ML19046A047
| ML19046A047 | |
| Person / Time | |
|---|---|
| Site: | Palisades, Cook  |
| Issue date: | 12/18/2018 |
| From: | US Dept of Homeland Security, Federal Emergency Management Agency, Region V |
| To: | Office of Nuclear Reactor Regulation |
| Shared Package | |
| ML19046A060 | List: |
| References | |
| Download: ML19046A047 (33) | |
Text
Medical Service Drills After Action Report/
Improvement Plan Exercise Dates - October 2 and 18, 2018 Radiological Emergency PreQaredness (REP) Program
,'~\\~,~,~:,,ir*,,:i,,,~~j"~~~~, *.....
Palisades Nuclear Power Plant D.C. Cook Nuclear Plant FEMA Published December 18, 2018 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills This page is intentionally blank
. -... -.. -ii-FOR OFFICIAL l,JSE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills CONTENTS CONTENTS............................................................................................................................. iii EXECUTIVE
SUMMARY
......................................................................................................... 1 SECTION 1: Drill Overview...................................................................................................... 3 1.1 EXERCISE DETAILS.................................................................................................... 4 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 FEMA Core Capabilities and Exercise Objectives........................................................... 7 SECTION 3: Analysis of Capabilities....................................................................................... 11 3.2 Exercise Evaluation and Results.................................................................................... 13 Table 3.2.1 - Summary of Exercise Evaluation - MS 1 Drills................................ 14 3.3 Jurisdictional Summary ofExercise Evaluation Results................................................. 15 3.3.1 Risk Jurisdiction - Bronson South Haven Hospital, South Haven Ml...................... 15 3.3. I. I Bronson South Haven Hospital (Transportation)........................................ 15 3.3.2 Risk Jurisdiction - Lakeland Niles Hospital, Niles, Ml............................................. 16 3.3.2.1 Lakeland Niles Haven Hospital (Transportation)....................................... 16 3.3.2.2 Lakeland Niles Haven Hospital (Medical).......... :...................................... 16 SECTION 4: Conclusion.......................................................................................................... 17 APPENDIX A: Exercise Evaluation Team................................................................................ 19 APPENDIX B: Acronyms and Abbreviations............................................................................ 21 APPENDIX C: Extent-Of-Play Agreements.......................................,................................... _..23 iii FOR o'FFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills This page is intentionally blank iv FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills EXECUTIVE
SUMMARY
On October 2 and 18, 2018, the Department of Homeland Security, Federal Emergency Management Agency (DHS/FEMA) Region V Radiological Emergency Preparedness Program staff evaluated a plume exposure pathway Medical Service Drills (MS-1) in the emergency planning zone (EPZ) for the Palisades and D.C. Cook Nuclear Power Plants (PNPP/DCCNP).
The PNPP plant is located in northwestern Van Buren County, Michigan, on the shore of Lake Michigan, approximately five miles south-southwest of South Haven. The 10-mile Plume Exposure Pathway EPZ of the PNPP encompasses parts of Allegan, Berrien, and Van Buren Counties, with the major portion of the zone falling within Van Buren and Berrien Counties.
The DCCNP is located in the State of Michigan, Berrien County, in the City of Bridgman on the eastern shore of Lake Michigan. The 10-mile Plume Exposure Pathway EPZ of the DCCNP encompasses parts of Allegan and Berrien Counties, with the major portion of the zone falling within Van Buren and Berrien Counties.
The purpose of the MS-1 Drills were to assess the ability of off site agencies to respond to a medical emergency involving a radiological-contaminated member(s) of the public. The MS-1 Drills were held in accordance with DHS/FEMA's policies and guidance concerning the exercise of State and local radiological emergency response plans. Evaluation drills were conducted for the following locations:
Bronson South Haven Hospital - October 2, 2018 Lakeland Niles Hospital-October 18, 2018 Officials and representatives from the State of Michigan, the risk counties of Van Buren, and Berrien, and the licensee participated in this exercise. State and local officials demonstrated knowledge of their emergency response plans and procedures and successfully implemented them. The DHS/FEMA Region V evaluation team identified no Level 1 or Level 2 Findings, and no Plan Issues.
The DHS/FEMA wishes to acknowledge the efforts of the many individuals who participated in the exercise and made it a success. Approximately 100 individuals participated in the offsite portion of the exercise, of which about one-third were local volunteers. The professionalism and teamwork of the participants was evident throughout all phases of the exercise.
Executive Summary 1
FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills This page is intentionally blank Executive Summary 2
FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills SECTION 1: Drill Overview The DHS/FEMA's responsibilities in radiological emergency planning for fixed nuclear facilities include the following:
Taking the lead in offsite emergency planning and in the review and evaluation of Radiological Emergency Preparedness Plans (RERPs) 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 DHS/FEMA dated December 7, 2015 (Federal Register, Vol. 82, No. 88, May 9, 2017); and Coordinating the activities of Federal agencies with responsibilities in the radiological emergency planning process:
o U.S. Department of Agriculture; o
U.S. Department of Commerce; o
U.S. Department of Energy; o
U.S. Department of Health and Human Services; o
U.S. Department of the Interior; o
U.S. Department of Transportation; o
U.S. Environmental Protection Agency; o
U.S. Food and Drug Administration; and o
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.
Medical Service Drills (MS-1) were conducted on October 2 and 18, 2018 to assess the ability of off site agencies to respond to a medical emergency involving a radiological-contaminated member(s) of the public. The MS-I Drills were held in accordance with DHS/FEMA's policies and guidance concerning the exercise of State and local radiological emergency response plans. Evaluation drills were conducted for the following locations: Van Buren and Berrien Counties.
The findings presented in this report are based on the evaluations of the Federal evaluation team, with final determinations made by the DHS/FEMA Region V RAC Chair, and approved by the DHS/FEMA Headquarters.
The criteria utilized in the FEMA evaluation process are contained in:
Section 1: Drill Overview 3
FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills 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;and FEMA P-1028 REP Program Manual, dated January 2016.
1.1 EXERCISE DETAILS EXERCISE NAME 2018, Palisades Nuclear Power Plant/D.C. Cook Nuclear Plant Out-of-Sequence Medical Service Drills for surrounding risk counties.
TYPE OF EXERCISE Medical Service Drills EXERCISE DATE October 2 and 18, 2018 LOCATIONS See Appendix E for Extent-Of-Play Agreement Locations SPONSORS Michigan State Police Emergency Management & Homeland Security Division 7150 Harris Drive Dimondale, Michigan 48821 PROGRAM Department Of Homeland Security, Federal Emergency Management Agency Radiological Emergency Preparedness Program MISSION
Response
SCENARIO TYPE Radiological Emergency Section 1: Drill Overview 4
FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills 1.2 EXERCISE PLANNING TEAM LEADERSHIP Sean O'Leary Chair, Regional Assistance Committee Chief, Technological Hazards Branch DHS/FEMA Region V 536 South Clark Street Chicago, Illinois 60605 312-408-5389 sean.oleary@fema.dhs.gov Dwaine Warren Exercise Director DHS/FEMA Region V Supervisory Team Leader 536 South Clark Street Chicago, Illinois 60605 312-408-5342 dwaine.warren@fema.dhs.gov Alvin Blake Site Specialist DHS/FEMA Region V 536 S. Clark Street Chicago, Illinois 60605 312-408-5379 alvin.blake@fema.dhs.gov Katherine Boyce Site Specialist DHS/FEMA Region V 536 S. Clark Street Chicago, Illinois 60605 312-408-5397 katherine. boyce@fema.dhs.gov Tonya Nobach Radiological Emergency Preparedness Unit Management Michigan State Police Emergency Management & Homeland Security Division 7150 Harris Drive Dimondale, Michigan 48821 517-284-3956 nobachT@michigan.gov Section 1: Drill Overview 5
FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills 1.3 PARTICIPATING ORGANIZATIONS Agencies and organizations of the following jurisdictions participated in the exercise:
STATE ORGANIZATIONS Michigan State Police Emergency Management & Homeland Security Division RISK COUNTY ORGANIZATIONS Bronson South Haven Hospital Covert Township Fire Department Lisbon Fire Department Lakeland Niles Hospital PRIVATE ORGANIZATIONS Southwest Michigan Community Ambulance Service (SMCAS)
Palisades Nuclear Power Plant D.C. Cook Nuclear Plant FEDERAL ORGANIZATIONS Federal Emergency Management Agency Section 1: Drill Overview 6
FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills SECTIO*N 2: Exercise Design Summary 2.1 EXERCISE PURPOSE AND DESIGN The DHS/FEMA administers the Radiological Emergency Preparedness (REP) Program pursuant to the regulations found in Title 44 Code of Federal Regulation (CPR) parts 350, 351, and 352. Title 44 CPR Part 350 names 16 planning standards that form the basis for radiological emergency response planning for state, tribal, and local governments impacted by the EPZs established for each nuclear power plant site in the United States. Title 44 CPR Part 350 sets forth the mechanisms for the formal review and approval of state, tribal, and local government radiological emergency response plans and procedures by DHS/FEMA. One of the REP Program requirements established by these regulations is the biennial exercise of offsite response capabilities. During these exercises, DHS/FEMA evaluates state, tribal, and local government plans, procedures, and actions to protect the health and safety of the public in the event of a radiological emergency at the nuclear plant.
The DHS/FEMA provides a statement with the transmission of this Draft AAR/IP to the United States NRC that the affected state, tribal, and local plans and preparedness are: (1) adequate to protect the health and safety of the public living in the vicinity of the nuclear power facility by providing reasonable assurance that appropriate protective measures can be taken offsite in the event of a radiological emergency; and (2) capable of being implemented. The report and statement are based on the results of this exercise, review of the radiological emergency response plans and procedures, and verification of the periodic requirements set forth in "Criteria for Preparation and Evaluation of Radiologkal Emergency Response Plans and Preparedness in Support of Nuclear Power Plants," November 1980 (NUREG-0654/FEMA-REP-l, Rev. 1) through the annual letter of certification and staff assistance visits.
Formal submission of the RERP for the Palisades Nuclear Power Plant to FEMA Region V by the State of Michigan occurred on December 9, 1980. Formal approval of these RERPs was granted by DHS/FEMA July 6, 1982, under 44 CPR 350.
Formal submission of the RERP for the Palisades Nuclear Power Plant and D.C. Cook Nuclear Plant to FEMA Region V by the State of Michigan occurred on January 23, 1986. Formal approval of these RERPs was granted by DHS/FEMA on June 15, 1987, under 44 CPR 350.
2.2 FEMA CORE CAPABILITIES AND EXERCISE OBJECTIVES Core Capabilities-based planning allows for exercise planning teams to develop exercise objectives and observe exercise outcomes through a framework of specific action items. Using the Homeland Security Exercise and Evaluation Program methodology, the exercise objectives meet the Radiological Emergency Preparedness Program requirements and encompass the emergency preparedness evaluation areas. The critical tasks to be demonstrated were negotiated with the State of Michigan and its risk counties. The Core Capabilities demonstrated during this exercise were:
Operational Coordination: Establish and maintain a unified and coordinated operational structure and process that appropriately integrates all critical stakeholders and supports the execution of Core Capabilities. Mobilize all critical resources and establish command, control, and coordination structures within the affected community, in other coordinating bodies in surrounding communities, and across the Nation, and maintain as needed throughout the duration of an incident. Enhance and maintain command, control, and coordination structures consistent with the National Incident Management System (NIMS) to meet basic human needs, stabilize the incident, and transition to recovery.
Section 2: Exercise Design Summary 7
FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills Environmental Response/Health and Safety: Conduct appropriate measures to ensure the protection of the health and safety of the public and workers, as well as the environment, from all-hazards in support of responder operations and the affected communities. Identify, assess, and mitigate worker health and safety hazards, and disseminate health and safety guidance and resources to response and recovery workers. Minimize public exposure to environmental hazards through assessment of the hazards and implementation of public protective actions. Detect, assess, stabilize, and clean up releases of oil and hazardous materials into the environment, including buildings/structures, and properly manage waste.
Identify, evaluate, and implement measures to prevent and minimize impacts to the environment, natural and cultural resources, and historic properties from all-hazard emergencies and response operations.
Mass Care Services: Provide life-sustaining and human services to the affected population, to include hydration, feeding, sheltering, temporary housing, evacuee support, reunificl;ltion, and distribution of emergency supplies. Move and deliver resources and capabilities to meet the needs of disaster survivors, including individuals with access and functional needs. Establish, staff, and equip emergency shelters and other temporary housing options (including accessible housing) for the affected population. Move from congregate care to non-congregate care alternatives and provide relocation assistance or interim housing solutions for families unable to return to their pre-disaster homes.
Public Health, Healthcare, and Emergency Medical Services: Provide lifesaving medical treatment via Emergency Medical Services and related operations and avoid additional disease and injury by providing targeted public health, medical and behavioral health support, and products to all affected populations.
Deliver medical countermeasures to exposed populations*. Complete triage and initial stabilization of casualties, and begin definitive care for those likely to survive their injuries and illnesses. Return medical surge resources to pre-incident levels, complete health assessments, and identify recovery processes.
Operational Communications: Ensure the capacity for timely communications in support of security, situational awareness, and operations, by any and all means available, among and between affected communities in the impact area and all response forces. Ensure the capacity to communicate with both the emergency response community and the affected populations and establish interoperable voice and data communications between Federal, tribal, state, and local first responders.
The Core Capabilities and their associated Evaluation Criteria selected for demonstration by the jurisdictions establish the assessment objectives for the exercise. These Core Capabilities, when successfully demonstrated, meet the exercise objectives.
The objectives for this exercise were as follows:
Objective 1: Demonstrate the ability to provide direction and control and make protective action decisions through the state emergency operations centers, county emergency operations centers, and field activities by exercise play and discussion of plans and procedures.
Objective 2: Demonstrate the ability to make protective action decisions affecting state and county emergency workers and the public through exercise play and discussion of plans and procedures.
Objective 3: Demonstrate the ability to implement protective actions for state and county emergency workers and the public through exercise play and discussion of plans and procedures.
Objective 4: Demonstrate the abiJity to activate the prompt alert and notification system utilizing the primary notification system and the emergency alert system through exercise play and discussion of plans and procedures.
Section 2: Exercise Design Summary 8
FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills Objective 5: Demonstrate the effectiveness of plans, policies, and procedures in the joint information centers and the joint information system for public and private sector emergency information communications through exercise play and discussion of plans and procedures.
Objective 6: Demonstrate the ability to monitor, decontaminate, register, and shelter evacuees through exercise play and discussion of plans and procedures.
Objective 7: Demonstrate the ability to provide dose projection and protective action decision making for the plume phase.
Objective 8: Demonstrate the capacity _for timely communications in support of security, situational awareness, and operations in accordance with the plan, procedures, and Extent-of-Play Agreement, among and between affected communities in the impact area and all response forces.
Objective 9: Demonstrate the capacity to stabilize critical infrastructure functions, minimize health and safety threats, and efficiently restore and revitalize systems and services to support a viable, resilient community. Demonstrate the capacity to provide transportation (including infrastructure access and accessible transportation services) for response priority objectives, including the evacuation of people and animals, and the delivery of vital response personnel, equipment, and services into the affected areas.
Collectively, these nine Objectives successfully demonstrated the Core Capabilities and Evaluation Criteria selected by the jurisdictions in accordance with NUREG-0654/FEM-REP-1 and the REP Program Manual (FEMA P-1028, dated January 2016).
Section 2: Exercise Design Summary 9
FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills This page is intentionally blank Section 2: Exercise Design Summary 10 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills SECTION 3: Analysis of Capabilities 3.1
SUMMARY
RESULTS OF EXERCISE EVALUATION This section provides a combined assessment of state and local jurisdictions based upon their collective demonstrated performance under the core capabilities associated with the exercise evaluation criteria described in Appendix E Extent-of-Play Agreements. It employs an integration of the Homeland Security Exercise Evaluation Program and REP Program evaluation methodologies - an analytical process used to assess the demonstration of specific capabilities during an exercise. A capability provides a means to perform one or more critical tasks under specified conditions and to specific performance standards. Core capabilities form the foundation of the National Preparedness System. The REP Program evaluation criteria provide the conditions and performance standards for establishing reasonable assurance that State and Local authorities can protect public health and safety in response to a nuclear power plant accident.
An overall summary of demonstrated capabilities is presented in Section 3.2 and Table 3.2.1 of this report. The organizations, locations, and evaluation criteria selected by the State and counties are described in Appendix E, Extent-of-Play Agreements, which were approved by DHS/FEMA on September 10, 2018 (Palisades) and September 18, 2018 (D.C. Cook).
The results of the assessment are summarized below by Core Capability, as demonstrated during the October 2 and 18, 2018 Drills.
Operational Coordination: Key leadership personnel established and maintained a unified and coordinated operational structure which provided effective and responsive command, direction and control and coordination within and between the affected jurisdictions to meet basic human needs and stabilize the incident.
Critical stakeholders were appropriately integrated within the overall decision-making process, which enabled protective action recommendations to be evaluated in an appropriate and timely manner. This process included input from both relevant critical stakeholders and support personnel and took into account the safety and well-being of emergency workers and the general public and protecting property and infrastructure protective action decisions were made without undue delay.
Situational Assessment: Decision makers were provided with decision-relevant information regarding the nature and extent of the simulated radiological and other hazards, any cascading effects, and the status of the response. The Michigan State Police Emergency Management & Homeland Security Division, and the Michigan Department of Health demonstrated proficiency in the use of dose assessment software to calculate dose projections independent of the Palisade and D.C. Cook Nuclear Power Station's dose projections. The staff calculated hypothetical dose projections based on plant conditions, possible release scenarios, and Controller-injected field monitoring team data. Leadership was prepared to gather and deliver enhanced information to reinforce lifesaving and life-sustaining activities, if needed, and engage governmental and private sector resources within and outside of the affected area to meet basic human needs and stabilize the incident, as necessary.
Public Information and Warning: The jurisdictions as a whole demonstrated the ability to deliver coordinated, prompt, reliable and actionable information to the whole community through the use of clear, consistent and accessible means. Accurate initial information and follow-up on instructions were made with the formulation of news releases being reviewed from the Joint Information System and briefings conducted at the Joint Information Center. Alert and notification of the public and media was completed in a timely manner by simulated means of sounding of sirens, Emergency Alert System messaging, warning in state parks, news releases and media briefings. The simulated release of Section 3: Analysis of Capabilities 11 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills information via the aforementioned public information modes were consistent with protective action decisions and contained applicable and specific instructions relative to those decisions.
Environmental Response/Health and Safety: Appropriate measures were taken to ensure the protection of the health and safety of the public and workers, as well as the environment in support ofresponder operations and the affected communities. The availability of guidance and resources to address hazardous radiological materials was integrated in support of responder operations and the affected communities.
State Liaisons at the Emergency Operations Facilities communicated well with the State Emergency Operations Center to ensure that state protective action recommendations and county protective action decisions and responses were coordinated properly. Leadership identified, assessed, and mitigated worker health and safety hazards and disseminated health and safety guidance and resources to responders in accordance with the scenario, plans and procedures, and the extent-of-play agreements.
On-Scene Security and Protection: State and local law enforcement agencies demonstrated the capability to ensure a safe and secure environment through law enforcement and related security and protection operations for people and communities located within affected areas and also for response personnel who could have been directed to engage in lifesaving and life-sustaining operations. The implementation of traffic and access control was appropriately assessed and coordinated in a timely manner. On-scene security at EOCs, schools, reception centers and other facilities met protection requirements and eliminated or mitigated the risk of damage to persons, property, and the environment.
Critical Transportation: Officials demonstrated the capability to provide infrastructure access and accessible transportation services for response priority objectives, including the evacuation of people and animals and the delivery of vital response personnel, equipment, and services into the affected areas:
School officials effectively demonstrated the ability to implement protective actions for affected local schools.
Mass Care Services: Congregate care center staff demonstrated the ability tci provide life-sustaining services to affected populations with a focus on family reunification, feeding and sheltering. The American Red Cross, which manages all shelter operations under the REP Program, demonstrated the ability to provide resources, services and accommodations consistent with planning guidelines. They also demonstrated knowledge of the process, and to determine whether evacuees had been monitored for contamination and determined to be acceptable before entering congregate care facilities.
Public Health, Healthcare, and Medical Services: Qualified medical personnel successfully demonstrate the ability to provide targeted public health, medical, and behavioral health support and products to populations that might enter shelters and deliver medical countermeasures to exposed populations.
Operational Communications: Each applicable organization and location demonstrated the capacity for timely communications in support of security, situational awareness, and operations by primary and backup means, the ability to communicate with both the emergency response community and the affected populations, and to establish interoperable communications between Federal, state, and local all response groups and locations and between affected communities in the impact area.
Section 3: Analysis of Capabilities 12 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills 3.2 EXERCISE EVALUATION AND RESULTS This section contains the results and findings of the evaluation of all jurisdictions and functional entities that participated in the October 2 and 18, 2018, Medical Services Drills during out-of-sequence interviews and demonstrations.
Each jurisdiction and functional entity was evaluated based on their demonstration of Core Capabilities and their equivalent Radiological Emergency Preparedness Evaluation Criteria, as delineated in the Federal Emergency Management Agency Radiological Emergency Preparedness Program Manual dated January 2016. Exercise criteria are listed by number, and the demonstration status of those criteria are indicated by the use of the following terms:
M: Met (no unresolved Level 1 or Level 2 findings were assessed, and there were no unresolved findings from prior exercises)
Level 1 Finding was assessed Level 2 Finding was assessed or an unresolved Level 2 finding(s) from a prior exercise P: Plan Issue was assessed ND: Not Demonstrated
- . NS: Not Selected (the Criterion was not selected for demonstration)
Section 3: Analysis of Capabilities 13 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills Table 3.2.1-Summary of Exercise Evaluation-MS! Drills DATE: October 2 and 18, 2018 t
Q ]
SITE: Palisades Nuclear Power Plant Q
0 s:: *- *a 0
~~
D.C. Cook Nuclear Plant
~ Q
- fl 0
M:Met
- r::
~ :r:: 8..
- r::,-..
..c: *-
..c: "' "'
"' s::
L1: Level 1 Finding 6
_-o
~ § ~
~.9
- s 0
L2: Level 2 Finding 0~ 0 E-< z z~
~
r:r.i.._, r:r.i.._, "O Q "O 0 P: Plan Issue Q "c,j s:: "c,j s::
o:s
§ ~
~
o-o-o:s -~
"O -
s::
ND: Not Demonstrated s:: 0. s:: 0. ~ 0
~ o:s 0
"' 0"'
NS: Not Selected
~~
... 0 je o:s ~
u t:Q :r::
~.._,
Etn&geniv:@peratiohs'Mai'\\agement*
\\,
.. ~.
- f Mobilization lal Facilities lbl Direction and Control lcl Communications Equipment ldl M M
M M
Equipment and Supplies to Support Operations lel M
M M
M Pi:6J1;:c'tiv?, Acti9ri;1E>e~i$iOQ~Makwg* * :
,,. :, : i,,,
- ,, i
~,,
EW Exposure Control Decisions 2al PARs 2bl PADs 2b2 P ADs for Disabled/Functional Needs 2cl Ingestion P ADs 2dl RRR Decisions 2el
- Protedive*.ActiQIJ:.;Irtiplementaliorl.
/
',I d*,<< ',, l'.'f. *.,,
EW Exposure Control Implementation 3al M
M M
M KI Public/Institutionalized 3bl PAD Implementation Disabled/Functional Needs 3cl PAD Implementation Schools 3c2 T ACP Establishment 3dl Impediments 3d2 Implement Ingestion P ADs 3el Ingestion Pathway Decisions 3e2 Implementation ofRRR Decisions 3fl Fi~lc:l Meiis.uiei:netit and. AmilY!!iS :.
((,
C i.' ;,,*,*
RESERVED 4al Field Team Management 4a2 Field Team Operations 4a3 Field Team Sampling 4bl Laboratory Operations 4cl Ern~gency JN'otijicati91;1 and PijblicJ.nfQ; ki, '
/,
,, **;:,'l,. ':,,,
{.',,
Initial Alert & Notification Sal RESERVED 5a2 Backup Alert & Notification 5a3 Exception Area Alerting 5a4 Subsequent Information & Instructions Sbl Suppol'.t' OperationsandFacilities'.* *..
',,.;',:s** *, \\
/' "
Reception Center Operations 6al EW Monitoring & Decontamination 6bl Congregate Care 6cl Contaminated Injured Transport & Care 6dl M M
M M
Section 3: Analysis of Capabilities 14 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills 3.3 JURISDICTIONAL
SUMMARY
OF EXERCISE EVALUATION RESULTS The following sections present a summary of the exercise pursuant to the Evaluation Criteria and Core Capabilities demonstrated at each jurisdiction's response locations. The sections are organized by Jurisdiction, Location, Evaluation Criterion, and Assessed Core Capability, as discussed in the Appendix E Extent-of-Play Agreements. The results of the assessments are summarized in Table 3.2.1.
3.3.1 Risk Jurisdiction - Bronson South Haven Hospital, South Haven Ml In summary, the status ofDHS/FEMA-evaluated core capabilities and criteria for the Bronson South Haven Hospital (Van Buren County) is as follows:
- a.
MET: All Core Capabilities and Evaluation Criteria identified in the DHS/FEMA-approved exient-of-play agreement.
3.3.1.1 Bronson South Haven Hospital (Transportation)
Criterion l.d. l - Core Capability: Operational Communications Criterion 1.e. l - Core Capability: Environmental Response/Health and Safety Core Capability: Mass Care Services Core Capability: Public & Private Services and Resources Core Capability: Public Health and Medical Services Criterion 3.a.1 - Core Capability: Operational Coordination Core Capability: Environmental Response/Health and Safety Criterion 6.d.l - Core Capability: Environmental Response/Health and Safety Criterion l.e. l - Core Capability: Environmental Response/Health and Safety Core Capability: Mass Care Services Core Capability: Public & Private Services and Resources Core Capability: Public Health and Medical Services Criterion 3.a. l - Core Capability: Operational Coordination Core Capability: Environmental Response/Health and Safety Criterion 6.d. l - Core Capability: Environmental Response/Health and Safety
- b. LEVEL 1 FINDINGS:.NONE
- c.
LEVEL 2 FINDINGS: NONE
- d.
PLAN ISSUES: NONE
- e.
PRIOR ISSUES - RESOLVED: NONE
- f.
PRIOR ISSUES - UNRESOLVED: NONE Section 3: Analysis of Capabilities 15 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills 3.3.2 Risk Jurisdiction - Lakeland Niles Hospital, Niles, Ml In summary, the status ofDHS/FEMA-evaluated core capabilities and criteria for the Lakeland Niles Hospital (Berrien County) is as follows:
- a.
MET: All Core Capabilities and Evaluation Criteria identified in the DHS/FEMA-approved extent-of-play agreement.
3.3.2.1 Lakeland Niles Haven Hospital (Transportation)
Criterion I.d.1 - Core Capability: Operational Communications Criterion I.e. I - Core Capability: Environmental Response/Health and Safety Core Capability: Mass Care Services Core Capability: Public & Private Services and Resources Core Capability: Public Health and Medical Services Criterion 3.a. I - Core Capability: Operational Coordination.
Core Capability: Environmental Response/Health and Safety Criterion 6.d. l - Core Capability: Environmental Response/Health and Safety 3.3.2.2 Lakeland Niles Haven Hospital (Medical)
Criterion I.d. I - Core Capability: Operational Communications Criterion I.e. I - Core Capability: Environmental Response/Health and Safety Core Capability: Mass Care Services Core Capability: Public & Private Services and Resources Core Capability: Public Health and Medical Services Criterion 3.a. I - Core Capability: Operational Coordination Core Capability: Environmental Response/Health and Safety Criterion 6.d.I -Core Capability: Environmental Response/Health and Safety
- b.
LEVEL I FINDINGS: NONE
- c.
LEVEL 2 FINDINGS: NONE
- d.
PLAN ISSUES: NONE
- e.
PRIOR ISSUES - RESOLVED: NONE
- f.
PRIOR ISSUES - UNRESOLVED: NONE Section 3: Analysis of Capabilities 16 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills SECTION. 4: Conclusion There were no Level I or Level 2 Findings and no Plan Issues identified for Van Buren or Berrien County.
Based on the results of the exercise, the planning and preparedness for the State of Michigan and affected local jurisdictions provide reasonable assurance that appropriate measures can be taken to protect public health and safety. Therefore, Title 44 CPR Part 350, approval of the off site radiological emergency response plans and preparedness for the state of Michigan, remains in effect.
Section 4: Conclusion 17 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills This page is intentionally blank Section 4: Conclusion 18 FOR OFFICIAL USE ONLY
UNCU\\SSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills APPENDIX A: Exercise Evaluation Team DRILL DATE: October 2, 2018 SITE: Palisades Nuclear Power Plant
~
r*,** J
.,."\\ "."
\\L
- ,r,xerc1s~ Management
- ,"*a,.
. ;j O
'5, "'k * '..
.*':\\'
C Chair, Regional Assistance Committee Exercise Director Michigan Site Specialist/Evaluator Evaluator DRILL DATE: October 18, 2018 SITE: D.C. Cook Nuclear-Plant Chair, Regional Assistance Committee Exercise Director Michigan Site Specialist/Evaluator Evaluator Appendix A: Exercise Evaluation Team 19 FOR OFFICIAL USE ONLY Nafue*
¢
- '.,;.f *,
Sean O'Leary Dwaine Warren Alvin Blake James King Sean O'Leary Dwaine Warren Alvin Blake James King
,, : ***. Age~cy/..
'i Or2ariizatioh..
DHS/FEMA DHS/FEMA DHS/FEMA DHS/FEMA DHS/FEMA DHS/FEMA DHS/FEMA
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills This page is intentionally blank Appendix A: Exercise Evaluation Team 20 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Prepq.I"edness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills APPENDIX B: Acronyms and Abbreviations ACRONY1Vl c~
,.,, : n~.Stffi:l!T!Q:N" :,!>
- ',
- .. ~
.i.?'.
- ,,(
A;-_,
AAR After Action Report Ag Agricultllral ANS Alert and Notification System ARC American Red Cross ARES Amateur Radio Emergency Service B/Up Back-Up CCC Congregate Care Center CEDE Combined Effective Dose Equivalent CFR Co.de of Federal Regulations cpm counts per minute Cs Cesium DC Dosimetry Coordinator DCL Dosimetry Control Log DCO Dosimetry Control Officer DHS Department of Homeland Security DOE Department of Energy DRD Direct Reading Dosimeter EAL Emergency Action Level BAS Emergency Alert System ECL Emergency Classification Level EMA Emergency Management Agency EMD Emergency Management Director EMHSD Emergency Management Homeland Security Division EMS Emergency Medical Service EMT Emergency Medical Technician BOC Emergency Operation Center EOF Emergency Operations Facility EPT Exercise Planning Team EPZ Emergency Planning Zone EW Emergency Worker EWDC Emergency Worker Decontamination Center FBI Federal Bureau of Investigation FD Fire Department FEMA Federal Emergency Management Agency FMTs Field Monitoring Teams g
gram(s)
GE General Emergency gpm gallons per ininute KI Potassium Iodide APPENDIX B: Acronyms and Abbreviations 21 FOR OFFICIAL USE ONLY
UNCU\\SSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills
, ACR~N¥M,. '
D'.ES<:RIPTJON.,
MID Monitoring/Decontamination MARCS Multi-Agency Radio Communications System
µCi/ml micro (10-6) Curies per milliliter mg milligram MHz Megahertz min minute(s)
MPH/mph miles per hour
µR micro (10-6) R/micro Roentgen NRC Nuclear Regulatory Commission oos Out-of-Sequence ORO Offsite Response Organizations OSLD Optically Stimulated Luminescence Dosimeter PAA Protective Action Area PAD Protective Action Decision PAR Protective Action Recommendation PDAFNs Persons with Disabilities and Access/Functional Needs ppm parts per million PRD Permanent Record Dosimeter R
Roentgen RA Radiological Advisor RAC Regional Assistance Committee RADEF Radiological Defense RC Reception Center RCM Reception Center Manager RCS Reactor Containment System RDO Radiological Defense Officer rem radiation exposure man REP Radiological Emergency Preparedness RERP Radiological Emergency Response Plan RESA Regional Education Service Agency RIMC Radiological Instrumentation, Maintenance and Calibration RO Radiological Officer SAE Site Area Emergency SEOC State Emergency Operations Center SIP Shelter-in-Place SOG Standard Operating Guideline SOP Standard Operating Procedure TEDE Total Effective Dose Equivalent THD Technological Hazards Division TLD Thermoluminescent Dosimeter UHF Ultra-High Frequency VHF Very High Frequency APPENDIX B: Acronyms and Abbreviations 22 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Medical Evaluation Drills APPENDIX C: Extent-Of-Play Agreements Location:
Transportation Provider:
EXTENT OF PLAY AGREEMENT FOR THE MEDICAL SERVICES EXERCISE October 2, 2018 Bronson South Haven Hospital 955 S. Bailey Ave.-
South Haven, MI 49090 SHAES/EMS Lead Controller: MSP/EMHSD Staff Ambulance Controller: MSP/EMHSD Staff Victim: Provided by Palisades South Haven Area Emergency Services/EMS Staff (SHAES): SHAES Staff Bronson South Haven: Hospital Emergency Department Staff Criteria that can be re-demonstrated immediately for credit, at the discretion of the evaluator, include the following: For Transportation: l.d.1, 3.a.1 and 6.d.l; for the Hospital, l.d.l, l.e.1, 3.a.1 and 6.d.1. Criteria may be re-demonstrated, as agreed by the MSP /EMHSD Controller and FEMA Evaluator(s).
EVALUATION AREA 1 -EMERGENCY OPERATIONS MANAGEMENT Criterion 1.d.1: At least two communication systems are available, at least one operates properly, and communication links are established and maintained with appropriate locations.
Communications capabilities are managed in support of emergency operations.
SHAES/EMS will use 2-way radios to communicate with Bronson South Haven Hospital.
Other communication systems that can be used include commercial telephone or cell phones.
Criterion 1.e.1: Equipment, maps, displays, dosimetry, potassium iodide (KI) and other supplies are sufficient to support emergency operations..
APPENDIX C: Extent-Of-Play Agreements 23 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Evaluation Drills Bronson South Haven Hospital will adequately demonstrate the ability to support operations, with adequate resources. The availability of dosimetry and KI for hospital personnel will be demonstrated during this exercise, SHAES/EMS staff will also be issued dosimetry and KI as field team members.
EVALUATION AREA 3 - PROTECTIVE ACTION IMPLEMENTATION Criterion 3.a.1: The OROs issue appropriate dosimetry and procedures, and manage radiological exposure to emergency workers in accordance with the plan 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.
The use of dosimetry and KI will be demonstrated by ambulance crew. For the purpose of this drill the ambulance Van Buren County will simulate issuing dosimetry and KI to the ambulance crew in lieu of the emergency worker decontamination center.
For purposes of this exercise, if there is no medical need to bring equipment into and out of the treatment room, swabs will be taken at the injury locations and passed out of the room to demonstrate movement of equipment and supplies into and out of the controlled area.
EVALUATION AREA 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.
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.
SHAES/EMS will demonstrate the capability to transport a contaminated, injured individual to Bronson South Haven Hospital. The ambulance crew will pick up a contaminated injured patient at Covert Fire Department (simulated location of accident). SHAES/EMS staff will utilize universal precautions and good housekeeping practices to minimize the spread of contamination focusing on treating the patient's medical condition.
SHAES/EMS will call in the information regarding the patient to Bronson South Haven Hospital so they can prepare for receipt of a contaminated patient.
Bronson South Haven Hospital will implement their plan for receipt, isolation and treatment of an injured contaminated patient. Two hospital staff members will demonstrate proper donning and doffing of full personal protective equipment (PPE). Upon completion of this portion of demonstration PPE requirements may be relaxed with the concurrence of the lead controller and FEMA evaluator. 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 efforts will be Appendix C: Extent-Of-Play Agreements 24 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Evaluation Drills demonstrated after the patient has been medically stabilized. Hospital personnel will demonstrate their knowledge of who to call for assistance in Radiological Accidents (e.g.,
REAC/TS).
The drill will conclude with hospital representatives demonstrating the removal of protective clothing and surveying of the emergency room and hospital personnel. Termination will be at the discretion of the Lead Controller, MSP/EMHSD Controller and FEMA Evaluator(s) based on successful demonstration of objectives.
Following the conclusion of the drill, a short critique will be held.
Appendix C: Extent-Of-Play Agreements 25 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Evaluation Drills Location:
Transportation Provider:
Lead Controller:
EXTENT OF PLAY AGREEMENT FOR THE MEDICAL SERVICES EXERCISE October 18, 2018 Lakeland Niles 31 N Niles Ave Niles, MI 49120 Southwestern Michigan Community Ambulance Service (SMCAS)
Kristi Davis MSP/EMHSD SMCAS/EMS Controller:
Shasta Heintzelman Kristi Davis Medical Controller:
Victim:
Rad Player ER:
SMCAS EMS Staff:
D.C. Cook D.C. Cook RPT Lakeland Niles Hospital Emergency Department Staff Criteria that can be re-demonstrated immediately for credit, at the discretion of the evaluator, include the following: For Transportation: 1.d.l, 3.a.l and 6.d.1; for the Hospital, 1.d.l, 1.e.l, 3.a. I and 6.d.1. Criteria may be re-demonstrated, as agreed by the Lead Controller, MSP/EMHSD Controller and FEMA Evaluator(s).
EVALUATION AREA 1 - EMERGENCY OPERATIONS MANAGEMENT Criterion 1.d.1: At least two communication systems are available, at least one operates properly, and communication links are established and maintained with appropriate locations.
- Communications capabilities are managed in support of emergency operations.
SMCAS will use 2-way radios to communicate with Lakeland Niles Hospital. Other communication systems that can be used include commercial telephone or cell phones.
Criterion 1.e.1: Equipment, maps, displays, dosimetry, potassium iodide (KI) and other supplies are sufficient to support emergency operations.
Appendix C: Extent-Of-Play Agreements 26 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Evaluation Drills Lakeland Niles Hospital will demonstrate the ability to support operation of the facilities with adequate resources. Dosimetry will be issued and tracked during the exercise.
SMCAS staff will be issued dosimetry and KI by controllers in the field.
EVALUATION AREA 3 - PROTECTIVE ACTION IMPLEMENTATION Criterion 3.a.1: The OROs issue appropriate dosimetry and procedures, and manage radiological exposure to emergency workers in accordance with the plan 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.
The use of dosimetry and KI will be demonstrated by the ambulance crew. For the purpose of this drill, the Berrien County will issue dosimetry and KI. Ingestion of KI will not occur.
Movement of samples, equipment, and materials moving into and out of the treatment room will be monitored consistent with radio logical postings to ensure-cross contamination of clean areas does not occur. All items leaving the radiologically controlled area must be clearly identified according to procedures.
EVALUATION AREA 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.
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.
SMCAS will demonstrate the capability to transport a contaminated, injured individual to Lakeland Niles Hospital. The ambulance crew will pick up a contaminated injured patient near the D.C. Cook Nuclear Plant. Should inclement weather conditions exist, the Lead Controller may simulate the outdoor accident scene and begin the drill from an indoor location. SMCAS/EMS staff will utilize universal precautions and good housekeeping practices to minimize the spread of contamination focusing on treating the patient's medical condition.
SMCAS will call in the information regarding the patient to Lakeland Niles Hospital identifying the need for receipt of a contaminated injured patient.
Lakeland Niles Hospital will implement station protocols and procedures for receipt, isolation and treatment of an injured contaminated patient. Two hospital staff members will demonstrate proper donning and doffing of full personal protective equipment (PPE) required for a radiologically contaminated injured patient. Upon completion of this portion of demonstration PPE requirements may be relaxed with the concurrence of the lead controller Appendix C: Extent-Of-Play Agreements 27 FOR OFFICIAL USE ONLY
UNCLASSIFIED Radiological Emergency Preparedness (REP) Program After Action Report/Improvement Plan Michigan Evaluation Drills and FEMA evaluator. 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 efforts will be demonstrated after the patient has been medically stabilized. Hospital personnel will demonstrate their knowledge of who to call beyond D.C. Cook for assistance in Radiological Accidents (e.g.,
MDEQ, REAC/TS).
The drill will conclude with hospital representatives and D.C. Cook RPT supervising the removal of protective clothing and surveying of the emergency room and hospital personnel.
RPT will also advise on the proper procedure for release or disposal of contaminated material. Termination will be at the discretion of the Lead Controller, MSP/EMHSD Controller and FEMA Evaluator(s) based on successful demonstration of objectives.
Following the conclusion of the drill, a short critique will be held.
Appendix C: Extent-Of-Play Agreements 28 FOR OFFICIAL USE ONLY
DEC 2 f 2018 Emmitt McGowan I;>eputy State Director of Emergency Management/Homeland Security Michigan State Police Emergency Management and Homeland Security Division P.O. Box 30634 Lansing, MI 48909
Dear Captain McGowan:
U.S. Department of Homeland Security Region V
- ,36 South Clark Street, Floor 7 Chicago, Illinois 60605 FEMA Enclosed is the Final After Action Report/Improvement Plan for the Palisades Nuclear Power Plant and D.C. Cook Nuclear Plant ri;idiological emergency preparedness Medical Evaluation Drills condqcted on October 2 and 18, 2018.
There were no findings or plan issues identified during this exercise.
Bas~d on the results of the exercise, the planning and preparedness for both the St(\\te of Michig~n and the ~:ffected local jurisdictions continue to provide reasom;1ble assurance that approprhi.te measures can be talcen to protect the public health and safety. Therefore, Title 44 CFR 350 approval of the off site radiological emergency response plans and preparedness program remain in effect.
If you have any questions, please contac~ Sean O'Leary, Chair, Regional Assistaqce Colll1;Ilittee,
- at (312) 408-5389.
Enclosure cc:
DHS/FEMA Headquaiters NRC Region III Sincerely,
~.~
ti:rlrn~~ K~J~seph Regional Administrator NRC Headquarters Document Control Desk wwW,femn.gov