ML20058K801
| ML20058K801 | |
| Person / Time | |
|---|---|
| Site: | Seabrook  |
| Issue date: | 06/25/1990 |
| From: | Callendrello A PUBLIC SERVICE CO. OF NEW HAMPSHIRE |
| To: | |
| Shared Package | |
| ML20058K778 | List: |
| References | |
| LBP-90-12, OL, NUDOCS 9007110213 | |
| Download: ML20058K801 (62) | |
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June 25,1990 =
UNITED STATES OF AMERICA-NUCLEAR REGULATORY COMMISSION before the ,
ATOMIC SAFETY AND LICENSING BOARD
) *
- In the Matter of - )
)
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)
)
) .
AFFIDAVIT OF ANTHONY M. CALLENDRELLO I . .
l' I, Anthony M, Callendrello, being on oath, depos', and say as follows:
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l 1. I am the Emergency Planning Licensing V.anager for New Hampshire Yankee. My professional .,
y qualifications are a matter of record in this proc. Ceding. I have testified before this Board regarding the New Hampshire Radiological Emergency Response Plan (NHRERP) and specifically with regard
-; ' to evacuation time estimates contained in that plan. In addition, I have testified before this Board regarding the Seabrook Plan for Massachusetts Communities and the 1988 Graded Exercise. ;
- 2. The purpose of this affidavit is to address issues as defined by this Board in LBP 90-12, regarding preparation of Advanced Life Support (ALS) patients for evacuation and the impact ori the special
, population Evacuation Time Estimates (ETE) relled upon by the NHRERP. This affidavit addresses l:
subissue 4 of the ASLB's decision LBP-9012; specifically the usefulness of ALS patient ETEs to decisionmakers.-
9007110213 900626 PDR ADOCK 05000443 -
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- 3. One method for determining a protective action recommendation for the general public is by comparing shelter dose against evacuation dose. In this case, an ETE is used to calculate the evacuation dose. For the purposes of determining protective actions, the hospitals are considered as part of th6 general population since their ETEs are such that the hospital populations become part of the evacuation flow of the general population of the region of interest (ETE Study pp. 11 21, 22).
- 4. The Seabrook Station Evacuation Time Estimate Study, Revision 2 (ETE Study), contains-evacuation time estimates (ETE) for special populations at pages 10-26 through .10-29. This document is an updated version of NHRERP Volume 6, (App. Ex. 5, Vol. 6) as required by the Atomic Safety and Licensing Board in LBP 89 32,30 NRC 436. The methodology for calculating the special populations' ETEs is also included in this study, and specifically with respect to Emergency Medical Services (EMS) vehicles, is contained at pages 1121 and 1122. This methodology is unchanged from App. Ex. 5, Vol. 6.
- 5. In reaching protective action decisions based on dose comparisons, New Hampshire responders will utilize the ETE for the evacuation region of interest determined by wind direction and distance from Seabrook Station. (NHRERP Vol. 8, Form 210A; see also App. Ex. 5, Vol. 4, Appendix F, Figure 1 A). The ETEs contained in the NHRERP, Vol. 8, Section 6.7, are for the general population within that region.
- 6. As this Board found in the SPMC hearing, even if an ETE is an hour and a half or two-hours off, there are very few scenarios for which this difference would affect the outcome of the choice of a protective action recommendation. (30 NRC 403,404).
- 7. In examining the usefulness of ALS ETE Information two questions were asked. First, are ETEs useful in determining which protective actions to recommend for ALS patients? Second, are ALS ETEs useful in determining which protective actions to recommend for hospitals?
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- 8. The first question addressed is the usefulness of ETEs for determining protective actions for ALS patients.
9., Should a particular individual or small group of individuals in the hospitals have an extraordinary ,
medical condition (ALS patient), medical personnel will make a protective action decision on an :j individual basis considering the rnedical risk of moving the person versus the radiological risk due
- to exposure to radiation while remaining sheltered at the hospital (Exeter Hospital Support Plan, pp.
20, 21, Attached as 'A"). Set 'also Bonds Affidavit at paragraph 7. In this case, an ETE would have no bearing on the decision made for that individual or individuals.
10, The second issue examined is the usefulness of ALS ETEs in determining protective action recommendations for the hospitals. This issue can be addressed by comparing the ALS patient ETEs with the general population ETEs. .
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- 11. Before beginning a detalled analysis, even assuming the hypothetical that the special facility; ll l
ETEs were substantially longer than the general population ETEs it is unlikely that the special facility L
- j. protective action would be significantly influenced. This is because the only other alternative would be to shelter, and this 1s the action the special facility population would be taking prior to the time when transportation arrives to assist with evacuation. Thus, the special facility population would already be receiving the dose savings from sheltering. This capability is significant given the construction of the facilities (DRF of 0.2 0.25) and the ability to recirculate inside air (NHRERP Vol.
l' 8, Section 6.2). When transportation arrives this population group would then evacuate. This trip ,
1 out of the EPZ under this hypothetical situation would be a normal travel speeds due to post evacuation uncongested conditions. (See 30 NRC 422).
- 12. The Exeter Hospital and Portsmouth Regional Hospital are the only special facilities in the New
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Hampshire portion of the EPZ which currently contain ALS r,aties.
- 13. At the time of the New Hampshire hearings, the only special facilities that requested ambulances ,
for evacuetion were Exeter Hospital and Portsmouth Regional Hospital. Based on the most recent I information provided by the special facilities, in addition to the two hospitals, two nursing homes (Edgewood Centre in Portsmouth (ERPA G) and Goodwint of Exeter (ERPA F)) have requested a l l
sirigle ambulance each to evacuate 2 residents in each facility. Edgewood Centre and Goodwins of :
Exeter have indicated that these residents who require ambulance transport are not ALS patients. !
Notwithstanding this, Edgewood Centre provided an estimate of 15 minutes to complete the i
preparation and loading of both patients. This estimate would be reduced if notice of the evacuation j is received prior to the arrival of the ambulance. Goodwins of Exeter provided an estimate of 30 minutes to complete the preparation and loading of both patients. This estimate would be reduced ;
to 15 minutes if some preparation was performed prior to the arrival of the ambulance. ,
- 14. Based on information provided by the Exeter Hospital, this facility's maximum ALS patient ,
census is approximately 22 and'It takes approximately 115 minutes to prepare an average ALS !
patient for evacuation and load them into an ambulance._ However, 70 minutes of the patient ;
i preparation can be performed prior to the time an ambulance arrives at the hospital. The amount i
of time an ambulance would be delayed at Exeter Hospital due to final ALS patient preparation and j loading, assuming the initial preparatory activities are performed prior to the time when the ambulance arrives at the hospital, is thus 115 70 = 45 minutes. (Callahar) Affidavit at pangraphs ,
4 through 8). l
- 15. Based on information provided by the Portsmouth Regional Hospital, this facility's ALS patient census is approximately 13 and it takes approximately 45 minutes to prepare an average ALS patient for evacuation and load them into an ambulance. However, approximately 10 minutes of the patient preparation activities can be performed prior to the time when an ambulance arrives at the
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hospital. The amount of time an ambulance would be delayed at Portsmouth Regional Hospital due to final ALS patient preparation and loading !s thus 45 10 = 3'i minutes. (Albertson Affidavit at paragraphs 4 through 8).
- 16. Exeter Hospital is approximately 6 to 7 miles from Seabrook Station and is located in Emergency Response Planning Area (ERPA) F. Portsmouth Regional Hospital is approximately 11 to 12 miles from Seabrook Station and is located in ERPA G. (NHRERP Vol. 8, Section 6.2).
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- 17. The dortest ETE for all daytime, midweek scenarlos (comparable to the condition resulting in maximum ALS census) and all Regions which include ERPA F is 4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br /> 40 minutes (4:40), and the shortest ETE for those which include ERPA G is 5:35. (ETE Study, Table 10-8).
- 18. The ETE Study planning basis is that the latil Emergency Medical Services (EMS) vehicle (i.e.,
an ambulance) will arrive at the last special facility 2:38 after the ambulance companies are notified to dispatch vehicles for evacuation. (ETE Study at 1122).
- 19. The NHRERP provides for the notification of ambulance companies to dispatch vehicles for evacuation to the State Transportation Staging Area in Brentwood, New Hampshire at the Site Area Emergency (SAE) emergency classification level. (NHRERP Vol. 6 at 15.0-4).
- 20. The planning basis timeline used in the ETE Study assumes the SAE precedes the order to evacuate by 25 minutes. (ETE Study at 41, 4 2; see also 30 NRC 415, 416). Thus, under the planning basis timeline employed in the ETE Study, the last ambulance is estimated to arrive at the last special facility 2:13 after the order to evacuate.
- 21. Under the planning basis scenario used in the ETE Study, it is possible to determine the maximum bound for ALS patient preparation and loading time. This bound is calculated such that i
o the 1831 ALS patient evacuates to outside of the EPZ (assuming the outbound trip from the facility to the EPZ boundary takes approximately 15 minutes, ETE Study at 1122) within the same time frame as it taker the general population to evacuate. For Exeter Hospital it is 4:40 - 2:13. 0:15
- 2:12, and for Portsmouth Regional Hospital It is 5:352:130:15 = 3:07.
- 22. As long as the time required for firial ALS patient preparation and loading is less than the times presented in No. 21 above, then the time to evacuate these individuals will not exceed the general population ETE.
- 23. Given the parallel preparation and loading of ALS patients, the total ALS patient final preparation and loading time for Exeter Hospital assuming three waves is: 45 x 3 = 135 minutes (Callahan Affidavit at paragraphs 8 through 12). Thertfore, even if Exeter Hospital dL. not start final preparation and loading until the last ambulance arrives, the patient preparation and loading time (135 minutes or 2:15) exceeds the time presented in paragraph 21 above by 3 minutes, In fact, the loading of the first ALS patients will begin before the last ambulance arrives.
24, Given the parallel preparation and loading of ALS patients and the range of ALS patient preparation times for Portsmouth Regional Hospital (2:00 to 3:00), the range of times for patient preparation remaining to be performed atter the arrival of the last ambulance is 0 to 47 minutes.
Adding the loading time of 5 loading waves x 35 minutes (175 minutes), equals 175 to 222 minutes, or 2:55 to 3:42 (see Albertson Affidavit at paragraphs 8 through 12). Therefore, if Portsmouth Regional Hospital did not start initial ALS patient preparation until the order to evacuate, and they did not perform any loading prior to the time the last ambulance arrives at the facility, the range of final patient preparation and loading times (2:55 to 3:42) would at most exceed the time presented in paragraph 21 above by 35 minutes.
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- 25. Comparing the times for hospital ALS patients in paragraph 23 and 24, and tho nursing home resident ambulance final preparation and loading times in paragraph 13 with the bounding times in i paragraph 21, it is concluded that the ALS patient (and nursing home resident ambulance patient)
ETEs are not expected to exceed the shortest general population midday midweek ETEs except possibly at Portsmouth Regional Hospital where the upper end of the range of times exceeds the ETE by only 35 minutes.
- 26. Further, the estimated maximum bounding times for ALS patient preparation / loading presented 1
in No. 21 above are conservative since: l
- a. the maximum allowable ALS patient preparation and loading time is calculated from the time the last ambulance arrives at the hospital;
- b. they assume a very fast accident escatation scenario (i.e., 25 minutes between the Site Area Emergency and an order to evacuate). A more protracted scenario would allow ambulances to be prestaged at the State or Local Transportation Staging Areas which would reduce the ambulance mot" Cation / travel / briefing time from the 2:13 l assumed in the ETE Study (ETE Study, Aevision 2 at 1122) to the time required to I-travel from the local staging areas to the hospitals. This would ensure the ambulances are available at the hospitals at an earlier time;
- c. they assume it takes 15 minutes to travel from hospitals to beyond the EP2. This 1
may be conservative given the proximity of the hospitals to the EPZ bount .
l d. they assume ambulances are delayed by 0:15 at an access control point (ACP) while i
l entering the EPZ (ETE Study at 1118). NHRERP access control procedures provide for Implementation of access control no sooner than 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> after the order to evacuate (State of New Hampshire Traffic Management Manual at 1.2 3). The time for all EMS vehicles to arrive at the transportation staging area (located inside the EPZ) is estimated to be less than 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br />, (i.e., 2:13 - 0:15 (ACP delay) 0:15 (processing at staging a,ea) = 1:43). Further, since both hospitals are more than 5
.i O miles from Seabrook Station, the only access control that ambulances would j encounter is at the EPZ boundary. The estimated times therefore include an additional 0:15 in estimates of the time the last ambulance arrives at the last special J facility;
- e. they are calculated based upon the shortest daytime midweek ETE for the general
-i population in the region containing the hospital, using the longest ETE (9:10) for I comparison yields maximum bounfhg times of 6:42 for Exeter Hospital and Portsmouth Hospital, !
- 27. Even if one assumes that ALS patient ETEs are longer than those for the general population, given the relatively small number of ALS patients and a protective action decision process primarily based on the condition of the patient, it would not be prudent planning to base the protective action for the hospital's remaining population on the ALS patient (s) evacuation time.
- 28. In summary, the ALS patient ETEs have no usefulness in determining protective actions recommendations for either the hospital population or the ALS patients themselves. ;
fg Anthony M. Callendrello Rockingham County, NH June 25,1990 i
The above subscribed Anthony M. Callendrello 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. ;
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l Before me, W}l- -
I Notary Public My Commission Expires-y 7,/ h .
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,, Attachm2nt A I NH EH 1 Page 1 ,
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l NEW HMIPSHIRE .
1 ENERGENCY RESPONSE SUPPORT PIAN j l
NH Number NH EH 1 )
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Support Organization EXETER HOSPITAL SUPPORT PIAN i
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Revision 0 Effective Date 6/21/90
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CONTENTS AND REVISION STATUS CONTENTS PAGE NO. PAGE_REV, COVER 1 0 CONTENTS AND REVISION STATUS 2 0 1.0 INTROu0CTIC! 3-8 0 '
2.0 BASIC PLAN DESCP.1PTION 9-15 0 3.0 PROCEDURES 16-26 0 4.0 INSTRUCTIONS FOR ISSUING 27-40 0
, DOSIMETRY AND POTASSIUM IODIDE (XI) 5.0 PLAN MAINTENANCE AND TRAINING 41 0 6.C ATTACHMENTS r Figure 1 Contact Sheet 42 0 !
Figure 2 Average Census / 43-44 0 Estimated Resource Requirements Form NH EH A, Municipal Reporting 0 Form Form NH EH B, Host Facility Bed 0 Information l Form NH EH C, Dosimetry KI Report 0 Form
- Form NH EH D, Dosimetry Log Sheet 0 Form NH EH E, Potassium Iodide 0 -
Acknowledgement Form Form NH EH F, Radiological 0 Equipment Inventory
i-NH EH 1 Page 3 Rev. O NEW HAMPSHIRE EMERGENCY RESPONSE SUPPORT PLAN 1
1.0 INTRODUCTION
1.1 Purpose .
This Radiological Emergency Response Plan (RERP) is designed to. prepare Exeter Hospital personnel to
- tespond appropriately in the event of an incident at ;
3eabrook Station. This is a working document. It is !
designed to be a flexible and quickly adaptable guide )
for implementation of protective actions for both patients and staff.
J This document conforms to applicable federal and state statutes, planning guidance and accrediting / licensing .
agency regulations for the safety and care of patients and employees during a radiological incident.
The RERP defines the terms used therein which have applicability to. radiological emergencies (e.g.,
Emergency Classification Level). Section 2 of the RERP provides a basic description of the concept of operations by which hospital administrators and staff will respond to a radiological emergency, and defines the responsibilities of key hospital staff. This secticn describes how the hospital will be notified of a radzological emergency at Seabrook Station, and explains the protective actions that may be recommended by the State of New Hampshire for hospital staff and patients.
The RERP provides directions for making preparations in anticipation of a protective action recommendation ,
from the state. It establishes the mechanism for obtaining transportation resources and for arranging for the reception of hospital patients at host facilities in the event evacuation of the hospital is required. Section 3 of the RERP contains a set of procedures to be implemented by hospital staff based on the severity of emergency conditions, i.e.,
emergency classification levels. The procedures prescribe actions for notification and mobilization of l hospital staff for preparing to implement protective
, actions, and for actual implementation of protective l actions. Forms and figures referenced in the
- procedures are attached to facilitate their implementation.
NH EH 1 Page 4 Rev.-0 -
1.2 References '
NUREG 0654/ FEMA REP-1, Revision 1, " Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants." (Published jointly by the U.S. Nuclear .
Regulatory Commission and Federal Emergency Management Agency.)
Joint Commission on Accreditation of Health Care '
Organization, " Accreditation Manual for Hospitals,"
1990.
State of New Hampshire Radiological Emergency Response Plan.
1.3 Glossary Contamination (Radioactive) - Deposition of unwanted radioactive material on the surface of structures, areas, objects or personnel.
Decontamination - The reduction or removal of contaminating radioactive material from a structure, area, object, or person.
Dosimeter - A portable device such as a ,
thermoluminescent dosimeter (TLD) film badge or direct-reading ionization chamber for measuring and registering the total accumulated exposure to ionizing radiation. '
Emeroency Broadcast System (EBS) - Network of radio '
stations which provides a direct link between responsible public officials and the public. EBS '
stations broadcast instructions about what steps the public should take in the event of an emergency, i Emercency Classification Level - Four emergency conditions are categorized by the U.S. Nuclear Regulatory Commission (NRC) according to severity of an incident. The classifications are as follows.
A. UNUSUAL EVENT - Events are in progress or have occurred that indicate a potential degradation of the level of safety of the plant. No releases of radioactive material requiring offsite response or monitoring are expected.
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B. ALEEI - Events are in progress or have occurred that involve an actual, or potential, substantial !
degradation of the level of safety of the plant.
Any releases are expected to be limited to small fractions of Environmental Protection Agency (EPA) Protective Action Guideline (PAG) exposure levels.
l C. SITE AREA EMERGENCY - Events are in progress or J have occurred that involve actual or likely major failures of plant functions needed for protection of the public. Any releases are not expected to exceed EPA PAG exposure levels outside the site boundary of Seabrook Station l
(0.6 mile). -
D. GENERAL EMLRGENCY - Events are in progress or have occurred that involve actual or imminent ,
substantial. core degradation with potential for loss of containment integrity. Releases can be reasonably expected to exceed EPA PAG exposure levels offsite for more than the immediate site area.
C Emeroency Ooerations Centers (EOCs) - Locations designated by the State and local wmergency response organizations as assembly areas for their respective staffs. These facilities are the central command and control points for.their respective emergency response organizations.
Emeroency Plannino Zone (EPZ) -
The area covered by the Radiological Emergency Response Plan. The boundary of the Plume Exposure Pathway EPZ is chosen to accommodate practical planning considerations and to conform as closely as possible to a '10-mile radius. The actual EPZ boundary may be more or less than 10 miles from the plant. The boundary for the Ingestion Exposure Pathway EPZ is a 50-mile radius from the plant.
Emeroency Response Oraanization - Utility, Foderal, State, local, and private agencies and organizations -
designed specifically to provide capabilities to implement emergency response activities.
Evacuation - The process of removing people from a hazardous or potentially hazardous area to a safe area.
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Host Health Care Facility - A predesignated health )
care facility located outside the Plume Exposure Pathway EP2 where EP2 health care facility patients will be temporarily accommodated and their safety and well-being provided for by appropriate staff.
Millirem - See Rom. -
Monitorino, Radioloaical - Locating and measuring radioactive material on individuals or in an area.
New Haineshire Division of Public Health Services (NHDPHS) -
NMDPHS recommends protective actions for
, the protection of public health to the Governor based on accident assessment. NHDPHS controls the ,
radiological exposure of emergency response personnel.
New Hamnshire Office of Emarcancy Manaan==nt ( NMOEM i-NHOEM provides command and control of emergency responce operations of the State of New Hampshire on l the Governor's behalf. NHOEM recommends protective response measures to the Governor.
l Plume - A release of airborne material that diffuses and disperses as it moves with the air currents.
B ume Exoosure Pathway EPZ (10-Mile jffd - For planning purposes, the area within dpproximately a 10-mile radius of a nuclear plant site. The principal exposure sources from this pathway ares (1) whole-body exposure to gamma radiation from the plume and from deposited radioactive material, and (2) inhalation exposure from the passing radioactive '
plume.
Public Alert and Notification System IPANS) -A l
system comprised of sirens, emergency broadcast systems, and other methods used to disseminate public emergency information.
Radiation. Nuclear - Alpha or beta particles or gamma rays emitted from the nucleus of an unstable atom as a result of radioactive decay. Gamma radiation, radiation in the form of energy, and direct exposure to it in a passing plume is the principle form of radiation of concern in a radiological emergency.
Alpha or beta particles have less penetration 3 properties, and would be of concern as a result of deposition from a passing plume.
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NH EH 1 Page 7 Rev. O Radioloalcal Emercancy Response Plan - A detailed plan that coordinates and describes the emergency response organizations, responsibilities, and capabilities of utilities, local or. state governments, and private organizations to ensure public health and safety during an emergency situation in which there is a potential for i radiological release.
Reception Center - The location at which the state provides services for any evacuated population in need of public assistance. Decontamination, registration, food, and shelter can be arranged by the emergency workers at a Reception Center.
Reentry - The provisions for the return of the public after evacuation, when the radiation risk has been reduced to acceptable levels.
Bam - Acronym for Roentgen equivalent man. The unit of dose of any ionizing radiation that produces the same biological effect as a unit of absorbed dose of ordinary x-rays. The amount of radiation a person receives is measured in millirem..
Millirem One thousandth (1/1000) of a rom.
Exposure to very high levels of radiation - greater than 100,000 millirem - may cause observable health problems. Extremely high levels - several hundred thousand millirem - can cause serious illness or death. Most evidence shows radiation dose of 25,000 to 50,000 millirem do not cause observable health problems. However, they can cause temporary changes in the blood cells and they can possibly increase the chance of health problems later in life. Sheltering or evacuation would be recommended if exposure to much lower levels (a maximum of 1000 millirem for sheltering and 5000 millirem for evacuation) were possible.
Roentaen - The unit of radiation exposure in air.
Roentgens are the units for quantities of x-ray or gamma radiation measured by detection and survey meters.
Milliroentgen One-thousandth (1/1000) of a Roentgen.
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Shelterina - Shelter-in-place is an action taken by l the public to protect against radiation exposure by remaining indoors, away from doors and windows,
- during the passage of a radioactive plume. l Thyroid Blockina - The use of potassium iodide to saturate the thyroid gland with stable iodine and i thereby prevent thyroid uptake of radiciodine.
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NH EH 1 Page 9 Rev. 0 2.0 BASIC PLAN DESCRIPTION I i
, 2.1 Concept of Operations l
Emergency management responses are correlated to the l Emergency Classification Level declared at Seabrook Station. Notification of the emergency classification and of any subsequent changes in that classification will be received by Exeter Hospital from the Exeter Emergency Response Organization and ,
i over the tone-alert radio. Notification will be received and disseminated by hospital staff according to internal protocols.
If, as prescribed under the existing emergency classification level, it is deemed appropriate for Exeter Hospital to take protective actions, such actions may include sheltering patients and staff in-place or evacuation to a facility outside the plume exposure pathway EPZ.
Evacuation vehicle estimates are located in Figure 2.
Actual transportation requirements of Exeter Hospital will be assigned by the Chief Executive Officer or Administrator on call and reported to the Exeter 1 Emergency Response Organization during the time of an incident.
Transportation to the designated Host Health Care Facilities will be provided for Exeter Hospital patients if an evacuation is recommended. The NHOEM ,
will mobilize and direct the dispatch of necessary transportation resources to Exeter Hospital.
The primary means of communication within and outside '
the facility will be the telephone. Exeter Hospital operates a radio system which conforms to the requirements of the NH EMS Communications Plan which allows ambulance-to-hospital radio communication.
Additional radio channels allow for hospital-to-hospital communications.
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2.2 Responsibilities
- 1. Emergency Task Force 1 Implementation of this radiological emergency I response plan is the responsibility of the l Emergency Task Force. This task force comprises i the following individuals, with their stated responsibilities.
NOTE The positions described below are meant to refer to the position or any designated ;
alternate.
A. Chief Executive Officer or Administrator on Call - The overall authority for the implementation and direction of this ,
i Radiological Emergency Response Plan rests ;
with the Chief Executive Officer or i Administrator on call. Specific :
responsibilities include the followings o Coordinating the emergency management l response to all radiological incidents.
l o Designating the command post in the Central Admitting Area.
o Establishing and maintaining communications with the Exeter Emergency Response Organization and providing for internal. facility communications via telephone intercom, paging or messenger.
o Coordinating staff schedules with the Emergency Task Force to ensure 24-hour staffing for emergency conditions.
l o Coordinating the facility's emergency I
management response with the Exeter
) Emergency Response Organization and the designated host facilities.
o Directing response to all internal l
requests for personnel and equipment support.
_ - - _ _ _
- _ . _ _ _ _ _ _ _ _ . _ _ _ __m ___ -- _ _
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4 NH EH 1 Page 11 Rev. O o Determining with key staff current patient census, transportation requirements, staffing needs and reporting unmet resource needs to the Exeter Emergency ;
Response Organization. j l
o Terminating the emergency rerponse when {
conditions stabilize, and returning the !
facility to normal operations, o Documenting the emergency management '
effort when normal operations are restored (it is advisable to maintain a date-time log of events during incidents, see page 14).
I o Authorizing the procurement of al?
L required supplies. ;
B. Vice President for Patient Care Services -
The Vice President for Patient Care Services <
l is responsible for coordinating and directing resources to facilitate appropriate patient census reports, transport classification and all other services required to support patient care (Charge Nurse in the Emergency Department will assume role of Vice President until relieved).
C. SuDervisino Nurse on Duty - The Supervising Nurse on Duty is responsible for duties assigned by the Director of Nursing. In the absence of the Director of Nursing, the Supervising Nurse on Duty shall be responsible.for the assignment of all nursing service personnel. In the absence of the Executive Director and the Director of Nursing, the Supervising Nurse on Duty shall assume control of the initial emergency i response.
1 L D. Emeroency Room Physician - The Emergency Room L Physician is responsible for the assignment of all physicians during the radiological l emergency including the recall of medical L staff as needed. The Emergency Room Physician shall also oversee any patient discharges made in an effort to reduce census
NH EH 1 Page 12 Rev. O The Emergency Room Physician will consult with attending physicians to determine which patients should be considered candidates for sheltering rather than evacuation.
E. Facilities Director - The Facilities Director is responsible for electrical and mechanical functions necessary to maintain a safe building environment. The Facilities Director assigns appropriate personnel to answer emergency calls for. service from all arecs of the facility, controls access to i
the hespital complex, and maintains security and traffic flow on the premises.
F. Director of Public Relations - The Director of Public Relations is responsible for dealing with all informational requests from the public and news media.
l G. EMS Coordinator - The EMS Coordinator is responsible for verifying that patient transportation need assessments are appropriate for the category of patient, l' 1 identifying special transportation needs, and contacting designated host facilities to determine their capabilities.
2.3 Notification l l
- 1. Initial Notification !
Upon receiving information from the Exeter l Rmergency Response Organization that a i radiological incident at Seabrook Station has been classified as an ALERT, SITE AREA EMERGENCY or GENERAL EMERGENCY, the telephone operator immediately notifies the highest ranking staff person available within the facility, who will immediately notify the Chief Executive Officer or Administrator on call. The tone-alert radio serves as an additional means of notification and is automatically activated as part of the Public l Alert and Notification System (PANS).
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- 2. Implementation The Chief Executive Officer or Administrator on l call, once notified, implements the Sidiological l Emergency Response Plan, as appropriate (refer to i Section 3.0, Procedures). l
- 3. Emergency Task Force (Department Heads) 4 Notification Upon implementation of this Radiological Emergency Response Plan, the Telephone Operator
- immediately notifies the Chief Executive Officer or Administrator on call, who will notify the Emergency Task Force (refer to Figure 1). The highest ranking staff person on duty assumes the role of directing the response until such time as a higher ranking individual arrives at Exeter Respital rnd assumes responsibility. *
- 4. On-Duty Personnel
- On-duty personnel will be notified of the situation by telephone or the public address system. Personnel should remain at their
! assigned stations unless directed elsewhere by a y member of the Emergency Task Force. Members of the Emergency Task Force should report to the ,
central admitting area.
! 5. Off-Duty Personnel Off-duty personnel will be contacted, as needed, by the appropriate member of the Emergency Task Force or their department head. Upon notification, off-duty personnel should proceed to Exeter Hospital and report to their appropriate department head or, in the case of those assigned to the Emergency Task Force, to the central admitting area.
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NH EH 1 Page 14 Rev. 0 2.4 Protective Actions !
The Governor, or his constitlirm eally designated successor, has the authority approving protective actions.yfe responsibilityfor Recommendations for protective actions will be provided to the Governor by the New Hampshire Of fice of Emergency Management (NHOEM) and the Division of Public Health Services *
(DPHS). NHOEM is responsible for coordination of the implementation of state recommended protective actions.
- 1. Sheltering ,
Shelter-in-place may be the recommended <
protective action if radiological conditions are within the limits prescribed by the Environmental Protection Agency's Protective Action Guides.
Shelter-in-place would be in effect until the prognosis of emergency conditions allows the shelter-in-place recommendation to be lifted or conditions permit an evacuation of the facility.
- 2. Evacuation i l Evacuation is a protective action option which !
I involves movement of the population from the -
affected area (s). It may be accomplished on a selective or general basis.
A. If an evacuation of Exeter Hospital is ,
recommended, patients will be transported to designated Host Health Care Facilities (refer to Figure 1 and Form NH EH B) for medical ,
l care during the emergency. !
B. Transportation to the designated Host Health Care Facilities-(refer to Figure 2 and Form NH EH A) will be provided for patients and essential staff of Exeter Hospital.
Transportation resources will be coordinated through the Exeter Emergency Response Organization.
C. Hospital-owned vehicles (ambulances, vans, buses, etc.) may be used in the event that an ;
evacuation is recommended.
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NH EH 1 Page 15 Rev. O D. Adequate staff will be expected to accompany patients to the designated Host Health Care Facilities (refer to Figures 1 and 2). Staff should remain with patients until relieved by host health care staff.
2.5 Reduction of Census During incidents of extended duration and based upon the recommendations of the Emergency Room Physician, families of patients whose medical status permits temporary discharge to family custody will be notified to pick up family me.mbers.
NOTE
. Patients requiring ambulance transportation and/
or those patients who, in the home setting, would require bus transportation from the Plume Exposure Pathway EPZ will not be recommended for temporary discharge.
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Rev. 0 )
3.0 PROCEDURES Specific emergency management responses are dependent upon the Emergency Classification Level declared at Seabrook Station. Notification of the Emergency Classification Level, and of any subsequent changes in that classification, i will be given by the Exeter Emergency Response Organisation. l The responsible individual for each task is clearly defined !
in Section 2.0, Basic Plan Description. In the absence of an Emergency Task Force member, the senior person in charge shall assume or assign the responsibilities until off-duty staff can be recalled. 1 NOTE ,
Procedures for all classifications are cumulative; that ,
is, procedures for each emergency classification '
include thoso procedures established for all lower classifications.
3.1 UNUSUAL EVENT No actions required. Exeter Hospital will not normally be notified of an UNUSUAL EVENT. -
3.2 ALERT
- Upon notification of an ALERT the Executive Director 1
shall ensure the following are completed:
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NQTE TLKE
- 1. Assemble Emergency Task Force.
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.. . i NH EH 1 Page 17 Rev. 0 ,
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NOTE TIME )
J NOTE I If the tone-alert radio is the first notification of an emergency ;
condition, contact the Exeter Emergency Response Organization '
for further information and assis-tance, if required. The tone- .
alert radio normally serves as an i additional means of notification '
and is automatically activated as part of the Public Alert and Notification System (PANS).
- 2. Establish Emergency Command Post in the central admitting area.
- 3. Notify medical staff of the situation.
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- 4. The Administrator on call or Vice .
President of Patient Care Services (or senior nurse on duty) directs the ,
charge nurses to perform an immediate :
update of patient census (refer to I Form NH EH A), classifying patients according to the following patient ]
groups: .
A. Maternity (See following note.)
l B. Pediatrics C. Neonates D. Medical / Surgical E. STS Unit F. Operating Room / Recovery Room G. Intensive / Cardiac Care (ICU/CCU) l l
_ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ . _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ . . _ _ _ _ . . , . ~ . . _ -_
NH EH 1 Page 18 Rev. O NOTE TIME NOTE ,
Mothers with newborns count as I 2AR (1) Patient. ,
- 5. The Vice President of Patient Care ,
Services or designee based on the updated patient census, will ^
determine patient transportation requiremento (refer to Form NH EH A) ;
according to the following transportation classifications: j A. Category I - Advanced care +
required (ambulance)
B. Category II - Litter-dependent (school bus with evacuation beds) ;
C. Category III - Non-ambulatory (reclining seat / coach bus) ,
- 6. Code patient charts in accordance with transport status (use the .
following codes):
A. (A) - Ambulance B. (E) - Evacuation Bed Bus C. (R) - Reclining Seat (Coach) Bus
- 7. Notify the designated host health care facilities (refer to Figure 1) that an emergency condition exists at Seabrook Station, determine ,
approximate bed availability (refer to From NH EH B), and provide a contact point for the host facility.
- 8. Determine on-duty staff census.
- 9. Determine emergency staff needs for (a) sheltering and (b) evacuation.
f NH EH 1 Page 19 Rev. O NOTE TIME
- 10. Inventory and replenish housekeeping supplies, medications, intravenous fluids and oxygen supplies.
- 11. Check hospital-owned vehicles (buses, vans, ambulances, etc.) for fuel and operability.
- 12. Provide a report of the following information (refer to Forms NH EH A and NH EH B) to the Exeter Emergency Response Organization.
A. Patient census and transportation requirements.
NOTE If facility transportation resources are to be utilized,
, inform the Exeter Rmergency ,
Response Organization. !
B. Host facility bed availability.
C. On-duty staff census, i D. All unmet resource needs. ;
- 13. Inventory supply of canned foods, j fruits and juices, end disposable plates, cups and utensils.
- 14. Identify patients whose medical status would permit temporary discharge to family custody.
- 15. Inventory radiological equipment /KI !
supplies and ensure operability in accordance with Sections 4.5 and 4.6 (refer to Figure 2 and Form NH EH F).
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NH EH 1 Page 20 Rev. O i
NOTE TIME 3.3 SITE AREA EMERGENCY / GENERAL EMERGENCY Upon notification of a SITE AREA EMERGENCY i or GENERAL EMERGENCY the Chief Executive
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Officer or Administrator on call shall '
ensure the following are completed. ,
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- 1. Prerequisite - PERFORM ALL APPROPRIATE ACTIONS OUTLINED UNDER i ALERT.
- 2. Terminate visiting hours for the duration of the emergency.
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- 3. Recall off-duty personnel, as required.
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- 4. The Emergency Room Physician will l' brief medical staff, discontinue l elective surgery and diagnostic !
admissions, and consult with attending physicians to determine which patients should be considered candidates for sheltering rather than.
evacuation.
- 5. Restrict emergency admissions and outpatient studies (tre:t and release status) referrina stabilized natients to hosoitals outside the clume -
exposure oathway EPE (hospital) other than Portsmouth Regional, Amerbury or Anna Jaques). Notify the Resources Coordination Center to place Exeter Hospital on divert status for all but life-threatening emergencies.
Complete patient census update and determination of transportation requirements according to Form :
NH EH A.
- 6. Prioritize patients for evacuation, according to the following ranking:
NH EH 1 Page 21 Rev. O NOTE TIME A. Maternity B. Pediatrics C. Neonates D. Medical / Surgical (See note below.)
E. STS Unit F. Operating Room / Recovery Room (See note below.)
G. Intensive / Cardiac Care (ICU/CCU)
(See note below.)
NOTE Patients considered too critical for transport should be considered candidates for sheltering rather than evacua-tion.
- 7. Prepare patient transfer forms providing personal data, diagnosis, medications, etc. Assemble necessary medications and supplies to accompany patients.
- 8. Place identification bracelets / tags on all patients.
- 9. Time permitting, contact families to pick up patients identified as being appropriate for release, and release patients to family care whenever possible.
- 10. Consolidate nursing units to reduce staffing requirements, and dismiss staff as appropriate.
NH EH 1 Page 22 l Rev. O NOTE TIME
- 11. Assemble required special care patient transportation needs (e.g., !
portable oxygen apparatus, patient i restraints, etc.) at the appropriate i nursing stations.
- 12. Ensure that potassium iodide (KI) and dosimetry are distributed to on-duty ,
staff and nursing stations, and that ]
staff are briefed on procedures '
(refer to Section 4.4 and Form NH EH L E) and medical protocols for the
- administration of KI.
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- 13. l j Ensure bedridden patients are l provided extra blankets for padding, bed pans and toilet tissue. J l
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- 14. Confirm transportation resources J through the Exeter Emergency Response Organiration and ensure that transportation providers have been readied for dispatch.
- 15. Notify designated host facilities (refer to Figure 1) confirming bed !
availability (refer to Form NH EH B), ,
and reserve available beds for Exeter Hospital evacuees. __
NOTE I
Request additional beds through the Exeter Emergency Response l Organization.
- 16. Prepare a roster of patients for each vehicle, their destinations and mode of transportation.
- 17. Time permitting, notify patients' families of the possibility of an i evacuation and prov.ide the name and location of the appropriate host facility. .,
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!;H EH 1 Page 23 Rev. O NOTE TIME
- 18. If advised by DPHS through the Exeter
- Emergency Response Organization, instruct staff to administer KI to themselves and patients (if consistent with physician orders and medication protocols) in accordance with instructions provided in Section 4.4 and Form NH EH E.
- 19. If sheltering is recommended:
A. Remain indoors with all doors and ,
windows closed; and B .. Have maintenance or engineering adjust heating, ventilation, c:
air conditioning systems, where ,
possible, to minimize the intake <
of outside air.
l NOTE HVAC systems should A21 be */
shut down unless specifically directed to do so by NHDPHS or by the Exeter Emergency '
Response Organization.
- 20. If evacuation is recommended:
A. Notify the host health care facility (refer to Figure 1) of the evacuation, commissioning i
confirm 3d beds (refer to Form 4
./ NH EH B) for patient evacuees and determining arrangements to accommodate transfer of staff, reporting any unmet resource j needs to the Exeter Emergency i Response Organization.
B. Confirm the dispatch of required i transport vehicles from the Exeter Emergency Response Organization.
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NH EH 1 Page 24 Rev. O i
NOTE TIME C. If not done earlier, complete a roster of patients for each vehicle, their destinations and q
mode of transportation. -
D. Staffing levels permitting, assign staff to patient evacuees as follows:
l Cateoorv I - Advanced life support.
Cateoorv II - Requires medical supervision / litter-dependent.
Cateoorv III - Requires medical i supervision but may be ambulatory. ;
E. Pending estimated time of arrival of vehicles, prepare ;
patients to the extent possible e for loading on evacuation 5 vehicles, o
L F. At the order to evacuate, L assemble patients as medically
- l appropriate, together with 4 patient charts, medication charts, transfer forms and other necessary medical support equipment at departure areas as practicable as follows:
o Evacuation Bed Bas cases will be picked up at the East Wing
- loading dock.
o Reclining Seat Bus cases will be picked up at the admitting ,
entrance.
1 o Ambulance cases will be picked up in the Emergency Department.
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/ l NH EM 1 Page 25 Rev. 0 i
i NOTE TIME 4
G. Assign nursing staff to multiple-patient transport vehicles, as y
appropriate and available,
, H. Assist patients into appropriate transportation vehicles.
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I. Secure the facility via the i shutdown of non-essential 1 mechanical, electrical and "
physical plant systems with the exceotion of safety systems such as sprinkler and alarm systems, or heat in cold weather.
J. Secure records by locking all
' file cabinets and/or fire files,
' locking important records in fire files.
K. Secure patients' personal valuables and lock the safe, depositing an inventory list in a separate Jscked file, and take a copy to the temporary administrative headquarters, i
L. Secure drugs / medications not being transported by locking all.
L medication cabinets.
M. Notify the Exeter Emergency Response Organization of the '
location selected as the temporary administrative headquarters when an evacuation is complete.
N. De art when the facility is lo ked and secured.
i NH EH 1 Page 26 Rev. 0 ,
, i NOTE TIME l 3.4 Termination /De-escalation ')
Upon notification from the Erster Emergency Response Organization that the emergency has been terminated or de-escalated, the Chief Executive Cfficer or Administrator on call oversees the orderly return of ;
Exeter Hospital as determined by the new emergency
- classification.
3.5 Reentry Before reoccupation of the building, a safety inspection of the physical plant and surrounding areas is performed by the Chief Executive Officer or Administrator on call and the Facilities Director.
Upon the determination by the State of New Hampshire that reoccupation of Exeter Hospital is considered ,
s safe, the Chief Executive Officer or Administrator on r call and Facilities Director ensures that the facility is fully prepared to resume normal operations prior to ,
reoccupation. When the facility is fully prepared the Executive Director coordinates transportation and reoccupation through the Exeter Emergency Response i Organization.
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NH EH 1 Page 27 Rev. 0
- 4.0 INSTRUCTIONS FOR ISSUING DOSIMETRY AND POTASSIUM IODIDE (KI) 4.1 Purpose
- l This document provides guidance and instruction for issuing dosimetry and potassium iodide (KI) and for the, authorization and administration of KI to the ,
staff and patients of Exeter Hoppital.
4.2 Responsibilities 3-
- 1. The Director of the New Hampshire Division of Public Health Services (DPHS) is responsible for authorizing the ingestion of KI. NHDPHS may authorize KI for hospital staff'and' institutional patients if assesse.ent of accident conditions ,
indicates that projected thyroid dose will exceed the US Environmental Protection Agency protective action guido established for emergency workers (25 rem). This authorization if an when made will be provided to Exeter Hospital through the ,
Exeter Emergency Response Organization.
- 2. The Chief Executive Officer or Administrator on -
call in each institution is responsible for '
overseeing the distribution of KI to the staff
, and residents / patients.
NOTE KI is to be distributed only to those patients 5 and residents of hospitals and. nursing homes whose physicians-have granted prior authoriza-tion for its use.
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- 3. The Chief Executive Officer or Administrator on call in each institution is responsible for
~
ensuring that a record for each ingestion of.KI by patients is maintained.
'4. .Each hospital staff person is responsible for maintaining a personal Dosimetry /KI Report Form (refer to Form NH EH C).
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.l_________.___________.______ ____s_
s k NH EH 1 Page 28
. .Rev 0
, 5. Each hospital' staff person is responsible for reading his/her self-reading dosimeters every 30 minutes (every 15 minutes if a release of radioactive material has occurred at the-station), maintaining personal dosimetry /KI
, record forms and reporting readings as directed by their supervisor.
' 6. The senior official in each institution is responsible for collecting dosimetry readings from staff and reporting them to DPHS and the local Radiological Officer.
4.3 Distribution of Dosimetry /KI to Staff Ag,tijang, (by senior of ficial or designee assigned responsibility-for distribution of dosimetry /KI):
- 1. Divide dosimetry for staff into units consisting of:
o 1 0-20R direct-reading dosimeter o 1 0-200mR direct-reading dosimeter o 1 Thermoluminescent Dosimeter (TLD) '
o 1 Bottle of Potassium Iodide (KI) o 1 Dosimetry-KI Report Form-(refer to Form NH EH C) o 1 Potassium Iodide Acknowledgement. Form (refer to Form NH EH'E)
Each on-duty staf f person receives one unit an described above.
- 2. Have.each person complete the top section of the Dosimetry /KI Report Form (refer to Form NH EH C).
2nsure form is signed.
- 3. While each person is completing the top.section of the Dosimetry /KI Form, read the direct-reeding dosimeters. If not done previously, recharge or zero the dosimeter.in accordance with Sections 4.5 and 4.6.
- 4. Have each person record the serial numbers for the direct-reading dosimeters and TLD-in the appropriate block on the Dosimetry /KI Report Form (refer to Form NH EH C).
NH EH.1 Page 29 Rev. 0
- 5. Have each person read both direct-reading dosimeters and record the reading in the "before" block for each dosimeter (refer to Form'NH EH C).
- 6. Record the Date/ Time and Person / Organization in the TLD issued blocks on the Dosimetry /KI' Report '
Form (refer.to form NH EH C).
- 7. Have each person complete the Potassium Iodide Acknowledgement Form as specified (refer to Form NH EHLE).
- 8. Retain signed and dated Potassium Iodide Acknowledgement Forms.
- 9. Verify the appropriate information on the Dosimetry Log Sheet (refer to Form NH'EH D).
- 10. Provide each person with Section 4.4, Emergency Workers Information for use during the incident.
- 11. Individually, or as a group, brief the staff on Sections 4.4, 4.5 and 4.6.
., n NH EH 1 Page 30 Rev. 0 :
4.4 Emergency Worker Information Readina the Dosimeter The-direct-reading dosimeter shows the total or accumulated amount of gamma radiation to which it has been exposed. starting fra- the time of recharging (or ,
zeroing) the instrumert .uis gamma exposure is read by holding the instrumbia so that it is pointeditoward ,
a light source and looking through one end, the end-with-the clip on it. The gamma exposure is-shown by the position of a hairline along a scale of numbers marked MILLIROENTGENS or ROENTGENS. The scale usually ends with 200 or 20 at the right side. .
- 1. . Point the dosimeter towards a light and look through-the eyepiece, staying about 1/2. inch from
( the' lens.
h 2. Rotate the dosimeter so the words ROENTGENS or MILLIROENTGENS appears right side up. '
- 3. Road the location of the hairline on the center scale, estimating to the nearest whole number.
Refer to Figures 4.4.1 and 4.4.2 for examples of l readings for the 0-200 mR and 0-20 R dosimeter.
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Figure 4.4.1 MILLIROENTGENS 0 20 40 60 80 100 120 140 160 180 200 +
1 a ; ; ; ; ; ; ; ; ; ;
25 Milliroentgens i
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..- -.a 1 NH EH 1 Page 31 Rev. 0 .
Figure 4.2.2 r
ROENTGENS 0 2 4 6 8 10 12 14 16 18 20 ?
f I f f f f f f f f I I I I i I 4 i i I 10 Roentgens I ). .
Preparation and Use:
- 1. Dosimetry Dosimetry should be worn in the breast pocket or clipped to the collar, neckline, or belt from the time of issue until you are dismissed'from duty, or until you are notified by your supervisor that dosimetry is no longer necessary.
- 2. Form NH EH C, Dosimetry /KI Report Form i
Keep this form in your possession at all times.
Make sure you understand how to use the form.
- 3. Form NH EH D, Potassium Iodide-KI Acknowledgement ,
-Form Ensure you understand all the instructions on this form. Make sure.that these forms are turned :
in before emergency workers are dispatched.- '
- 4. Radiation Exposure Control Begin reading your direct-reading dosimeters
~
about every 15 minutes if notified by your .,
supervisor that a release of radioactive material has occurred at the station. (About every.30 minutes if a release has not occurred.) Refer to Figure 4.4.3, Emergency Worker Radiological Linits and Action Levels, for an action guide at exposure limits.
- -. -. - . .- - _ - . ~ - - - _ - - -
s.: ;-
NH EH 1 Page 32- )
Rev. O J If your 0-200 mR direct-reading-dosimeter -l indicates an exoosure'of 175 mR, notify your supervisor and begin reading the.0-20 R ,
I dosimeter.- ?
Notify-your supervisor if your 0-20 R direct- .
'.. reading dosimeter indicates an exoosure of 1 R. J The supervisor will instruct you either to leave.
the affected area or assign you a new exposure level.
The maximum amount of whole-body exposure a local worker is allowed to receive prior to being removed is 5 R. However, emergency workers and
- supervisors are cautioned that 5 R accumulated L exposure is a guide. Workers should attempt to L keep exposure as low as reasonably achievable by; rotating of assignments or termination of assignmente, The exposure to radiation should be kept to a minimum for all persons. Any one individual should not receive a total dose significantly in excess of other emergency workers if circumstances permit 1 substitution of -
personnel, termination of assignment, or other protective action. If your dosimeter indicates an exoosure of 5 R or creater, notify vour suoervisor who will instruct you to proceed to a location outside of the affected area.
- 5. Potassium Iodide Potassium Iodide (KI) is an over-the-counter drug that will block the absorption of radiciodines in the thyroid and thereby reduce the exposure of
- . the thyroid to radiation.
, KI DOES NOT reduce the uptake of other L
radioactive materials by the-body, nor does it provide protection against exposure from external radioactive contamination.
Inform your supervisor if.you are allergic to iodine (i.e., allergic to shellfish, lodized
- l. DO NOT take KI. Make arrangements salt, etc). '
L with-vour suoervisor to leave the area.
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NH EH l' Page 33 Rev. O Usually, side effects _of Potassium Iodide happen when people take higher doses for a long time.
You should be careful not to take more than the recommended dose nor should you take it for longer than you are told. Side effects are unlikely because of the low dose.and the short
- time you will be taking the drug.
! Possible side effects include skin rashes, swelling of the salivary glands and " iodism" (metallic taste, burning mouth and throat, sore teeth and gums, symptoms of a head' cold, and sometimes stomach upset and diarrhea).
A few people have an allergic reaction with more serious symptoms. These could be fever and. joint pains or swelling of parts of the face and body and, at-times, severe shortness of breath requiring immediate medical attention.
Keep the bottle of KI with you at all times. Do not misplace or discard it.
When instructed to do so, take one KI tablet and record the time and date on Form NH EH C, Dosimetry /KI Report Form.
If you experience any side effects, reoort them immediately to your supervisor.
Unless instructed otherwise, continue to take ONE table each day for the next 9 consecutive days, totalling 10 days,-recording each on Form NH EH C, Dosimetry /KI Report Form.
- 6. Terminatian of Assignment NOTE Based on conditions of the plant and protec-tive action recommendations received from the State, you may be directed Dy your supervisor to report to another location other tPan your duty station upon termination of assignment.
If this occurs, report to the location as instructed and complete actions as stated.
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NH EH 1 Page 34' j Rev. O' +
At the.end of your assignment, report back to' i your duty station.unless-directed otherwise by_
your supervisor. Record the final reading of your dosimeter in_the AFTER. block on Form NH EH ;
C, Dosimetry /KI Report Form.. Subtract the BEFORE ;
reading from the AFTER reading and record results.
in the MISSION TOTAL block. Report mission ,
completion and the tottl mission exposure to your supervisor. = Stand by for.further instructions from your supervisor.
If you are being relieved of your assignment by another individual, thant (1) turn over all logs, procedures, and equipment except !
Dosimetry /KI to.your relief, (2) notify your
. supervisor of the turnover, (3) report to the area'where you were issued dosimetry to-turn it in unless directed otherwise by your supervisor, ;
and (4) keep a copy of the Form NH EH C, Dosimetry-KI Report Form.
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let 1 Page 35 Rev. O Figure 4.4.3 -
DERGENCY WORITR RADIOWGICAL LIMITS AIO ACTIONS LEVEIS Type of Limit Limit /
Action Invel Action Ievel Actions Required Mole Bcxfy Expos. 175 nR Bnergency worker reports rswting to his supervisor.
1R Bnergency worker reports ruwiing to his supervisor. A determination is nede to assip the worker a new action level or instruct worker to leave the affected area.
2 R, 3 R, 4 R Sanne as 1 R.
5R Incal energency im.ak=2s will be instructed to leave the affected area. State esser-gency workers can be assigned a higher action level if their duties are critical to the response effort and no replaosmet is available, and the new action level is eqppuval by IPO Coordinator. Any worker who avr-in this level will be included in the Radiological Screening Program.
10 R, 15 R Same as 5 R for state energecy workers.
20 R State esmergency hir.26 will be instructed to leave the affected area. Additional exposure naast be agavvul in accordance with Section 8.0, Buergemcy Exposure Authorization Prrywhere, Volume 8.
25 R Upper limit of EPA PAG for emergecy wuokm2=.
75 R Maximan puprwn_ ire for life saving activities.
'Ihyroid Exposure (Projected) 25 ran DPHS Director approves use of Potassitan Iodide (KI) for emergency wkm.s.
ressunel, Vehicle 100 cpm aby and Equipnent bkgd with a Contamination GN-700 or equivalent at 1 inch Refer to Decontmination Section of tiie appropriate Reception Center.
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Lung Dose 15 R Bnergency workers directed to leave the affected areas. Ehtries by energency workers will be approved with apptopriate protective measures.
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NH EH 1 Page 36
-Rev. O l
4.5 Operational Checks for the Dosimeter Charger )
- 1. To check the dosimeter charger, loosen the j thumbscrew in the top or bottom center.of the charger with a coin or screwdriver, and remove the bottom case. Observing the indicated polarity,-install the battery and-reassemble.
- 2. Position the charger on a flat surface such as a
, table. Unscrew the cap on the charging contact and place the end of the dosimeter opposite the pocket clip and the eyepiece on charging contact of the charger (Figure 4.5.1).
Figure 4.5.1 l.-
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.f gj 9
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. , " : i !.. .. -. .
,. l v Il (jg :q.23 .:.
. .. . ; l . .. :.. ::: ...:. .::: N . .. :/. :. .
.- : i-:., :: ; " : ..
g)
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- :: .....v..- (
. : ~ .. . . ; . . .. 5.;
- ,li.; :. . '. . pr s gh
- . : 'J.;'. ;
y i bhg::fI
.: ' ; ;.:l.' t' . .'l 4 +
!!l.ll;l;l..lll::::_J
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- 7. .. .. t
, !d:::
p Td ,
o x a '
.A M n m ,* '
L_ I l
Placing a dosimeter on Resetting a dosimeter to the charger. tero with.a dosimeter charger,.
- 3. Apply firm downward pressure. You should see a meter scale and a vertical line while looking through the dosimeter. If no line is visible, rotate the voltage control knob located in the lower left-hand corner (Figure 4.5.1), until a line appears.
e
- .c .; >
l NH_EH 1~' -Page-37 Rev. O t
- 4. Set line at or_near zero (Figure 4.5.2) by rotating the voltage control knob.- j Figure 4.5.2 ROENTGENS 0 2 4 6, 8 10 12 14 16 - 18 20 l l l l l l l l l l :
- 5. Remove the.. dosimeter and replace the cap over the charging contact. ,
- 6. The charger.is considered operational if the light source for reading dosimeters is working and the charger can move the-hairline on a direct-reading dosimeter to, or close to, zero.
t
- 7. Replace the battery if-the light source-fails to-work and repeat the check sequence. If the light' still fails to operate,. replace.the. light bulb .
with the spare provided inside the charger case and repeat the check sequence.
- 8. If the light source works but you-are unable to move the line on the dosimeter, clean the 't charging contact on the charger with a. soft cloth which is free of grit, dirt,-lint, and moisture.
Do not use strong solvents or cleaning fluids-to clean parts as they can dissolve the plastic.
Repeat the check sequence.
- 9. If the check is still: unsatisf actory, get another charger and perform the check sequence.
- e e-NH EH 1 Page 38 Rev. 0-4.6 Operation Check / Zeroing Direct-Reading Dosimeters
- 1. Place'the end of the dosimeter opposite the, pocket clip and eyepiece on the charging contact of the dosimeter charger (Figure 4.6.1).
Figure 4.6.1-
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y' "
, j .
y.
gs. x e; g ..,
g's
+ :. es.e y
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A
'ahQ **/h'
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, 2. Apply firm dnwnward pressure on the dosimeter.
-You should see a meter scale and a vertical line while looking through the dosimeter (Figure 4.6.2). If no line is visible, rotate the -
voltage control knob of the dosimeter charger until a line appears.
Figure 4.6.2 MILLIROENTGENS 0 20 40 60 80 100 120 140 160 180 200 i t i f f t t I f l 4 6 4 1 4 6 4 I l l.
25 M1111 roentgens l
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3 ,_ a a a4.-<g t a,-- o a a,e- +--4 A- "* -~"E *A A-'
? H - '" A<--AA o ,
, NH EH 1. Pcge.39' Rev. 0 NOTE e If you have trouble finding the line on a '
n dosimeter:
o Apply more pressure on the dosimeter,
-i h o Clean the charging contacts on the p dosimeter and the dosimeter charger with-L a soft cloth; or o Replace the battery in-the dosimeter charger.
l-
- 3. Set the line on the dosimeter to zero by turning the voltage control knob on the dosimeter charger.
- 4. Remove the do .. .eter from the charging contact.
Point the dosimster towards.a light source and look through the dosimeter. Determine the position of the hairline on the-scale.
NOTE o-WhenLreading the dosimeter, keep it as level as possible and ensure that the scale is parallel with the horizon.
- 5. Continue to Step 7 if the dosimeter reading is zero.
- 6. Repeat the procedure if the reading is not zero.
While charging the dosimeter, set the line an equivalent amount away from zero in the~ opposite direction to compensate for movement when, the dosimeter is removed from the charging contact.
NOTE
- If time is critical, a reading of one-quarter scale or less is an acceptable charge on a direct-reading dosimeter, i1
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NH EH'l- Page'40.
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- 7. If-a dosimeter is not to be issued immediately, allow it to sit for about 15 minutes, then read..
If the reading has increased, dosimeter has ;
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. 1 NH EH 1 Page 41 f Rev. O s
5.0 PIAN MAINTENANCE AND TRAINING 5 .1. The Chief Executive Officer or Administrator on call and Disaster Planning Committee should review t.his
' plan annually. Corrections:and updated information shall be provided to Exeter Emergency Response Organization or to the New Hampshire Office of Emergency Management.
5.2 The Chief Executive Officer or Administrator on call' '
and designated staff should receive training'on this plan on a regular basis. Plan content and the duties assigned herein should be reviewed as needed with new staff.
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NH EH 1 Page 42-Rev. O FIGURE 1 CONTACT SHEET I. Exeter Hospital Emergency Task Force Emergency Department Heads (Reference Department Head List)
II. Host Health Care Facility Facility: Concord Hospital 250 Pleasant Street Concord, NH Telephone: (603) 225-2711 Facility: Catholic Medical Center 100 MacGregor Street Manchester, NH Telephone: (603) 668-3545 Facility: Hampstead Hospital East Road Hampstead, NH Telephone: (603) 329-5311 III. Local Agencies Exeter Emergency Responsa Organization (Exeter.EOC)
Contact:
Emergency Management Coordinator Albert " Bud" Field
. Telephone 772-7061 or 772-1212 IV. - New Hainpshire Office of Emergency Managennent
Contact:
Special Facilities Representative Telephone: (800) 852-3792/(603) 271-2231 6 +
NH EH 1 Page 43 Rev 0 FIGURE 2 AVERAGE CENSUS / ESTIMATED RESOURCE REQUIREMENTS I. Average Census Staff.Censust Maximum Patient Census: II. Estimated Transportation Resource Requ!roments Available Required to at the Resource Evacuate Facility Needed-SchoolBusesfo{ Evacuation Beds .(E) . 2* O 2 Recliging Buses Seat (Coach) (R) 2 0 2 Ambulances 3 (A) 11 0 7.- Other 0 0 0 III. Estimated Radiological Resource Requirements 1193 Total Recuired 0-20R Dosimeters 180 0-200mR Dosimeters 180 Thermoluminescent Dosimeters 180 Dosimeter Charger 2 Bottles of KI Tablets 260
*1 Ten evacuation beds required. .
2 Bus conversion beds will accommodate 10 patients per bus. Assuming 36 persons per bus. Reclining seat buses (coaches) have individual reclining seat backs. School buses have bench type seats. 3Assuming 2 patients per ambulance. f
NH EH 1 - Page 44 , Rev. O FIGURE 2 , EMERGENCY RESPONSE PIAN TRANSPORTATION ASSESSMENT (Continued) This assessment is provided to estimate the transportation requirements needed if a patient evacuation at Exeter Hospital were necessary. Patients are categorized into various types based upon their physical health, the medical attention they require, andctheir means of movement. These types are as follows. TYPE I Patients who require continued monitoring and hands-on medical attention while in transit to host health care facilities. These patients may require advanced life support and are totally dependent upon litter transport. Patients require ambulances'which are staffed and equipped to i provide the same level of care which the patient was receiving at the risk facility. TYPE II Patients who are litter-dependent but do not require the continued hands-on medical attention found with Type I patients. These patients will be monitored and have their needs attended to but should not require advanced life support. Patients will be transported by school bus which has been converted to an ambulance which should be staffed by institution or emergency medical personnel who will provide the same level of - care that the patients were receiving at the risk facility. Patients will be dependent upon litter transport to and from the bus. TYPE III Patients who are non-ambulatory and can only sit for-long periods in a reclined position. These patients will be monitored and have their needs attended to, i Patients will be transported by commercial-type, climate-controlled bus equipped with reclining seats. These buses will be staffed by institution or emergency medical personnel who will provide the same level of care that the patients were receiving at the risk facility. Patients will be transferred to and from the bus by wheelchairs and/or ambulance-type stairchairs.
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MUNICIPAL REPORTING FORK l
, (Typical)
DATE/ TIME HOSPITAL CENSUS AND TRANSPORTATION REQUIREMENTS-TRANSPORTATION REQUIREMENTS BUS CONVER- RECLINING AMBULANCE SION BED SEAT BUS PATIENT CLASS PATIENTS PATIENTS PATIENTS TOTAL' CAT. I CAT. II CAT. III CENSUS MATERNITY 1 PEDIATRICS NEONATES . MEDICAL / SURGICAL STS UNIT OPERATING ROOM / RECOVERY ROOM INTENSIVE / CARDIAC CARE PATIENT TOTALS STAFF CENSUS I Mothers with newborns count as saf.. Form NH EH A Rev. 0
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t' -s' O 135A l- i POTASSIUM IODIDE ACKNOWLEDGEMENT FORM (Typical) i. I wil.l..n.qi take my first KI tablet until I-receive' instructions to do so. -If instructed to do so, I- , , , i underste d chat in order to obtain maximum protection for the (" thyroid, I will'take 130 milligrams per day (1-tablet) of the ! thyroid' blocking agent Potassium Iodide for 10 consecutive days. l
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I'have been told that if I am allergic to' iodine that I should g not take Potassium Iod!,de.- j .
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1- t , r g ,. G E[IFICATE OF SERVICE Ii I, Thomas-G. Dignan, Jr. , one of the attorneys for the lj Licensees herein, hereby cortify that on June 26, 1990, I made oIg! service of the within document by depositing copies thereof with I. Federal Express, prepaid, for delivery to (or, where indicated, by depositing in the United States mail, first class postage paid, addressed to): f, <:
.z. Administrative Judge'Ivan W. Smith Adjudicatory-File Chairman, Atomic Safety and Atomic Safety and Licensing
'/ Board Panel Docket (2 copies)
Licensing Board r U.S. Nuclear Regulatory U.S. Nuclear Regulatory commission. commission
. East West _Tcwers Building East West Towers Building
=4350 East West Highway 4350 East West Highway
! Bethesda, MD' 20814 Bethasda, MD 20814 Administrative Judge Richard F. Cole Robert R. Pierce, Esquire g
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
- 1 Administrative Judge:Kenneth A. Mitzi A. Young,-Esquire
- McCollam Edwin J. Reis, Esquire i 1107 West Knapp Street Office of the General Counsel j Stillwater, OK 74075 U.S- Nuclear Regulatory Ccmmission One White Flint Noith, 15th Fl.
11555 Rockville Pike Rockville, MD 20852 George Dana Bisbee, Esquire Diane Curran, Esquire Associnte 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
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- Atonic Safety and Licensing Robert A. Backus, Esquire
!. Appeal Panel 116 I/awell Street U.S. Nuclea'r Regulatory P. O. Box 516 Commission Manchester, NH 03105 Mail Stop EWW-529 Washington, DC- 20555 1
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-Philip Ahrens, Esquire Suzanne P. Egan, City Solicitor Assistant Attorney General Lagoulis, Hill-Whilton &
Department of the Attorney Rotondi 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
- 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.
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. 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 V Mr. Richard R. Donovan Mr. Jack Dolan Federal Emergency Management Federal Emergency Management Agency Agency - Region I Federal Regional Conter J.W. McCormack Post Office &
'130 228th Street, S.W. Courthouse Building, Room 442 Bothell, Washington 98021-9796 Boston, MA 02109 l
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George Iverson, Director N.H. Office of Emergency Management State House Office Park South 107 Pleasant Street Concord, NH 03301 Thomai G.' 'Dignan, Jr. (*= Ordinary U.S. First Class Mail)
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