ML20058K794

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

ML20058K794
Person / Time
Site:	Seabrook
Issue date:	06/25/1990
From:	Callahan K EXETER HEALTHCARE RESOURCES, INC., EXETER HOSP., INC., EXETER, NH, PUBLIC SERVICE CO. OF NEW HAMPSHIRE
To:
Shared Package
ML20058K778	List: ML20058K773 ML20058K781 ML20058K784 ML20058K794 ML20058K801
References
OL-1, NUDOCS 9007110212
Download: ML20058K794 (8)

Text

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4 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 )

) . .

PUBLIC SERVICE COMPANY 0F ) 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)

)

AFFIDAVIT OF KEVIN J. CALLAHAN 1, Kevin J. Callahan, being on oath, depose and says follows:

1. I am the President of Exeter Healthcare Resources Inc. and the Chief Executive Officer of Exeter 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 transport.

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g 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 ventilators, multiple intravenous lines, and an oxygen supply. ALS patients are transported by ambulance. Examples of ALS patients include Individuals in the Intensive Care Unit, the Operating Room / Recovery Room, and patients in active labor.

9007110212 900626 PDR ADOCK 05000443.

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4. theter Hospital's estimated maximum ALS patient census occurs during the daytime on weekdays and is approximately 22. It is broken down as follows:

Intensive Care - 9 Operating Room - 4 I

Recovery Room - '4 1

Active Labor - 5 During other times, elective surgery is not scheduled and hence the potential number of ALS patients in the Operating Room and Recovery Room will most probably be reduced. l S. If the decision is made by the Hospital's medical staff to evacuate an ALS patient, the activities involved in preparing for transport include the following:

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a. mobilizing support personnel and equipment and gathering the patient's medical l

records and necessary medications-1

b. disconnecting the patient from the hospital's life support equipment rnd reconnecting

'l the patient to portable equipment;

c. assuring that the equipment is functional and placing the patient into a stretcher beside the hospital bed; .

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

6. The time required to prepare an ALS patient 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 assure the equipment is functional. 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 90 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

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L 3! , . time to prepare an ALS patient for transport, including polent preparation and loading'is thus,90

+ 10 + 15 = 115 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,70 minutes of the 90 minute patient preparation time can be performed prior to the time an ambulance arrives at the hospital. i 1

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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 from the time the l l

l ambulance arrives at the hospital is 115 - 70 = 45 minutes.

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9. Exeter Hospital has the ability to accommodate up to 5 ambulances at any one time. l l'

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10. The planning basis is that two ALS patients can be accommodated in one ambulance.

11. At a Site Area Emergency the Exeter Hospital Support Plan has provisions to " recall off-duty personnel, as required." (Exeter Hospital Support Plan, pg. 20.)

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12. The estimated times for ALS patient preparation and loading reflect Exeter Hospital's experience under normal operating conditions. These estimated times, of course, may not be realized in a given u

actual emergency evacuation of the hospital. Actual times may vary depending upon the availability of sufficient quallfled clinical staff and appropriate equipment. Assuming that all the requirements for staff and equipment were met, parallel preparation and loading of ALS patients could occur consistent with the times and physical limitations provided above.

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1 Kevin J. Callahan I l

Rockingham County, NH June 25,1990 l l

The above-subscribed Kevin J. Callahan 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, l j lul). . _-

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/ Notary Public

' My Commission Expires: jJ // 7/ ,O/

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_______1.___E..______.____________________.._____ _ _ _ _ _ _ _ _ _ . _ _ _ __

.. Attachment A I

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KEVIN J. CALLAHAN

.- ACADEMIC PROFILEt Underaraduate' Education Seton Hall University South Orange, New Jersey B.A. - 1976 Magna Cum Laude Gradurte Education The George Washington University Washington, D.C.

M.H.S.A. - 1980 PROFE8SIONAL EEPERIENCEt July 1985 - Present President and Chief Executive Officer Exeter Health Resources, Inc.

Exeter, New Hampshire Auaust 1981'- July 1985 Executive Vice President-Exeter Hospital Exeter, New Hampshire lentember 1980 - Auaust 1981 Post Graduate Fellow in Health Care Management Charlton Memorial Hospital Fall River, Massachusetts

ys 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 Atomic Safety and Licensing Licensing Board Board Panel Docket (2 copies)

U.S. Nuclear Regulatory U.S. Nuclear Regulatory Commission Commission L East West Towers Building East West 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 Went 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 Pike 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

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s Philip Ahrens, Esquire Suzanne P. Egan, City Solicitor t' Assistant Attorney General Lagoulis, Hill-Whilton &-

Department of the Attorney Rotondi l

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General 79 State 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 Fl.

Boston, MA 02108 il

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

U.S. Senate Washington, DC 20510 Rotondi (Attn:_ Tom Burack) 79. State Street Newburyport, MA 01950 L

• Senator Gordon J. Humphrey Barbara J. Saint Andre, Esquire One Eagle Square, Suite 507 Kopelman and Paige, P.C.

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  ;

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500 C Street, S.W.

Washington, DC 20472 Gary W. Holmes, Esquire Ashod N. Amirian, Esquire Holmes & Ells 145 South Main Street 47 Winnacunnet Road P.O. Box 38 Hampton, NH 03842 Bradford, MA 01835 Mr. Richard R. Donovan Mr. Jack Dolan Federal Emergency Management Federal Emergency Management Agency Agency - Region I Federal Regional Center J.W. McCormack Post Office &

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

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i l George'Iverson, Director N.H. Office of Emergency ,

Management J State House Office Park 1 South 107 Pleasant Street l Concord, NH 03301 1 1

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Thoma,s G. DigMEn, Jr. '

(*= Ordinary U.S. First Class Mail) q s

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