ML20058K784

Affidavit of D Albertson.* Addresses Issues of Advanced Life Support Patient Preparation for Transport.Certificate of Svc Encl

ML20058K784
Person / Time
Site:	Seabrook
Issue date:	06/25/1990
From:	Albertson D PORTSMOUTH, NH, PUBLIC SERVICE CO. OF NEW HAMPSHIRE
To:
Shared Package
ML20058K778	List: ML20058K773 ML20058K781 ML20058K784 ML20058K794 ML20058K801
References
OL, NUDOCS 9007110208
Download: ML20058K784 (11)

Text

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, - - - ,Y-June 25,.1990 UNITED STATES OF AMERICA NUCLEAR REGULATORY COMMISSION before the ATOMIC SAFETY AND LICENSING BOARD

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In the Matter of )

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PUBLIC SERVICE COMPANY OF ) Docket Nos. 50 443 OL-1 NEW HAMPSHIRE, et al. ) 50-444 OL 1

) (Offsite Emergency (Seabrook Station, Units 1 and 2 ) Planning and Safety

) Issues)-

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AFFIDAVIT OF DR. DONAVON ALBERTSON

_1, Dr. Donavon Albertson, being on oath, depose and says follows:

1. I am the Director of the Department of Emergency Medicine and chairman of the Disaster -

Committee for Portsmouth Regional Hospital. A statement of my professional qualifications is attached as 'A",

2. The purpose of this affidavit is to address the issues of Advanced Life Support (ALS) patient preparation for tra isport.

3. ' An ALS patient is an individual who requires external life support equipment or who although stable may require rapid medical support to survive. Support equipment may include a combination of respirators, ventilators, multiple intravenous lines, and an oxygen supply. ALS patients are transported by ambulance. Examples of ALS patients incl'ude individuals in the intensive Care Unit, the Operating Room / Recovery Room, and patients in active labor.

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PDR ADOCK 05000443 G PDR

4. Portsmouth Hospital's average daytime midweek ALS patient census is approximately 13.

During other times, elective surgery is not scheduled and hence the number of potential ALS patients in the operating room and recovery room is reduced.

5. If the decision is made by the Hospital's medical stati to evacuate an ALS patient, the activities involved in preparing for transport include the following:

a. mobilizing support personnel and equipment and gathering the patient's medical records and necessary medications;

b. disconnecting the patient from the hospital's life support equipment and reconnecting the patient to portable equipment;

c. waiting for the patient's condition to stabilize on the portable life support equipment and placing the patient into a stretcher beside the hospital bed;

d. physically moving the patient from the hospital room and loading him into the ambulance.

6. The time required to prepare an ALS pa'tlent for transport varies from one patient to another depending on the patient's condition, the life support equipment required, and how long it takes to -

stabilize the patient. The time required to perform patient preparation (i.e., activities a, b, and c, in paragraph 5 above) for an average ALS patient is approximately 20 minutes. Physically moving an ALS patient from the hospital room to the loading point takes approximately 10 minutes and loading the patient into an ambulance takes approximately 15 minutes. The total time to prepare an ALS patient for transport, including patient preparation and loading is thus, 20 + 10 + 15 = 45 minutes.

7. The amount of ALS patient preparation that can be performed prior to the time an ambulance

. arrives at the hospital will depend on the patient's condition and the life support equipment required.

For an average ALS patient, approximately one-half of the ALS patient preparation activities (i.e.,

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~ 20/2 = 10 minutes) can be performed prior to the time an ambularice arrives at the hospital, h 8. Given the times presented in paragraphs 6 and 7 above, the amount of time required to prepare an ALS patient for transport and load the patient into the ambulance measured ; rom the time the' ambulance arrives at the hospital is 45 36 minutes.

9. Portsmouth Regional Hospital has the ability to accommodate up to 3 ambulances at any one

, time.

c to. Given the ALS patient census provided in paragraph 4, atid availability of the full hospital staff,

__ lt is estimated that all of the ALS patient preparation activities typically performed prior to the arrival of the ambulances can be performed for all ALS patients within 2 to 3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br />.

11, Assuming all ambulances are available at the hospital, final patient preparation and loading-activities fot 3 AL8 patlents can be performed in parallel. l l

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12. The amount of time required to perform final ALS patient preparation and loading for all petlents as measured from the time the ambulances are available at the hospital is thus 13 l- patients /3 patients In parallel = 4.3, rounded up to 5, x 35 minutes = 175 minutes.

13. The planning basis is that one ALS patient can be accommodated in one ambulance, i l

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14. The Portsmouth Regional Hospital's Emergency Management Plan allows for coordinating staff l

schedules to ensure 24-hour staffing for emergency conditions. The hospital will use existing internal operational procedures and protocols to ensure appropriate assignment of statt. (Portsmouth Regional Hospital /Portsmouth Pavillon Safety Management Plan, dated May 10, 1989).

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15. The signing of this affidavit does not represent an endorsement or approval by HCA Portsmouth

= Regional Hospital of any evacuation plan developed by the State of New Hampshire or New Hampshlre Yankee, We will use the judgement of all professionals involved and available from all at!thorities to make a decision about the best care of our patients in the event of an emergency at

- Seabrook Station. We will incorporate the supplies and plans of the State on an as needed basis depending on the actual circumstances of any individual emergency.

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j Q v Dr. Donavon Albertson Rockingham County, NH June 25,1990 The above-subscribed Dr. Donavon Albertson appeared before me and made oath that he had read the foregoing affidavit and that the statements set forth therein are true to the best of his knowledge.

Before me,

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Notary Public My Commission Expires:

LAWRENLE H. COwAN, Notary Pubhc My Commission Espires November 21,1994

P Attachment A CURRICULUM VITA -

DONAVON ALBERTSON, M.D., F.A.C.E.P.  !

. Work Home 333 Borthwick Avenue 796 Middle Street Portsmouth, NH 03801 Portsmouth, NH 03'401.

603-436-5110 603-431-7772-EDUCATION Augustann ColleFe. Sioux Falls, South Dakota Bachelor of Arts in Biology,1970 GPA: 3.8 -

L University of South Dakota School of Medicine-Vermillion' South Dakota

. Masters of Science in Medicine,1972- -

GPA: 3.9 This was a two year degree-granting institution from which all

! students transferred to a four year program.

L Tufts University School of Medicine, Boston, Massachusetts Doctor of Medicine,1974

.GPA: Pass / Fall System 1974 to 1977 Internal Medicine Internshin and Residency Boston VAH ~ Boston. Massachusetts

. Affiliated with Tufts University and Boston University Schools L of Medicine. Hor.pitals included Framingham Union, Peter Bent-

, Brigham, Boston City & New Eng Med Center,-

1978 to 1980 University of c'alifornia at San Francisco l San Fransisco, California .

Fellowship in Emergency Medicine This two year program included clinical rotations in emergency medicine-as weu as research and administrative modules.

ACADEMIC APPOINTMENTS 1977 to 1978 Infts University School of Medicine. Lecturer in Medicine -

Boston. Massachusetts

, Attending physician in Intensive Care, Ambulatory as well as Emergency units.

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DONAVON ALBERTSON, M.D., F.A.C.E.P. Page 2-I CERTIFICATION Board Certification American Board of Internal Medicine 1977 Advanced Achievements in Internal Medicine 1987- 3 American Board of Emergency Medicine 1988 j!

American Heart Amanciation '!

Advanced Cardiac Life Support j Current i AmnIican College of Surgeons ANaced Trauma Life Support -

l Current i.

LICENSURE -  :

I 15!80 to 1990 Continuing Medical Education Fifty to One Hundred Flfty Hours per Year 1980 to 1990 New Hamnshire Medical License #6323 -

PUBLICATIONS Albertson D.R. & Gleckman, Richard .i "Micrococcus lutes Septicemia" l Archives of Internal Medicine.1912.

-PROFESSIONAL SOCIETIES  !

L 1974 to 1984 American College of Physiciana 1974 to 1990 American Medical Association 1984 to 1990 American College of Emergency Physicians L 1982 to 1990 Nem Hamnahire Medical Society

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1982 to 1990 Portsmouth Medical Society

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1 DONAVON ALBERTSON, M.D., F.A.C.E.P. Page 3 i

i HOSPITAL -

APPOINTMENTS l 1978 in 19B0 Moffitt Hospital San Frannicco. Californir .

Full-time staff as Fellow in Emergency Medicine supported by the Robert Wood Johnson Foundation. Rotations included San -

Fransisco General, Highland and Children's Hospitals..

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1978 in 1980 Ross General Hospital Ross. California - '

Part-time staff in the Department of Emergency Medicine-1978 to 1980 St. Marv's Hospital San Frannicco_ California Part time staff in the Department of Emergency Medicine 1980 to 1990 Portsmouth Hospital Portsmouth. Nag Hamnshire Active staff in the Department of Emergency Medicine Disaster Committee Chair Medical Executive Committee PROFESSIONAL Mministrative EXPERIENCE Medical Director, Department of Emergency Medicine, Portsmouth Hosaltal, 1981 1990 Mecical Director, New Hampshire Seacoast, Emergency Medical Services, - 1984-1990

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Medical Director. Occupational Care Services, Portsmouth Regional Hospital, 1989-1990 Occunational Medicine Miniresidency  ;

University of California at San Ransisco, 1988-1989, i l

This training program included nearly 300 hours0.00347 days <br />0.0833 hours <br />4.960317e-4 weeks <br />1.1415e-4 months <br /> of didactic lectures as weL1 as field experience. Research papers were presented.

The didactic material included biostatistics, epidemiology, toxicology, administrative / legal issues as well as the core of occupational medicine by systems.

BUSINESS EXPERIENCE L 1981 to 1989 Professional Corporation. Portsmouth New Hampsidre President Contreet with Portsmouth Hospital to provide professional administrative as well as clinical services in emergency medicine.

Subcontracts held with other vendors including physicians.

Consultative services provided other industries, legal firms and insurance companies.

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DONAVON ALBERTSON, M.D., F.A.C.E.P. Page-4 l'

1989 to 1990 Occupational Medicine Consulting Portsmouth. New Hampshire Consultation services to industry vis-a-vis medical surveillance exams, toxicologic exposures, independent medical examinations, etc.

REFERENCES Available upon request L

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CERTIFICATE OF SERVICE I, Thomas G. Dignan, Jr., one of the attorneys for the Licensees herein, hereby certify that on June 26, 1990, I;made service of the within document by depositing copies thereof with Federal Express, prepaid, for delivery to (or, where indicated,.

by depositing in the United States mail, first class postage-paid, addressed to):

Administrative Judge Ivan W. Smith Adjudicatory File Chairman, Atomic Safety and Atoeic Safety and Licensing Licensing Board Board: Panel Docket (2 copies)'

U.S. Nuclear Regulatory U.S. Nuclear Regulatory Commission Commission East West Towers-Building East Wes>. Towers Building 4350 East West Highway 4350 East West Highway Bethesda, MD 20814 Bethesda, MD 20814 Administrative Judge Richard F. Cole Robert R. Pierce, Esquire Atomic Safety and Licensing Board Atomic Safety and Licensing U.S. Nuclear Regulatory Commission Board East West Towers Building U.S. Nuclear Regulatory 4350 East West Highway Commission Bethesda, MD 20814 East West Towers Building 4350 East West Highway Bethesda, MD 20814 Administrative Judge Kenneth A. Mitzi A. Young, Esquire McCollom Edwin J. Reis, Esquire 1107 West Knapp Street Office of the General Counsel Stillwater, OK 74075 U.S. Nuclear Regulatory Commission One White Flint North, 15th Fl.

11555 Rockville Piker Rockville, MD 20852 George Dana Bisbee, Esquire Diane Curran, Esquire Associate Attorney General Andrea C. Ferster, Esquire Office of the Attorney General Harmon, Curran & Tousley 25 Capitol Street Suite 430 Concord, NH 03301-6397 2001 S Street, N.W.

Washington, DC 20009

• Atomic Safety and Licensing Robert A. Backus, Esquire Appeal Panel 116 Lowell Street U.S. Nuclear Regulatory P. O. Box 516

' Commission Manchester, NH 03105 Mail Stop EWW-529 Washington, DC 20555

4.

Philip Ahrens, Esquire Suzsnne P. Egan, City Solicitor Assistant Attorney General Lagtulis Hill-Whilton-&

Department of the Attorney 'Rovondi l' General 79 Stato Street Augusta, ME 04333 Newburyport, MA 01950 Paul'McEachern, Esquire John Traficonte, Esquire Shaines,& McEachern Assistant Attorney General ,

25 Maplewood: Avenue Department of the Attorney P.O. Box 360. General Portsmouth, NH 03801 One Ashburton Place, 19th F1.

Boston, MA 02108

• Senator Gordon J. Humphrey R. Scott Hill-Whilton, Esquire U.S. Senate Lagoulis, Hill-Whilton &

Washington, DC 20510 Rotondi (Attn: Tom Burack) 79 State Street Newburyport, MA 01950

• Senator Gordon J. Humphrey Barbara J. Saint Andre,' Esquire one Eagle Square, Suite 507 Kopelman and Paige, P.C. 1 Concord, NH 03301 101 Arch Street (Attn: Herb Boynton) Boston, MA 02110 <

H. Joseph Flynn, Esquire Judith H. Mizner, Esquire Office of General Counsel 79 State Street, 2nd Floor Federal Emergency Management Newburyport, MA 01950 Agency 500 C Street, S.W.

L Washington, DC 20472 L

Gary W. Holmes, Esquire Ashod N. Amirian, Esquire J Holmes & Ells 145 South Main Street'

, 47 Winnacunnet Road P.O. Box 38 l Hampton, NH 03842 Bradford, MA 01835  !

1, Mr. Richard R. Donovan Mr. Onck Dolan '

Federal Emergency Management -Federal Emergency Management

Agency Agency - Region I l Federal Regional Center J.W. McCermack Post Office &

130 228th Street, S.W. Courthoure Building, Room 442 Bothell, Washington 98021-9796 Boston, MA 02109 l

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I George Iverson, Director N.H. Office-of Emergency Management ~

State House Office Park

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South 107 Pleasant Street Concord, NH 03301 as 6. Dig g Jr.

(*= ordinary U.S. First Class Mail) t

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