ML20129A563

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Forwards Tab M5 to Mi Emergency Preparedness Plan, App 1 to Monroe County Emergency Operations Plan & App 1 to Emergency Plan for Wayne County... Confirming List of Medical Facilities Identified for Use in Emergency
ML20129A563
Person / Time
Site: Fermi DTE Energy icon.png
Issue date: 06/27/1985
From: Krimm R
Federal Emergency Management Agency
To: Jordan E
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE)
References
NUDOCS 8507150334
Download: ML20129A563 (1)


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[D f'T8 Federal Emergency Management Agency Washington, D.C. 20472 JUN 2 7 i985 MEMORANDUM FOR: Edward L. Jordan Director Division of Emergency Preparedness and Engineering Response Office of Inspection and Enforcement U.S. uclear Regulatory Commission FROM: .' XrTC '" '

Assistant Associate Director Office of Natural and Technological Hazards Programs

SUBJECT:

Medical Services Infonnation for the Fermi II Nuclear Power Station Attached are copies of the following: Tab M5, Medical- Support Resources for Enrico Fermi II Nuclear Plant, Michigan Emergency Preparedness Plan; Appendix 1, Nuclear Facilty Procedures, Health and Medical Annex, Monroe County Emergency Operations Plan; and, Appendix 1, Emergency Health and Medical Services Annex, Emergency Operations Plan for Wayne County. This information is confirmation that a list of medical facilities has been identified for use in case of an emergency at Fermi II. Other related and supporting arrangements and services are also identified.

Attachments As Stated 8507150334 850627

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ADOCK 05000348

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MICHIGAN =-

EMERGENCY i PREPAREDNESS l

PLAN i

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A DISASTER PREPAREDNESS PLAN FOR THE STATE OF MICHIGAN INCLUDING:

1 NUCLE AR ACCIDENT 3 N ATUR AL DISASTER 4 TECHNOLOGIC A6 DIS AST E R PROCEDURES PROCEDURES PROCEDURES

  • Hazardous Peacetime Nuclear
  • Flood
  • Fire enceoents
  • Snow
  • Oil Spill e see
  • Water Contamination
  • Winostorm
  • Utility Failure 2 ATTACK j
  • Wave Action
  • Mapr Transportation Accident
Blight
  • Epidemic i
  • Hostile Military Action
  • Drought
  • A6r Contamination ,
  • Paramilitary Action
  • Infestation
  • Emplosion

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Tab MS MEDICAL SUPPORT RESOURCES

FOR ENRICO FERMI TRUCLEAR PLANT e

TABLE OF CONTENTS Page , .

Monroe and Wayne County Health Departments. . . . . . . . . . . . . . TM5-1 Selected Michigan Hospitals in the Secondary EPZ. . . . . . . . ... . TM5-2 (j The following generic medical support resources are described in Tab 133:

Whole-Body Counting Services Bioassay Services and Internal' Dose Detennination Support 39

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.TMS-1 6/84

SELECTED

C. FOR THE FERMI 2 PLANT TELEPHONE NO. BED CAP. NUCLEAR MEDICINE?

FACILITY AND LOCATION Lenawee County 517-263-0711 220 Yes E. L. Bixby Hosp., Adrian No Herrick Mem. Hosp., Tecumseh 313-423-2141 76 Morenci Area Hosp., Morenci 517-458-2236 33 No Macomb County 313-752-3551 48 No Almont Com. Hosp., Almont Mt. Clemens Gen. Hosp., Mt. Clemens 313-468-1451 256 Yes 313-573-5000 368 Yes South Macomb Hosp., Warren ,

Monroe County V 313-241-6509 222 No Mercy-Mem. Hosp. Monroe Oakland County Wm. Beaumont Hosp., Royal Oak 313-549-7000 887 Yes 313-828-5100 200 No Wm. Beaumont Hosp. , Troy 313-652-5000 290 Yes Crittenton Hosp., Rochester

(. Madison Com. Hosp., Madison Hts. 313-585-2733 37 Yes 313-857-7200 382 Yes Pontiac Gen. Hosp., Pontiac Providence Hosp., Southfield 313-424-3000 430 .Yes 313-858-3000 448 Yes St. Joseph Mercy Hosp., Pontiac Washtenaw County 313-484-2200 169 Yes  ;

Beyer Mem. Hosp., Ypsilanti Yes 867

! U-M Med. Center Ann Arbor 313-764-4420 I

Wayne County 313-494-5303 320 No Children's Hosp. of Mich., Detroit Yes  !

Cottage Hosp., Grosse Pte. Farms 313-884-8600 155 313-494-3100 300 No Detroit Receiving Hosp., Detroit No l

Detroit Mem. Hosp., Detroit 313-225-5000' 235 i

Yes Henry Ford Hosp., Detroit 313-876-1337 1015 Garden City Hosp., Garden City 313-421-3300 360 Yes 407 Yes t Grace Hosp. NW Unit, Detroit 313-345-7000 313-494-7191 419 Yes e Hutzel Hosp., Detroit Lynn Hosp., Lincoln Park 313-383-6000 76' Yes l h 329 Yes l  !, North Det. Gen. Hosp., Detroit 313-368-5900 313-336-3000 568 Yes

! D Oakwood Hosp., Dearborn 1 313-386-2000 297 Yes b Duter Drive Hosp., Lincoln Park 313-272-3500 146 Yes Plymouth Gen. Hosp., Detroit Yes Saratoga Gen. Hosp., Detroit 313-526-5100 203 l Yes

Southwest Detroit Hosp., Detroit 313-961-7777 244 4

3

'Only those hospitals wnich will accept and treat radioactively contaminated 1 J patients (whether otherwise injured or not) are included in this compilation l (based on a 1980 survey by the DPH Division of Emergency Medical Services).

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BI0 ASSAY SERVICES AND INTERNAL DOSE DETERMINATION SUPPORT Department of Radiation, Chemical, and Biological Safety Michigan State University East Lansing, Michigan 48824

Contact:

Mr. Warren H. Malchman, Director Telephone: 517-353-0153 or 353-6675 A computer program is available for rapidly determining radiological dose and risk assessment from internally deposited radionuclides.

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CERTIFIED

  • MICHIGAN MEMBERS OF Tile AMERICAN ASSOCIATION OF

. PHYSICISTS IN MEDICINE

. Bant,-Morris I. (PhD) Leung, Sun-Shing(PhD)

Hurley, Medical Center Blodgett Memorial Medical Center

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Radiology Department Radiology Department- .

. 6th_& Begole Streets 1840 Wealthy, S.E.

. Flint Grand Rapids 313-766-0194 616-774-7828

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Bloor Robert J. (MD) Mantel, Joseph (PhD)

William Beaumont Hospital Sinai Hospital of Detroit Dept. of Therapeutic Radiology Dept. of Radiology 3601 W. 13 Mile Road 6767 W. Outer Drive Royal Oak Detroit 313-288-7020 313-493-5705 Carlson, James C. (MS) McGinnis,KennethD.(MD)

Radiology Muskegon P.C. Mt. Carmel Mercy Hospital 889 Second Street . Radiology Department Muskegon. 6071 W. Outer Drive 616-726-3511. Ext. 613 Detroit 313-341-0151 .

Daenzer, Donald G. (MS) Nikesch, Walter (PhD)

E. W.' Sparrow Hospital St. John Hospital Radiation Oncology Center Radiation Therapy Department 1215 E. Michigan Avenue 22101 Moross Road

. Lansing Detroit

... 517-487-2582 313-881-8200, Ext. 651

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. Forsaith, Ann L. Solari, Arthur J. (MS)

William Beaumont Hospital University of Michigan Medical. Physics & Eng. Dept. Radiation Control Service 3601 W. 13 Mile Road 1061 N. University Bldg.

Royal Oak' Ann Arbor 313 .288-8373 313-764-4420 Horwitz, Norman H. (PhD) VandeRiet,WilliamG.(PhD)

William Beaumont Hospital- Assoc. in Radiation.0ncology, P.C.

Medical Physics & Eng. Dept. 211 Bronson Medical Center 3601 W.13 Mile Road Kalamazoo Royal Oak 616-383-6377 313-288-8373 4

Kane11itsas,Christos(MS)

University of Michigan Radiology Department University Hospital Ann Arbor 313-764-3273 (s

  • Certified by the American Board of Radiology TI33-7 8/83 w . --,-w e- w , ,-7,-,,. ,,,.,,y. ,,r. , ,.,.,w-.--,,, - ,- - - ,, , _ , ,, , --,. , , - . , , . _ , , . . , - -

OTHER HEALTH PHYSICS CONSULTANTS IN MICHIGAN

(, Richard D.'Cummings . Donald Daavettila Health Physics / Radiation Control Physics Department Wayne State University Michigan Technological University 645 Mullet Houghton Detroit 906-487-2084 (office) 313-577-1253 906-482-5787(home)

MICHIGAN STATE UNIVERSITY, EAST LANSING

. Dr. Gale Harris, Associate Professor Warren Malchman, Director Department of Radiology and Physics Department of Radiation, Chemical 517-355-0120(office) and Biological Safety 517-351-7835(home) University Radiation Safety Officer 517-355-0153(office) 517-332-4918(home)

Dr. James E. Potchen, Professor Dr. Donnie Reinhard, Asst. Professer and Chairman Electrical Engineering & Systems Department of Radiology Science and Radiology 517-355'0120 (office) 517-355-5214 or 517-355-0120 (office:

517-351-2595 (home) 517-337-0208(h'ome)

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l, ' Dr. Bruce Wilkinson, Professor Department of Chemical Engineering 517-355-3444 (office) 517-769-2836(home)

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}0NROE COUNTY EMERGENCY OPERATI Appendix 5 l Nuclear Facility Procedures 1 Protective Response Area yJ WHE-g

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SUMMERFIELD

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LAKE ERIE WHITEFORD BEDFORD ERIE

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APPENDIX 1, MUCIEAR FACILIIY PROCEDURES, 70 ' DIE HEAL'IH AND E. DICAL ANNEX  :

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  • David J. L erman, M.D. , NH /

City / County Health and dical Officer Civil Preparedness Director / Coordinator (Chief of Staff) h n I'L ,l W )

Date '

Rev.10/84

3 APPDOIX 1-(NUCIZAR AOC1 DENT hSO2DURES)

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101HE HEAL 1H AND MEDICAL AMEX I. PURPOSE A. To support the Health and Medical Annex to the Monroe County

~ Bnergency Operations Plan.

B. To provide for the coordination of emergency health and medical resources required to support hospital and special care facility evacuation, provide specialized assistance to members of the general public and assure as far as possible availability and accessibility emergent and urgent medical care services, in the event of a nuclear facility incident.

II. ASSLNPTIONS A. In the event of an announcement of an incident at the Alert or higher level, for which no protective action is reconmended, spontanerr.ts individual actions may occur to increase demand for transportation of bedfast persons.

B. The emergency medical transportation resources within Monroe Cor.ty 3

will be fully utilized to support on-site requirements and to main-tain adequate levels of emergency service capability during an

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incident, and will not be available to meet the requirements for emergency medical transportation for a general evacuation of the primary EP2.

C. In the event of an evacuation due to an incident at FERMI-2, substantial transporation capabilities will be required to evacuate the Monroe County population in acute and long-term health care facilities.

D. Hospitals and other facilities involved in the provision of care to handicapped, ill, or others requiring special transportation to a specialized receiving facility in the event of an evacuation, have primary responsibility for identifying necessary transportatic, services and receiving facilities, and planning and concluding I

arrangements in coordination with the Monroe County OCP.

. E. The State of Michigan, through the Michigan Department of Public Health, Energency Medical Services Division, will coordinate, in consultation with the Michigan State Police, the provision of l

% emergency medical transportation resources 'from outside of the County with the County Health and Medical Officer, to provide for the evacuation of non-anbulatory persons within the primary EPZ.

III. CONCEPT OF OPERATICES

(~ A. In the event of a melear incident at FERMI-2, the Health and Medical Officer will be notified according to the procedures

! established. (Refer to Direction and Control Annex) i

! J-1-1 Rev.10/M 2

The Health and hdical Officer and the Emergency Medical Services

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(DE) Transportation Officer will report to the Monroe County IDC at the Alert classification.

C. h Health and Medical Officer is responsible for the coordination i

of responses identified within this annex, and will be responsibile for mobilizing and directing all of the emergency health / medical resources necessary for the county to respond promptly to a mclear facility incident.

t D. h Health and Medical Officer will amintain close contact with health care facilities and will coordinate provision of emergency medical transportation through the DE/ Transportation Officer.

1 Bnergency medical transportation requirements fall into four primary categories:

1. Transportation for the evacuation of health care facilities including hospitals, nursing homes, and residents of group homes who require medical assistance.
2. Transportation for the evacuation of members of the general public who are non-ambulatory and require transportation assistance.
3. Maintenance of emergency medical services capability for responses.to.the normal, and possibly increased demand, for

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primary emergency medical services.

4. Transportation of victims of radiological accidents to designated medical support facility by local ambulance service. (Refer to Attachment H)

E. Hospitals designated to receive potentially contaminated patients, and host health care facilities agreeing to accept patients from risk health care facilities in the event of an evacuation are shown in Attachments E and F.

F. Pre-hospital care providers (including both anbulance and fire rescue) and their capabilities are identified in Attachments G and H.

G. 'Ihe. Michigan Department of Public Health is responsible for directing the use of radioprotective drugs. The Monroe County Health Department, under the direction of the Health / Medical 1 Officer, maintains the supply of Potassium Iodide (KI) under strict security precautions. (Criteria for use of radioprotective

. drugs are shown in Attachment C.)

H. Upon notification, Hospitals and Internediate and Img-Tenn Care Facilities will conduct appropriate census and classification of patients, effect coordination with pre-determined host facilities,

- and prepare patients for transportation. Patients of facilities

~( unable to complete expeditious arrangements will be tenporarily sheltered at the Ida School Couplex. Such facilities will saintain J-1-2 Rev.10/84 j 3

continued responsibility for staffing. . The Social Services / Red .

(. Cross personnel will provide administrative support.

I. Connunications:

1. Basic connunications between risk health care facilities and l the EOC will be by telephone. ,
2. Hospital and mobile medical support connunication will be 1

, coordinated through the EDCOM system. '

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3. Augmented radio cocnunications will be through the use of the

- Amateur Radio Dnergency Service. Units will be assigned to risk and host facilities as appropriate.

IV. GtGANIZATION A. The Director of the Monroe County Health Department has been designated as the County Health and Medical Officer.

B. 1he DtS/ Transportation Officer of the Monroe County Health Department will assist the Health and Medical Officer in the coordination of emergency medical services and personnel and will function as a part of the IDC staff.

C. 1he alternate for the Health and Medical Officer will be the gf,. Administrator of the Monroe County Health Department. The s0 Administrator will provide 12 hour1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> shift relief to assure twenty-four hour coverage. Second alternate to the Health and Medical Officer will be the DtS/ Transportation Officer.

V. TASKS AND EXECUTION A. NOTIFICATION OF INUSUAL EVEhT 1he Health and Medical Officer may be notified and action may be required to supplement response to an onsite emergency.

B. ALERT l

1. The Health and Medical Officer and the EMS / Transportation Officer will be notified, both will report to the EOC and will direct coupletion of the following:
a. Notification of key persons, including Health Department i, Division and Program Heads, &ntal Health, Animal Control and the Administrator of Mercy-Memorial Hospital, to asstune stand-by status.

! b. Contact of key emergency personnel and issuance of stand-by team assignments. (See internal operating procedures for names and telephone numbers.) These in turn will follow i( .

! their internal operating procedures for notifying their key personnel as necessary.

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ATTAOMNT E

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M)NROE COLNTY HOSPITAIS AND DESIGiATED HOST FACILITIES B. Designated Host Facilities DDST FACILITY TUIAL BEDS 2

Duna L. Bixby Hospital 218 818 Riverside Avenue Adrian, Michigan 49221 britageHospital 46 24775 Haig Avenue Taylor, Michigan 48180 2

Herrick Memorial Hospital . 91 500 East Pottawatarrde Street Tecumseh, Michigan 49286 2' St. Joseph Mercy Hospital 34 5301 East Huron River Drive P.O. Box 995

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Ann Arbor, Michigan 48106 2

St Joseph Mercy Hospital 591 900 Woodward Averne Pontiac, Michigan 48053 2,3 Medical College of Ohio Hospital 27-47 300 Arlington Avenue C.S. 10008 Toledo, Ohio 43699 2,3 Hercy Hospital 44 2200 Jefferscn Avenue

- Toledo, Ohio 43624 University of Michigan Hospitals 4 See Note 1405 E. Ann Street NI4A04, P.O. Box 050 Ann Arbor, Michigan 48109 2

Denotes those facilities which accept radiologically contaminated patients.

( (4 Denotes those facilities comiting a specific ranber of beds.

3/22/84 U of M Hospitals awaiting a review of onsite medical facilities and procedures at FERMI-2 before conpleting the questionnaire.

J-1-E2 Rev.10/M 16 -_, __. _

  • l ATTACHMENT E

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B. Designated Host Facilities l l

BO6T FACILITY TOIAL BEDS 2

0 uter Drive Hospital Depends on 26400 West Outer Drive Occupancy Lincoln Park, Michigan 48146 kiversideHospital 51 1600 Superior Street Toledo, Ohio 43604 2

Saline Ccumunity Hospital 82 400 West Russell Street Saline, Michigan 48176 .

koledoHospital 45 2142 North Cove Blvd.

Toledo, Ohio 43606 2

St. Vincent Hospital 570 k:. and Medical Center 2213 Cherry Street Toledo, Ohio 43608 2,3 Wyandotte General Hospital 22 2333 Biddle Avenue Wyandotte, Michigan 48192

. Denotes those facilities which accept radiologically contamintated patients.

Denotes those facilities conmiting a specific number of beds.

4 3/22/84 U of M Hospital awaiting a review of onsite medical facilities and procedures at FIRMI-2 before coupleting the questionnaire.

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J-1-E3 Rev.10/84 17

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...- 1 ATTACHMENT F

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PRIMARY HOSPITAIS AGtEEING TO AOCEPT RADI0 LOGICALLY CONTAMINATED PATIDTTS FACILITY

" Seaway Hospital 5450 Fort Street Trenton, Michigan 48183 (5:~

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J-1-F1 Rev.10/84 18

ATTAGMENT G AMBULANCES AND DIMER PEDICAL TRANSP2TATIM CAPABILITIES IUIAL MMROE COUNIY . NLHBER VDlICLIS E.M.T.S., Inc. BLS: 5 1185 West Front Street AIS: 3 Monroe, Michigan 48161 Frenchtown Fire Department BIS: 2 c/o 7590 S. Stoney Creek Monroe, Michigan 48161 Huron Valley Ambulance Service BIS: 9 P.O. Box 2982 A1S: 2 Ann Arbor, Michis,an 48106 (1 Ran Charger used for disaster-ability to transport)

Jackson E.M.S. BLS: 8 405 Airline Drive A1S: 3 Jackson, Michigan (1 limited advanced)

Jasin Ambulance Service BIS: 2 5300 North Sumit Toledo, Ohio 43611 Mercy South County Ambulance BIS:

8166 Douglas Road AIS: 2 lambertville, Michigan 48144 Reeb Ambulance Service BIS: 3 5712 North Main Street Sylvania, Ohio 43560 South Rockwood Fire Dept. BIS: 1 c/o 4600 Carleton-Rockwood Road South Rockwood, Michigan 48179 RS = Basic Life Suppert AIS = Advanced Life Support i

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ATTAONENT H MONROE COUNTY FIRE DEPARINENIS RESCUE VDfICES l

l FIRE DEPARTHENT VDIICE Bedford #1 1982 Ford Modular Ambulance 1979 Pierce Mini-PLmper Bedford #2 1971 GC Step Van (Heavy) 1974 Chevy Suburban (Light)

Dundee 1983 Ford Modular Ambulance Erie 1978 Dodge High Top Van Estral Beach 1981 Ford Modular Ambulance Frenchtown #1 1973 GC Van-P.A. f6 (Licensed)

Frenchtw n #2 1976 Dodge Maxi Van-P.A. (Licensed)

Frenchtown #3 1965 Engine Frexhtown #4 1983 Mini-Pimper Ida 1%5 International Crew Cab

., F.W.D. with Utility Box j

(,9 1959 GC F.W.D. Mini-Punper landon-Maybee-Raisimille 1982 Ford Modular Ambulance Inna Pier 1982 Ford Modular Ambulance 1965 International Mini-Punper Milan 1983 GC Modular Ambulance 1974 Dodge Van Monroe City 1979 Pierce Crew Cab with Utility '

Box Monroe Township 1983 GC Mini-Punper Morin Point 1974 Dodge Van Newport 1983 Chevy Mini-Pumper 1967 Dodge Van South Rockwood 1979 Modular Ambulance (Licensed)

Summerfield 1969 Ford E iteford #2 1971 GC Step Van k'

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EMERGENCY OPERATIONS PLAN und h6N

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  • WAYNE COUNTY and cities of:

Garden City Bantranck Riverview

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The undersigned certify that the attached Basic Plan and those support annexes prescrip d therein have been reviewed and constitute the official nnergency Operations Plan for Wayne County and the cities of Garden City, Hamtramck, and

'f. Riverview and is approved and current for emergency operations for the ensuing N,, one year unless otherwise appropriately revised prior to the end of this period.

dem (MC Date Februarv 6.1984 William Lucas, Chief Executive Officer County of Wayne, Michigan -

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Kn 'ent Fo delW Ma'yor of 'arden City d(. . [ [ Date d*

~~B6bert K zaren, Mayo of ' sitramek [

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  • Peter Rotteveel, Mayor of Riverview .

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Date. k $,/9 W Mitchell h. Xc/zh,/ Director Wayne County Dnergency Preparedness c:mo - _ - . . _ _ _ _ _ - _ _ _

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Incident et the Enrico Termi Atomic Power: Plant. "I IG.L,y-%,$.,N.

,M.Q, facility p 3,,,$. e ,C. : - To identify ' consultants that can be used in a radiological

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. nuclear facility.to care for victims of a nuclear incident, v f'y *,..;,. ' '

and all other hospitals, nursing homes, and extended care facilities.

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[C. , 'To ident'ify the ambulance services and other transportation -

means which will be used to transport exposed persons.

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II. CONCEPT OF OPERATION A. The execution of the assignments of this appendix will be under the direction of the Director of the Wayne County Health Dept.

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...- .B. The Director will be responsible for mobilizing and coordinating .

'.,' all health ,and medical resources to respond promptly to a nuclear facility incident. The Director or his designee vill do this

[,; ,' ,,~ 7.~ . ;c ' - from the Wayne County On-Scene Emergency Operations Center as the

' tealth Operations Officer.

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',, ,C. The emergency actions that the Director will be responsible for -

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implementing and the four levels of classification are shown on r '

Attachment A. This includes actions for notification and mobili-r sation of personnel. -

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N.,Mi$: MEMUh~NV. $Med w ns+ A.p~.sao

-TASKS AND EXECUTION

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's, '.*Consultants g that .can be used in a nuclear facility -emergency ~~ T C .V,,7~;qM.1/.u  ::

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, _ r:. are shown on Attachment D..y !a . .n.w

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S'jf,7M@ M.' j-Q/: .s . .1 : The Wichigan Department :of Public Sealth Criteria for-use of . .t y.g.

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:'~ l ~. - ,.r radio protective drugs to be administered to emergency y :2.'

The . d h ,, . 'd.iM%.3+ [X .;MDPH maintains a quantity of potassium iodide at its central. ". M s . #/ . . vorkers and the general public is shown on Attachment H.

B % 44'. ,; " .cffice. When an incident occurs this eupply will be ' -

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. transported to the local area. 'The Director of the county'.

health department will distribute the. drugs..

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W1h[5YNhh..MM; y E M $s.Nbandicapped/impairedtaobility'in The YIc,es 3. following actions will be conjunction taken to with protect Socialapr g thedephy loca efw ;:y

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- . V W.s 1 . ;: s F lw. ^Y n : . ' : =- M k Wyy .f. . L.n.+ut.hh.;; .s, .... Identify the' medically

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' impaired within the area of ~

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b. Hove the medically impaired from the area of concern' '

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using school bus or other public transportation. 4

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Coordinate with the Intermediate School District. (

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If persons in the category cannot be moved they 'will be

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c. -
advised to take the following actiona. ,
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Turn off air conditioners.".

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. Seal -windows and doors. .,E' '

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,. based on the advice of the Michigan Department of

~Public Health. .

c, / 4. The hospitals that have agreed to care for radiologically .V exposed victims are listed on Attachment 1. The other

. hospitals, nursing homes, and extended care facilities are also listed on Attachoent I. These are support facilities outside of the 10 mile area.

. < 5.

~ ' '

Ambulance services and other medical transportation will be coordinated by the Director. . .

-. . . , . . .  ?

. 7

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"^ .6. Attachment R shows the training programs and sponsors 5 - '"," ' available to maintain the emergency preparedness capability

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- of health and medical personnel. ,

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  • Appendix 1 (Nuc13cr Facility Preceduras) to the Enargtncy H2sith cnd Medical Services Annex (continued)

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ggeh 47,, 'The criteria and decisional aid'for decontamination is shown fM*".  %.

$.MM 'IfW:~$ [is..-6~jin will .

Pt tachment J. : the Of fice of Emergency Preparedness -(OEP) establish decontamination centers as necessary. '%e -

ry Nt9[.dj'.ss"[W..G! , LCounty Eealth Departmentf is responsiblef or providing , m i b. . . :.

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ts*N m M.' % g r y / *. W gi.. At A '. congregate

.. - care centers,-the: Cou.n y)y Jtealth Department will

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, ~ ...easure food and water is aanitary.'

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5:.ish. .g.nd y. dis  ; : Kc,9. - De Mental Health Board in co' operation with Social Services' -' "R-

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@grat:fcM.,.)6'ge._yy; '

J- L - disaster.to will be available aid and counsel for contact people. and coordination during the -

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r. c M' *.  ;.k.f. . ,.- .. -10.1he' Director will ensure that public healtii emergeneY workers i i,,.

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". .'<. c . working in an area where they could be exposed .are issued a b 72. . , . . , ,

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eg . e .i - X Jostmeters. . He will coordinate with the Radiological Defens.e.,_ .,-

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.ME f Odj ., N'rli' ' ,.j Df ficer in designating .a f tre . station wherel the cemergency' f'Oc.. C v i

L e'.{'the" y 3rorkersRadiological will report to-receive Defense E

their dosimetirsP..Befer'.1o'Mk' Appendix '.for'more.:

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gwhgg:p,M((.]y M jf] ytLon. Refer. 3r: to 'the;1tadiological Defense' Appendix

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y. +:yy y , s.. v... - - - r exposure control criteria. -

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11. Provide all other health and medical support which is out-
l. ' -

lined in the Emergency Health and Medical Services Annex. .

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h ; ,, O B. Conum.inica tions

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!/. '1.:. Hospital and 4mbulance communication vill bi coordinated p-f .1 Q . g ]'i .

through the MEDCOM System utilizing HEMS radio.' Basic ," , "

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. . communications between field teams and 'the Wayne County -

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. 8 On-Scene EOC will be by telephone. D e MEDCOM System could .

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provide backup radio support.

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Augmented radio communications will.be with the use of Police s

-Radio, Amateur Radio Service, Citizen Band Services, Civil '

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Air Patrol, and in cooperation with the County Emergency y ,

Preparedness Communications Of ficer.

Vs C. Execution

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( 1. When notified by the Wayne County warning entry point of an 1

p 7 incident at the nuclear facility the Health Director or his

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. designate will gather his staff, brief .them and make assign-

, ments in accordance with Attachment .A as necessary.

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( -Rev. 2 4,"i

'2.

Upon declaration of a state of emergency by the County Executive,

-f the Director or his designate vill coordinate health services i S. '

'. from the Wayne County On-Scene Emergency Operating Center.

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Rev. 2 g, . ., ' ,c' >

J-1-3 9/83 m

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.',' Appendix 1 (Nuclocr Facility Preccdursa) to the Em:rgency Hr.sith cnd r ' Medic'c.1 SIrvicIs Ann x (centinund)

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~

t Executive, he will direct the disaster-relief . forces of the .

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~

Mounty in accordance with Act"J90. Upon .the declaration of ,

i

.Q.@kr..=*:2%y ~'7  ;./f "s, gY : .9the health and' ..medical services.will become 'Oa part o kQ?1* .

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, ,.:s;27 ;,.,.f ;,d, :; .7,a, statewid.e .relief.

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2' 3*Q""M.,$ tp's ,f'Nayne' County needs..,. is .,

6..p'f.3eir};J W :0 m M,. w+;'n% 6 state. Under m. Governor's ass tance,-they-may state'of disaster petition the ;7 ~y declaration, a..w r . w:,, .. c .. , N. t, 5

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"l a.o.GM.&. r.y. smtate resources -shall be utilized ito assist Wayne County. .r, . /t. t s

  • {y, M~ }M, -;f.? ;x W.If,dN.i . # 'If the state.needs extra resources, it may request that a 4. g sg.h 3 .;< # j -,. . presidential disaster declaration be made. . The various '

p- -

f.4 T f.' ,$ . agencies of the federal government may also be available to j..

.f f(i ' . ' ~ *i., . . .U.C.".hSJ, -,~~ Z.' M.'. "6 ^ provide assistance on this basis.- The Michigan' Department

],f *~  ; of Public Health maintains a list of nuclear and other '

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"  ? facilities, organizations, .or individuals which can be relied . i-Q ,, h, man.

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N.b g,'V s ' .:s.cy W.  ;.4a.",.upon in an emergency ~....s to -provide.  : , y;3. .assistance. .. ,

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i l L.G'i 1-J .'-g. c,224. ?Motification Alert, and Mobilization Procedures w .s$k u'I-b N m ,ma'4.g'y. m . w e Y' 2 m u

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  • A.

{.., 5 -u. . ;. ; .v. .B. ' Naintenance of Emergency Preparedness capability y . n '

C. Organizstional Chart

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t-D. Consultants for Use in a Nuclear Facility Incident. -

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,. . .-. . - -- .E.

  • Protective Action Guides for Contaminated Human and Animal Food
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.TProtective ' Action Guides for Drinking Water - -

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p . ('.'.. "G.f. ?rotective Action Guides for External and Inhalation Exposure G;,~'.' / . ;.. .

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fl f, * . . ... ;7.,<" .,.E. ' Criteria for,use of Thyroid Blocking Drugs

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Hospitals and Ambulance Services Accepting Radiation Injuries L.

J. Decontamination Criteria and Procedurcs y

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Rev. 1

. ,g . . . -,.u 7 ; 2.-3 9/83

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Attrchment I to App ndix 1 (Nuclect Fccility Pr:ctdure) to the Emergtney Health cnd M: dical S2rvic:s Annex

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// . ~1'.~ 30SPITALS O '. . "1',_;,, ,,,.g AND.AMBULANCE  ; .

SERVICES ACCEPTING RADIATION . ' . . . ,. , a INJURIES

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tFACILITY' ^,- ~~.-'"-

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, i. ADMINISTRATOR

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a- ton tire %epartinent .'J"7. .".l C'.C, : E

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2 .n,u,:. ,. . . ,. .:u . ~ ,--.. u . W,u,9. Larry

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-e . :.  : Miller

, . .e .#,4',,'r. &' 576;1313 . . > ~lX 7

. , d:-*Myt2%-="?

. -; . ,..n~' t Flat Rock' Fire Department 1.,.."%

W. 9 ? ??. "'" 4l* Y' .  %~* + -;

x..~.e. m. g ~. +.: ;; ;  % 782-2500

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%.W

- .  ;. Charles Banunond,-i. .< c. L ., :;+r.' e.

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"n? . " Woodhav.,y .. - <

_- ' .J.; - 1 ::. W" JamesDassett ,...,n.-..-

en. Fire' Department - ~

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M" . -m476-7337 t'~*.

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~.. , Grosse lleFiro .Depar cuent ' ^ r -

NaephMiller 0,..s . s-- > e. , , s m. ' ' e . . .cc ..

t676-7100 t'8

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Taylor Ambulance.J C,c.,e ' . u ,c . .

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.  :,f. u o'. " 1 &arry Perkins

, .292-7980 U. ;

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' &:;.y.M k W .,1._..A m .lbraltar Tire Department 'l

.%;, .1 .Jon Meyers A & v.n 9

> h L. - -

.' 676-1022 b M y#

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MAIS$4 h k W $ (?b W @ b @h W W. NMn!

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'EMTS Inc.i Ambulance in Monroe.Co'nty* .

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1 4

' Hospitals with Decontamination Units

_ /

Detroit Receiving Hospital

. Ronald Krome, M.D., 494-3100 Q .1 / Garden City Osteopathic Hospital Allen Breakie

'; 421-3300

" Holy: Cross Hospital- '

Gerald Hiller

". ~ .. . -

3. j . ;7 . , . .

p :- 7.Q, . - ');10therHospitals'AcceptingRadiationInNries m;. ; '.

369-9100 < .

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1.1 3 . . . .

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IRiversidebet'eopathic' Hospital

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- .m( David Myers,.

476-4200 - '-' N.

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. Wyan'dotte General Hospital . Bruce Nelson 4-284-2400

['

Wayne County General Hospital I.J. Conklin, M.D. 274-3000

[' Oakwood Hospital Gerald Fitzgerald 4

593-7000 j,, ,

Heritage Hospital Walter Wheeler -

[

-Seaway Hospital c( . . .

Jane McCormick 676-7000

'L -  :.. -

?, .

University Hospital (Ann Arbor) s i

v *These organizations have agreements with the facility. Letters of agreement 4

l%are on file with Detroit Edison Company. .

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( ~ Rn. 2 P

. -J-1-17 .

9/83 5

P I

_ _ _ _ _ _ _ , _ _ , _ _ _ _ , _ _ _ _ _ _ _ _ - - - - - - - - - - - - -