ML20112A205

Provides Supplemental Info Re Offsite Arrangements for Medical Svcs Around Facility.Intent of NUREG-0654 Has Been Met Based on 850107 Finding & 850308 Conference Call

ML20112A205
Person / Time
Site:	Waterford
Issue date:	03/14/1985
From:	Krimm R Federal Emergency Management Agency
To:	Jordan E NRC OFFICE OF INSPECTION & ENFORCEMENT (IE)
References
RTR-NUREG-0654, RTR-NUREG-654 NUDOCS 8503180207
Download: ML20112A205 (13)

Text

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f1t$$ k%y Federal Emergency Management Agency 5

Washington, D.C. 20472 p f g@

k P M ld M MEMORANDUM FORs Eddard L. Jordang Diroctor Division of Emtgancy Preparedness and En]incerin) Rosponso Offico of Inspection and Enforcomnt U.S.Jucloa e.jul nto Commission

' $ g?vi,

• FROMt ich rd'W Krimm -

s Jtant Associat hd )Dtactor As}ficeofNatural E Technological Hazarda Programs

SUBJECT:

Suppiamental Information Rogardin] offsito Arrangomants for Medical Sorvices Around Waterford III Nacicar Power Plant on Jarvar') 7 1983, I providad a findinj that offeito radiolojical amargency preparodnoss at the Waterford III Steam Rioctric Station is alojuate to provida reasonable assurance that the public health and safety can be protected in the event of an accident at the sito.

On Ma rch 8,1995, a conforanco call was hold betwoon the Nuclear Ro]ulatoti)

Commission (NRC) Hoadquarters and Rogions the Faderal Emtgancy Managomnt Agancy (FEMA) Hoadquattors an!lRol one an l the utility. Darin) that calle this offica agrood to further expani on the medical services portion of tho Stato an1 local Radiolojical Emorjancy Preparodness (RCP) plan. As a result of the conforanco call, FEMA Rogion VI has rescarched tho folloding four aroas of concerns (1) Tho list of support hospitals within the 25-mile radius of tho plant to confirm arranjamonts that havo boon mdo for providin] medical servicos for contaminatesi, injured inlividuals includinj thoso exposcJ to radiation. It was found that tho 21 hospitals listed in Tab 4, Chaptor 10 (soa attachmnt 1), of the Stato plan are those which possess ralloactivo mtorial liconsos and operato nacicar txdicino departmonts in the vicinity of Watorford III.

Stato of Louisiana mtorial licansa roquiromats aro on file in this offico that requito tho facilities to have procedutos for han!1in) otaargenclos rolated to radioactivo mtorials and to havo quallflod, trainod individuals to safely handio such anterial.

(2) With raja rd to the hospitals listed in Tab 4 to Chaptor lo s only tho St.

Clurlas llospital and River Parishas Hodical Cantor aro located within tho 10-mila amorjancy plannin] zona (EPZ).  !!awavor, tho Stato advisod that dopondin] on tho extant of an accidant anl the affacted arcas thosa two o

facilitics my bo utL1ized to lunlio contaminata!, injured or otposed inilvi-duals. For that reasono thoso two hospitals are included in tha listin] in Tab 4 to Chaptor 10.

8503180207 050314 )

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(3) 'Regarding the ambulance services o the state plan stated that they will be usal for traneportation d injural, contaminated or exposal patients; but in the

- Parish plans e they state that they will be used for evacuation purposes. Please be advised that the ambulance sezvices will be usal for dual purposes. This listing of. ambulance services is in State impicaenting procedusaa r Enclosuto 6 to Attachment 1 ani Enclosure 4 to Attachment 2 (see attachmant 2). .This

? ' listing is more up-to-date than the listing in Tab 2 of Chapter 10,(see attach-ment 3), of the State plan. Alsor this 1Latim would inilcato that there are more than 100 ambulances (vehicles) available for dual-uso purposes. l (4) With regard to the Health Medical Officer for St. Charles and St. John  ;

the Baptist Parishear 'the duties are listed in Attachment 1 on pages 62 ani

~145 for St. Charles Parish ani pages 161-162 and 242-243 for St. John tho  ;

Baptist Parish (see attachment 4). .

Based on this informationo . FEMA bo1 Loves that the intent of NUREG-06S4r FC:fAf ,

REP 1r Rev. 1r criteria regarding medical arrangements has boon n3C in the Stato ani local parish plans.

Attachments  ;

, -As Stata!

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te .13 '05 17:20 FE N REGION VI DENTON 1 dc[rg.nf#/ P.02

]. RA h* TA8 4 to CHAPTER 10 HOSPITALS WITHIN 25-MILE RADIUS OF FIXED NUCLEAR FACILITIES CAPA8LE OF SUPPORTING RADIOLOGICAL ACCIDENTS

1. ,

Waterford 3 Steam Electric Station

a. Charity Hospital of Louisiana at New Orleans "

1532 Tulane Avenue .

New Orleans, Louisiana 7011?

(Orleans Parish)

b. Children's Hospital .

200 Henry Clay Avenue

. New Orleans, Louisiana 70118 (OrleansParish)

c. East Jefferson General Hospital '

4200 Houma Boulevard Metairie, Louisiana 70011 (Jefferson Parish)

d. Flint Goodridge Hospital of Dillard University 2425 Louisiana Avenue '

New orleans, Louisiana 70115 (Orleans Parish)

e. Hotel Dieu Hospital Post Office Box 61262 New Orleans, Louisiana 70160 (Orleans Parish) -

f. Louisiana State University Medical Center - Tulane -

1542 Tulane Avenue New Orleans, Louisiana 70112 (OrleansParish) .

g. Meadowcrest ,

229 Belle Meade Boulevard Gretna Louisiana 70053 (Jefferson Parish)

h. Mercy Hospital 301 North Jefferson Davis Parkway .' '

New Orleans, Louisiana 70119 '

(Orleans Parish) -  !

/

1. Ochsner Foundation Hospital <

1516 Jefferson Highway .

New Orleans, Louisiana 70121 (Jefferson Parish) 0 10-11

F

.13 oss 17 M fem REGION VI DDiTON 1 P.03

j. River Parishes Medical Center i Airline Highway <

Laplace, Louisiana 70068 .,

(St. John the, Baptist.. Parish)*/

k. St. Anne General Hospital Post Office Box 4(0 Raceland, Louisiera 70394 (Lafourche Parish)

1. St. Charles General Hospita.1 3700 St. Charles Avenue New Orleans, Louisiana 70115 (Orleans Parish) - - -

N c'.,b f,

m. The St. Charles Hospital )'

Post Office Box 87 *

/ '.

~

< Luling, Louisiana 70070 '.

(5t.CharlesParish) ,-

n. St. Claude General Hospital of New Orleans, Ltd. -

3501 St. Claude Avenue New Orleans, Louisiana 70117 -

(OrleansParish)

o. St. James Ptrish Hospital Box 430 Lutcher, Louisiana 70071

p. Jo Ellen Smith Memorial Hospital ',

4444 General Meyer Avenue New Orleans, Louisiana 70114 (Orleans Parish)

q. Southern Baptist Hospital -

, 2700 Napolean Avenue New Orleans, Louisiana 70115 (OrleansParish)

r. Thibodaux General Hospital

• 602 North Acadian Drive Thibodaux, Louisiana 70301 ,

(Lafourche Parish) -

s. Veterans Administration Hospitsi

1601 Perdido Street New Orleans,' Louisiana 70146 (Orleans Parish)

t. West Jefferson General Hospital

4500 Eleventh Street Marrero, Louisiana 70072 (JeffersonParish) 10-12

MAR.13 '8517:21 FD1A REGION VI DENTON 1 p,y

u. West St. James Hospital Highway 20 Box 128 Vacherie. Louisiana 70090 (St.JamesParish)

2. Grand Gulf Nuclear Station (To be developed)

3. River Bend Nuclear Station _

(To be developed) e s

l l

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i 10-13

a MR.13 '85 17:23 FEMA REGION V8 DENTON 1 P.07 9

ENCLOSURE 6 to ATTA,CHMENT 1 AREA AMBULANCE COMPANIES AVAILABLE *Mun - Municipal FOR SUPPORTING EVACUATION Par - Parish Pri - Private Sta - State Vol - Volunteer Ambulance Compary

• Type of Service Tyoe of Vehicles Parish and Location Phone No. No. of Ambulance I  !! !!! Other

$t. Charles St. Charles Hospital 785-6242 Par - 3 020 1 Luling Jefferson American Ambulance and Rescue 466-7000 Pri - 14 161 6 Kenner Mid-South Ambulance 835-8548 .Pri - 5 -

122 0 Metairie East Jefferson Hospital 454-4444 Mun - 6 042 0 Metairie 454-4489 ,

Westwego V. F. D. 347-7386 Vol - 2 010 1 Westwego 347-2765

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West Jefferson Hospital 347-5511 Mun - 3 012 0 Marrero Pri - 4

~

Red Line Ambulance 347-3179 040 0 l Marrero l Care Ambulance Service 367-4231 Pri - 4 121 0

\ Gretna David Crockett V. F. D. 366-3444 Vol - 2 200 0 Gretna 361-3502 Lafitte Ambulance 689-2221 Mun - 1 001 0 l Lefitte 689-2315 orleans Charity Hotpital of LA 568-2914 Sta - 9 135 0 New Orleans New Orleans Police Department 586 5002 Mun - 9 . 090 0 New Orleant Gulf States Ambulance 363-7658 Pri - 3 120 0 New Orleans AL-E601__ f MtYf Af -

~~hR.13'851*24 r fem REGION VI DENTON 1 P.08 Ambulance coinpany

• Type of Service Type of vehi_cles Parish and Location _ Phone No. No._of Ambulance  ! II !!! Other Mississippi River Bridge Authority 361-6565 Sta - 1 001 0 New Or,eens Plaquemines Plaquemines Parish safety Department 392-6690 Par - 7 052 0 Port Sulfer ext.4205

, St., Bernard St. Bernard Sheriff's Office 277-7417 Par - 10 712 0 Arabt 277-3300 St. Tennany Professional Ambulance 643-3563 Pri - 3 111 0 Slidell 511 dell Police., 581-2827 .

Department - 649-0331 Mun - 2 010 1 Slidell 643-3131 -

Pearl River Sixth Ward 863-7070 Mun - 2 . 010 1 Pearl River i

Lacombe V. F. D 882-5100 Vol - 2 001 1

'. Lacombe 882-5070 Pri - 3 Holden's Ambulance 892-7686 101 1 Covington St. Tasmany Ambulance 892-6076 Pri - 2 020 0 Covington Lafourche Lafourche Ambulance 632-7191 Par - 3 020 1 Salliano St. Anne General Hospital 537-6841 Pri - 2 002 0 Raceland Terrebonne Acadian Ambulance 1-800 Lafayette 252-5522 Pri - 6 600 0 St. James tarl Joshua 8 Sons 265-4174 Pri - 1 000 1 St. James Brazier - Watson Ambulance 473-4252 , Pri - 1 000 1 Tangipahoa Tangipahoa Parish Ambulance - 345-3434 Par

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p a I IR.13 '8517:22 FD1A REGION VI DENTON R N P.05 TAB P to CHAPTER 10 l .)

' AMBULANCE SERVICES AVAILABLE FOR .

EMERGENCY MEDICAL TRANSPORTATION IN SUPPORT OF THE STATE OF LOUIS!ANA PEACETIME RADIOLOGICAL RESPONSE PLAN

1. Waterford 3 Steam Electrf c Station _

Parish Ambulatory Service fVehicles Charity Hospitel 9 Orleans

- 1532 Tulane Avenue New Orleans LA 70112 3

Gulf States c/o Jo Ellen Smith Memorial Hospital 4444 General Meyer Avenue New Orleans, LA 70114 Mississippi River Bridge Authority 1 Post Office Box 6297 New Orleans LA 70174

• New Orleans Police Department 9 EMS Division m 1700 Moss Street New Orleans LA 70124 14 Jefferson American i

2305 Hickory Street i Suite D Harahan,LA 70123 4

Care 901 Robert Street -

Gretna. LA 70053 2

David Crockett V.F.D. . ,

1136 Laf ayette Street Gretna LA 70053

• East Jefferson General Hospital 6 4200 Houma Boulevard Metairie, LA _ 70011 5

Mid South 2928 Metairie Road

• Metairie. LA 70001 ,

• Lead agency within the identified Parish. . .

10-8

, -, -, _ . - _ - , . - - - . - . . - - - - - - _ . . - - . _ _ . - , _ - - - , ~ . . . ..,-~..,----,.---.,.+e . - - - - - -

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MAR.13 '85 17:22 FEMA REGION VI DENTON 1 P.06

,\:

Parish Ambulance Service # Vehicles Red Line 4  :

Post Office Box 338 Marrero. LA 700/3 i

• West Jefferson General Hospital 3 4500 Eleventh Street Marrero, LA 70072 Westwego V.F.D. 2 677 Avenue H Westwego, LA 70094 St. Charles

• St. Charles Hospital 3 l

Post Office Box 87 Paul Mallard Road  !

Luling, LA 70070 Lafourche

• Acadian 1 Post Office Box 52888,0C5 Lafayette, LA 70505 St. John the Baloney 2 Baptist Post Office Box 86 -

Garyv111e, LA 70051' Hobson Brown 1 Post Office Box 61 Garyv111e, LA 70051

! St. John Sheriff's Office 1 Percy Hebert Building

, Airline H hway .

Laplace, 70068 I

St. James Brazier-Watson 1 623 Railroad Avenue ,

j Donaldsonville, LA 70346 Earl Joshua 8 Sons 1 Post Office Box 96 l_ 5t. James, LA 70086

2. Grand Gulf Nuclear Station (To be developed) 3.. River Send Nuclear Station , j (To be developed) )

l se.. . nc, w,t,,n ,,e identifled ,a,,sh.

l l 10-9 l

s, ***MAR.13 '9517:24 FD1A REGION VI DENTON 1 / ,/ P.09 p li & g /

HEAL.TH AND MEDICAL SERVICES .

St. John the Baptist Parish Emergency Plan Implementing Procedure

1. PURPOSE I

To establish procedures to support Parish protective response to an accident at the Waterford 3 Steam Electric Station, while assuring continued provision of health and medical services to the general population.

II. DEFINITIONS A. The definitions provided in the "Off-Site Emergency Preparedness Training Resource Book" are applicable to the terms used in this procedure.

B. Other Definitions

1. Disabled Person - A person so debilitated or hampered by physical inpair1nent that self-mobility to a pick-up point is impractical.

2.. Radioprotective Dfugs ' Compounds containing iodine in suffi.

cient quantities to saturate the thyroid, thereby blocking partially or wholly the absorption and increasing the elimination of radiciodines by the human body.

3. Respiratory Protection - Those actions taken at the time of an accident intended to miniatze the inhalation of airborne contamination.

4. Sheltering - Actions taken by.the public to protect against radiological exposure which include remaining indoors, closing doors and windows, and decreasing building ventilation during

[.- .

and following the passage of a radioactive plume.

l III. SITUATION A. In the event of an accident at Waterford 3, normal health and medical services within the Parish could be disrupted.

8. Parish officials, being responsible for the health, welfare and F safety of individuals within the Parish, may recommend protective actions to medical services providers.

! C. The Health / Medical Officer, serving as liaison between the parish government and medical service providers, will assist information exchange and resource management during an emergency. E l

H/M 1 , 8/30/82

M R.13 '8517:25 FE!1A REGION VI DENTON 1 P.10 IV. RESPON5!BILITIES A. The Health / Medical Officer will:

1. Coordinate delivery of health and medical services in the Parish at the time of an emergency. ,

2. Coordinate and assist in the protective response for:

a. . River Parishes Medical Center

b. Twin Oaks Nursing Home -

c. Place DuBourg

d. Disabled persons witinout transportation in t'he Parish Note: This includes arranging for transportation to support the evacuation for the groups listed above.

3. Maintain an inventory of health care providers, facilities, materials and equipment necessary to protect the public in the event of an emergency.

3. The Administrators of River Parishes Medical Center, and Twin Oaks Nursing Home are respansible for maintaining current emergency management plans and procedures

• that are consistant with Parish emergency plans and implementing procedures. ,

C. The St. John Parish Council on Aging is responsible for maintaining a roster of disabled persons without transportation within the Parish and to assist the Health and Medical Officer in making provision for their evacuation.

V. PROCEDURES . .

A. Administrative

1. Recruit, orient and train two (2) relief health / medical officers to provide for extended operations and full-time coverage.

! 2. Review and become fast 11ar with the Parish E0C Implementing Procedure for fixed nuclear facility accidents.

3. Assure semi-annual update of resource materials attached to this procedure.

4.' Maintain agreements or understandings required to implement these procedures. including provision of lin evacuation support facility for each health care facility in the Parish.

S. Review the Emergency Management Plan for River Parishes Medical l

Center and Twin Oaks Nursing Home to assure consistancy with the ' '

c Parish Plan.

! 6. Update staff /petient census for determining resource needs.

H/M g 8M82

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a f%R.13 '8517:26 FEMA REGION VI DENTON 1 p,3g l

ST, CHARLES PARISH. EMERGENCY PLAN IMPLEMENTING PROCE3URE

- HEALTH AND ME_ DICAL SERVICES

1. PURPOSE

• 1 To establish procedures to support Parish protective response to an accident at,the Waterford 3 Steam Electric Station, while assuring continued provision of health and medical services to the general

- population.

II. OEFINITIONS o

A. 'The definitions provided in the "Off-site Emergency Preparedness Training Resource Book" are applicable to the terms 'used in this procedure.

8. Other Definitions ,

1. Disabled Person . A person so debilitated or hampered by physical impairment that self-mobility to a pick-up point is 1

impractical.

2. Radioprotective Drugs - Compounds containing iodine in sufficient quanti, ties to saturate the thyroid, thereby blocking partially or wholly the abs'orption and increasing the elimination of radiciodines'by the human body.

3. Respiratory protection - Those actions taken at the time of an accident intended to minimize the inhalation of airborne con-tamination.

4. Sheltering - Actions taken by the public to protect against radiological exposure which inchde . remaining indoors, closing doors and windows, and decreasing building ventilation during and following the passage of a radioactive plume.

!!!. SITUATION A. In the event of an accident at Waterford 3, normal health and medical services within the Parish could be disrupted.

B. Parish officials, being responsible for the health, welfare and

• safety of individuals within the Parish, may recommend protective actions to medical service providers.

C. The Health / Medical Officer, serving as liais'en between the parish government and medical service providers, will facilitate infom-ation exchange and resource management during an emergency.

IV. RESPONSIBILITIES

P.12 MAR.13 '85 17:27 FEMA REGION VI DENT 0f4 i 1

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St. Charles Parish is responsible to ensure availability and coordinate delivery of health and medical services to Parish residents in an emergency situation. .

B. . The Health /Eedjcal-Of-f-icer-W11C 1.

Maintain agreements with health organizations and St. Charles Hospital to ensure continuation of uninterrupted health and

}" medical services during an emergency.

( 2. Coordinate delivery of health and' medical services in the Parish at the time of an emergency.

3. Cooroinate and assist in the protective response for St. Charles Hospital, Luling Nursing Home and non-institutionalized disabled persons without transportation, including provision of transportation resources to support evacuation, *

4. Maintain an inventory of health care providers, facilities, e materials and equipment necessary to protect the public in the event of an emergency. '

" C.

Health care facility administration is responsible to maintain current emergency'mangement plans and procedures consistent with Parish emergency plans and implementing procedures.

D.

The St. Charles' Parish Council.on Aging is responsible to maintain a current roster of Parish elderly disabled persons without transpor.

I tation to assist the Health / Medical Officer in making provision for their evacuation.

V. PROCEDURES _

A. Administrative

" The Health / Medical Officer will: .

1. Recruit, orient and train a minimum of one (1) relief Health /

Medical Officer to provide full-time coverage.

2. Review and become familiar with the Parish Emergency Operations Center Implementing Procedure.

3. Assure semiannual update of attachment material.

- 4. Maintainyreements necessary to implement these pgres.-

5. Review the Emergency Management Plan fo'r St. Charles Hospital and Luling Nursing Home to assure consistency with parish plans and procedures.

6. Maintain current health care facility patient / staff census information for determing resource requirements.