, and both emergency workers demonstrated activating their dosimeters and accurately reporting readings.

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I Unclassified Radiological Emergency Preparedness Program After Action Report/hnprovement Plan 2018 Waterford 3 Steam Electric Station

b. PLAN ISSUES: None
c. NOT DEMONSTRATED: None
d. PRIOR ISSUES - RESOLVED: None
e. PRIOR ISSUES - UNRESOLVED: None 3.3.2 Private Jurisdictions 3.3.2.1 West Jefferson Medical Center In summary, the status ofDHS/FEMA criteria for this location is as follows:
a. MET: l.e.1, 3.a.l, 6.d.1
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LEVEL 1 FINDING: None

g. LEVEL 2 FINDING: None
h. PLAN ISSUES: None
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NOT DEMONSTRATED: None J.

PRIOR ISSUES - RESOLVED: None

k. PRIOR ISSUES - UNRESOLVED: None 11 j

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Section 4: Conclusion Based on the results of the drill, the off site radiological emergency response plans and preparedness for the State of Louisiana and the affected local jurisdictions are deemed adequate to provide reasonable assurance that appropriate measures can be taken to protect the health and safety of the public in the event of a radiological emergency. Therefore, 44 CFR Part 350 approval of the offsite radiological emergency response plans and preparedness for the State of Louisiana site-specific to Waterford 3 Steam Electric Station will remain in effect.

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I Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Stearn Electric Station Nuclear Station Appendix A: Exercise Evaluators and Team Leaders Regional Assistance Committee (RAC) Chair: Nan Williams Section Chief: Denise Bordelon Site Specialist: Linda Gee St. Charles Parish Hospital Emergency Medical Services West Jefferson Medical Center 13

  • Linda Gee
  • Timothy Pflieger Nan Williams FEMARVI FEMARVI FEMARVI

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Nuclear Station Appendix B: Acronyms and Abbreviations Acronym Meaning l j AAR After Action Report CFR Code of Federal Regulations CPA Control Point Attendant CPM Counts Per Minute DRD Direct Reading Dosimeter DHS Department of Homeland Security EMS Emergency Medical Services EOC Emergency Operations Center EPZ Emergency Planning Zone EW Emergency Worker FEMA Federal Emergency Management Agency HP Health Physics KI Potassium Iodide mR Milliroentgens MGP Mirian Technologies MS-1 Medical Services Drill PRD Permanent Record Dosimeter R

Roentgen REA Radiation Emergency Area REAC/TS Radiation Emergency Assistance Center/Training Site REP Radiological Emergency Preparedness RSO Radiation Safety Offic_er TLD Thermo luminescent Dosimeter Waterford 3 Waterford 3 Steam Electric Station WJMC West Jefferson Medical Center 14 I

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I Unclassified Radiological Emergency Preparedness Program After Action Renort/Imnrovement Plan 2018 Waterford 3 Steam Electric Station Nuclear Station This page is intentionally blank 15

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Unclassified Radiological Emergency Preparedness Program After Action Renort/lmnrovement Plan 2018 Waterford 3 Steam Electric Station Nuclear Station Appendix C: Exercise Plan WATERFORD 3 STEAM ELECTRIC STATION 2018 OFFSITE DRILL July 26, 2018 Evaluated Organizations WEST JEFFERSON MEDICAL CENTER ST. CHARLES PARISH AMBULANCE SERVICE

. APPROVAL: __

J=-o;;;..;h;.;;.;;n~S.;;.,;ig;a.;.n.;.;;o~r..;;;;.e.=lli::.:.../ _______________ _

EMERGENCY PLANNING MANAGER 16 I

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I Unclassified Radiological Emergency Preparedness Program After Action Renort/Imnrovement Plan 2018 Waterford 3 Steam Electric Station Nuclear Station DISCLAIMER Real life emergencies take precedence over this demonstration. In case the organizations/agencies are unavailable due to an emergency, that demonstration will be rescheduled for a later date.

TABLE OF CONTENTS PAGE Table of Contents I.

Introduction 4

II.

Extent of Play 5

Ill.

Objectives 8

IV.

Guidelines 9

A[mendices A

West Jefferson Medical Center and St. Charles Ambulance 10 Service (A)V Narrative Summary 11 (A)VI Sequence of Events 12 (A)VII Cue Cards 13 B

Charts, Graphs, and Tables 54 C

Drill Team Assignments 55 D

Drill Team Instructions 56 E

References 57 17

Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Nuclear Station I.

INTRODUCTION In the interest of assuring the health and safety of the general public near the Waterford 3 Steam Electric Station, in the event of a radiological emergency, Waterford 3 periodically conducts drills jointly with the Federal, State and local agencies.

This manual contains the scenario of activities and supporting data describing the Waterford 3 Emergency Preparedness Medical Services Drill.

This scenario was developed by postulating events that will require response by offsite organizations.

During this drill, the support organizations will respond to the simulated events and conditions that have been selected to provide the level of activity necessary to meet the scenario objectives.

West Jefferson Medical Center and St. Charles Parish Ambulance will participate in this drill.

Drill participants will have no prior knowledge of the sequence of events. The drill scenario will allow those individuals and agencies assigned to respond during a radiological emergency to demonstrate their performance according to current emergency preparedness plans and procedures.

The scenario is a mechanism by which selected drill controllers will initiate and evaluate the activities of the drill participants. The individual drills will be initiated as shown below and each are expected to last approximately three hours.

Participating organizations are shown in Section IV, Guidelines, of this manual.

SCHEDULE

1.

Thursday, July 26, 2018 08:00 am West Jefferson Medical Center 18 I

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Nuclear Station

11. EXTENT OF PLAY A.

EVALUATION AREA 1: EMERGENCY OPERATIONS MANAGEMENT B.

Sub-Element 1.e - Equipment and Supplies to Support Operations Criterion 1.e.1: Equipment, maps, displays, dosimetry, potassium iodide (Kl) and other supplies are sufficient to support emergency operations. (NUREG-0654/FEMA-REP-1, H.7, 10; 1.7, 8, 9; J.10.a, b, e; J.11, 12; K.3.a; K.5.b)

1.

Locations

2.
3.

West Jefferson Medical Center and St Charles Parish Ambulance Extent of Play Correction-on-the-spot will be conducted at these locations_ at the discretion of and concurrence between the evaluator and the controller. Caution should be exercised to insure that exercise play is not interrupted.

ARCAs None EVALUATION AREA 3: PROTECTIVE ACTION IMPLEMENTATION Sub-Element 3.a - Implementation of Emergency Worker Exposure Control Criterion 3.a.1: The OROs issue appropriate dosimetry and procedures, and manage radiological exposure to emergency workers in accordance with the plans and procedures. Emergency workers periodically and at the end of each mission read their dosimeters and record the readings on the appropriate exposure record or chart. (NUREG-0654/FEMA-REP~l, J.10.e; K.3.a, b; K.4)

1.

Locations WestJefferson Medical Center and St. Charles Parish Ambular1ce

2.

Extent of Play

a.

b..

3.

ARCAs None Area dosimetry may be used at the hospital.

Correction on the spot, at the discretion of and concurrence between the evaluator and the controller, may be acceptable at these locations.

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Unclassified Radiological Emergency Preparedness Program After Action Repm:t/Improvement Plan

  • 2018 Waterford 3 Steam Electric Station Nuclear Station Sub-Element 6.d - Transportation and Treatment of Contaminated Injured Individuals Criterion 6.d.1: The facility/ORO has the appropriate space, adequate resources and trained personnel to provide transport, monitoring, decontamination and medical services to contaminated injured individuals. (NUREG-0654/FEMA-REP-1, F.2; H.10; K.5.a, b; L.1, 4)
1.

Locations West Jefferson Medical Center and St. Charles Parish Ambulance

2.

Extent of Play Attachment J - Aeromedical Transportation of a Radioactively Contaminated Patient of Radiation Accident Plan will remain in place since this procedure is applicable to the patient transportation from utility. However, Louisiana Peacetime Radiological Response Plan does not include the use of Ochsner Flight Care and it will not be demonstrated.

a.

All surgical procedures, X-rays, blood samples, starting of IV's, etc.,

will be simulated.

b.

C.

d.
e.
f.

Ambulance travel times will be simulated.

Ambulance will be pre-staged at a location where simulated contaminated patient loading will be demonstrated.

The lead controller initiates the drill by contacting the St. Charles Ambulance Service and reporting a contaminated injured employee at the Waterford 3 site. (simulated location).

i.

Simulated contaminated patient will be loaded into the ambulance and transported to the West Jefferson Medical Center REA.

ii.

If for SOJTie reason, the EMS unit is called into service in response to an actual event, the patient transportation will take place using an alternate vehicle.

West Jefferson Medical Center will be contacted by ambulance crew reporting _a contaminated, injured employee being transported to their location from the Waterford 3 site.

i.

, The simulated estimated time of arrival (ETA) will allow the hospital to completely mobilize.

Information provided by the ambulance crew during transportation of the patient will be provided by cue cards.

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I I I Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Nuclear Station Ill.

D.

E.

g.

After approximately 30 minutes, the ambulance will arrive at the hospital entrance with the packaged patient. The patient will be a contaminated injured plant employee.

h.

Correction-on-the-spot, at the discretion of and concurrence between evaluator and controller, may be acceptable at this location.

GENERAL EXTENT-OF-PLAY (EOP)

1.
2.

3.*

4.

With regard to last minute additions or changes to any previously approved Extent-of-Play, all suggested changes must be forwarded to the RAC Chair for approval.

The goal of all offsite response organizations (ORO) is to protect the health and safety of the public. This goal is achieved through the execution of appropriate plans and procedures. It is recognized that situations may arise that could limit the organizations in the exact execution of these plans and procedures.

In the event of an unanticipated situation, OR Os are permitted to exercise flexibility in the implementation of their plans and procedures in order to successfully achieve the objective of protection of public health and safety and protection of the environment.

As a statement of fact, no ORO will deliberately deviate from its plans and procedures with the intent of avoiding responsibility.

REFERENCES

1.

REP Program Manual' Part Ill: REP Program Demonstration Guidance OBJECTIVES The following general objectives and guidelines have been developed for the Offsite Drills, which are scheduled as shown below.

A.

West Jefferson Medical Center - July 26, 2018

1.

Demonstrate the capability to alert and fully mobilize personnel for both emergency facilities and field operations.

2.

Demonstrate the capability to activate and staff emergency facilities for emergency operations.

3.

Demonstrate the capability to communicate with all appropriate emergency personnel at facilities and in the field.

4.

Demonstrate the capability to continuously monitor and control radiation exposure to emergency workers.

5.

Demonstrate the adequacy of the equipment, procedures, supplies, and personnel of medical facilities responsible for treatment of contaminated, injured, or exposed individuals.

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Nuclear Station IV B.

St. Charles Parish Ambulance Service - July 26, 2018

1.

Demonstrate the capability to communicate with all appropriate emergency personnel at facilities and in the field.

2.

Demonstrate the capability to continuously monitor and control r~diation exposure to emergency workers.

3.

Demonstrate the adequacy of vehicles, equipment, procedures and personnel for transporting contaminated, injured or exposed individuals.

GUIDELINES I

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I To define the scope and extent of participation by organizations and participants, the 1

following guidelines are established in order to meet the objectives listed in Section Ill of this manual.

1.
2.
3.
4.
5.
6.
7.
8.
9.

The offsite drill will be conducted as follows:

(1)

July 26, 2018-- Medical Drill Participation is limited to St. Charles Parish Ambulance Service Staff and West Jefferson Medical Center Emergency Room Staff, 1 Waterford 3 Plant Sr. HP Technician and the Drill Control Team. No other Waterford 3 plant staff will participate.

Communications between Waterford 3 plant and West Jefferson Medical Center are simulated by the Drill Control Team.

A St. Charles Ambulance Service unit will be requested to pre-stage at West Jefferson Medical Center at approximately 07:30.

A simulated contaminated injured plant employee and a Health Physics Technician are staged at the West Jefferson Medical Center at the beginning of the drill.

The drill is initiated by the Drill Control Team requesting the dispatch of the St.

Charles Hospital Ambulance Service to transport the patient to West Jefferson Medical Center. The Drill Control Team then contacts West Jefferson Medical Center simulating a report of a medical emergency.

All communications are preceded and ended with "THIS IS A DRILL."

The simulated medical emergency continues until the patient is decontaminated and treated by the West Jefferson Medical Center medical staff.

A critique is conducted immediately following the termination of the drill.

10.

Drill specific guidelines will be addressed in their individual appendices.

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I Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Nuclear Station APPENDIX A WEST JEFFERSON MEDICAL CENTER ST. CHARLES AMBULANCE SERVICE A)V.

NARRATIVE

SUMMARY

At approximately 07:45 AM, a Mechanical Maintenance Technician at Waterford 3, who has been repairing a leak on the "A" Low Pressure Safety Injection Pump, slips and falls down breaking her left leg below the knee and striking her forehead on a pump support. During the fall, the technician's left leg came into contact with contaminated water collected from the pump.

The Drill Control Team simulates the Control Room response and UNT-007-018, First Aid and Medical Care, is implemented. Response by the Emergency First Aid Team is simulated and primary surveys of the patient are performed At approximately 08:00, the St. Charles Ambulance Service is (simulated) dispatched to Waterford 3 to transport patient to West Jefferson Medical Center.

After requesting EMS, the Drill Control Team calls the West Jefferson Medical Center to report the simulated medical emergency. The patient's primary survey information (vital signs) is provided.

The St. Charles Ambulance Service EMTs will provide updates to West Jefferson Medical Center during simulated transportation of the patient.

At approximately 08:30, the ambulance will arrive at West Jefferson Medical Center. The patient will be taken into the REA, decontaminated and treated for the simulated injuries.

After the patient has been removed from the REA and the proper removal of protective clothing has been demonstrated, the medical drill will be terminated. A critique of the events will be conducted.

I Any required x-rays or required samples may be simulated by hospital personnel after demonstrating knowledge of requirements and processes.

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Unclassified Radiological Emergency Preparedness Program After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Nuclear Station A)VI.

SEQUENCE OF EVENTS TIME EVENT DRILL ACTIVITY 07:00-Drill preparations are made.

The Drill Control Team assemble at West 7:30 Jefferson Medical Center. The patient is "made CC-1 up" and the Drill personnel are briefed.

08:00 Drill initiated by the Drill Control The Drill Control Team notifies the Medical CC-2 Team.

Center that a medical emergency involving a contaminated person has occurred and they will be the receivinq hospital.

CC-3 CONTINGENCY If St. Charles Ambulance Service is unable to participate, patient transportation will conducted by alternate vehicle and EMS response will be simulated.

CC-4 CONTINGENCY If West Jefferson Medical Center is unable to participate, the medical emergency drill will be terminated.

08:05 Simulated ambulance leaving the Drill Control Team notifies the Medical Center CC-5 WF3 Site that the ambulance has left the site and is Jn route.

08:20 Simulated patient transport to Ambulance notifies the Medical Center they have CC-6 West Jefferson Medical Center 10 min ET A. The patient's condition will not change during transportation to West Jefferson Medical Center.

08:30 Patient arrives at Medical Center.

The patient is taken to the REA. The hospital CC-7 personnel decontaminate the patient and begin CC-8 treatment of the injury.

CC-9 CC-10 CC-11 CC-12 CC-13 HP Tech Surveys Ambulance HP Tech surveys ambulance and releases after no contamination found.

CC-14 Doffing PPE When the patient is ready to be admitted to the hospital personnel will demonstrate doffing PPE.

CC-15 Drill terminated. Critique When all objectives are completed the medical conducted.

response drill will be terminated.

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I Unclassified Radiological Emergency Preparedness Program

  • After Action Report/Improvement Plan 2018 Waterford 3 Steam Electric Station Nuclear Station APPENDIX C - DRILL TEAM ASSIGNMENTS A.

West Jefferson Medical Center MS-1 Lead Controller - Don Vincent Patient Transfer Controller - Gina Taylor REA/Medical Controller - TBD Mobilization/Buffer Zone Controller - Adam Tam plain HP Technician - TBD APPENDIX D - DRILL TEAM INSTRUCTIONS A.

All Drill Control Team members for the Offsite Drill will be briefed by the Lead Controller prior to conducting the drill.

B.

All Drill Control Team members will report as follows:

1.

West Jefferson Medical Center

a.

07:30 July 26, 2017 C.

All Drill Control Team members will take accurate, complete notes of the activities observed during the drill.

D.

The Drill Control Team will conduct a critique of the drill, with the participants, immediately following the termination of the drill.

E.

The Drill Control Team members will debrief with the Lead Controller after returning to the Waterford 3 plant site.

APPENDIX E - REFERENCES A.

B.

C.

D.

E.

Waterford 3 SES Emergency Plan Waterford 3 Emergency Medical Assistance Plan NUREG-0654/FEMA-REP-1, Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants 2016 FEMA Radiological Emergency Preparedness Manual West Jefferson Medical Center Radiation Accident Plan I

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