ML20151Y812

Forwards Extracts from State & Local Radiological Emergency Offsite Preparedness Plans That Support Facility,Per 850913 Request for Medical Svcs Info for near-term OLs

ML20151Y812
Person / Time
Site:	Catawba
Issue date:	01/17/1986
From:	Krimm R Federal Emergency Management Agency
To:	Jordan E NRC OFFICE OF INSPECTION & ENFORCEMENT (IE)
References
NUDOCS 8602130166
Download: ML20151Y812 (15)

Text

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, f, 4 Federal Emergency Management Agency 1 Washington, D.C. 20472 JAN I T 1986 MENORANDlM EOR: Edward L. Jordan, Director Division of Ehergency Preparedness and Engineerirq Response Office of Inspection and Enforcement Nucl r Regulato Cottnission FRCH: chard .

Assistant Associate Director Office of Natural and Technological Hazards

SUBJECT:

Itdical Services Information for the Catawba 2 Nuclear Station (NS)

This is in partial response to your request of September 13, 1985, for medical services information on several nuclear power Near-Term Operating Licenses (NTOL). For these.NIOL's, you requested that the Federal Emergency Management Agency (FENA) confirm that the offsite energency plans include a list of local or regional medical facilities which have capabilities to provide treatment for radiation exposure.

The followiry extracts fran the State and local radiological energency offsite preparedness plans that support the Catawba NS are attached:

• Appendix 3 of Annex C, " MEDICAL FACILITIES FOR REX'EIVING VICTIMS OF A RADIATION INCIDENI*', pages C-8 through C-12 and C-21 through C-23, Part 1, South Carolina Operational Radiological Dnergency Response Plan, revision 3, March 1985.

• Part 1, State Procedures to Support the Catawba Nuclear Station, IV. EXECUTION,Section V.B. , " Medical and Public Health Support,"

pages 79 through 82, North Carolina Ehergency Res;rnse Plan In Support of the Catawba Nuclear Station, revision 2, September 1984.

Hospitals and medical centers in the vicinity of the Catawba NS in South and North Carolina are listed that have been identified for treatment of radiological'ly contminated individuals as well as additional facilities that could be called upon to provide assistance if needed.

This information is confirmation that a list of medical facilities has been identified for use in case of an emergency at Catawba.

If you have any questions, please contact Mr. Marlow J. Stangler, Technological Hazards Division, at 646-2856.

Attachments As Stated 8602130166 860117 PDR ADOCK 05000414 s F PUR

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Pege 79 PART 1 .

c. Further laboratory analysis assistance is

( available from SMRAP Signatory States.

4. Resources Support Coordination.

a. Resources and support assistance from. sources external to State and local governments may be required to conduct emergency operations within the EPZ. To assure that these resources are committed in an efficient and effective m an-

- ner, the SERT leader will designate a SERT member to serve as the State's representative at the Catawba crisis management center (near-site emergency operations facility).

b. Duke Power Company will designate a company re-presentative to serve with SERT. (See Duke Power Company Crisis Management Plan, Section B.)

c. Gaston and Mecklenburg county governments will-each designate a liaison to serve with SERT as a representative of the Board of County Commis-sioners.

B. Medical and Public Health Support.

( 1. Hospital and Medical Services for Con tam ina t ed Individuals,

a. RPS systematically visits and evaluates the capabilities, procedures, and willingness of North Carolina hospitals to accept and treat radiation accident victims. The evaluation form used for this is shown in Figure 18.

b. Few hospitals in the State have the internal capability to evaluate radiation exposure and internal contamination. These limitations are adequately compensated for by the following:

(1) RPS has executed formal agreements with three in-state corporations (General Electric Corporation, Carolina Power and Light Company, and Duke Poper Company) which have whole body counting equipment to be used in support of the emergency response plan. In addition, the Federal governmer.t and its contractors can provide j

whole body counting assistance.

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Revised 3 Sep 84 1

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PART 1 Pcgs 80 RADIATION ACCIDENT HOSPITAL EVALUATION CHECK SHEET

' Hospital Name

' Address including Zip Code Persons to contact: 24-Hour phone susbers,extensiod, A/C Will facility accept contaminated patients? , but only if Survey equipment available:

[] Check if Alpha detection capability available A. Meters Range Range Range i

B. Others (imaging equipment or calibrators)

Written emergency procedures: Yes, attached No Inspector's comment concerning the f acility and its ability to cope with an emergency:

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J e' Pago 81 PART 1 - .

(2) DMR and several" medical institutions in

( the State are capable of providing urinalysis to determine body burdens of radioactivity. in victims. This is supplemented through available support from Federal and private commercial laboratories.

(3) RPS is prepared to arrange for complex blood studies to assess the amount of This whole body radiation exposure.

includes the use of limited capabilities at major State medical institutions and services p r ov i'd e d by Federal- (NRC) ag'encies and their medical consultants.

(4) Through its evalusMon program, RPS knows -

in advance which hospitals have limited expertise and capabilities. Special assistance is available from seven North Carolina physicians who have agreed t o-provide expert medical assistance in support of the State's response to radia-tion accidents.

2. RPS standard procedures and reference materials related to medical support include:

a. Map showing the location of all hospitals that can provide medical support for victims of radiological accidents.

b. Current lists of names, addresses, phone

, numbers and administrators of all hospitals.

c. Copies of evaluation reports showing each hospital's capabilities, needs, willingness and their to accept contaminated patients, notification procedures.

d. Copies of each hospital's emergency response plans for radiation accident victims.

e. Procedures for selecting appropriate facilities to receive contaminated victims and for determining the quantity and type of support to be provided to those facilities.

3. The following North Carolina hospitals. in the vicinity of the Catawba Nuclear Station, with the capabilities as noted, will support the Catawba

. Sta. tion and the surrounding communities in the event of a radio-logical emergency. (RPS maintains

( lists and locations of other hospitals at greater

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- PART 1 Page 82 distances from the station that will provide back-up support.)

a. Charlotte Memorial Hospital, Char 16tte, N.C.

Telephone: 704/331-2121 Ext. 2145 Administrator: Harry A. Nurkin, President Bed Capacity: 853 Location: 1000 Blythe Boulevard Heliport: Grassed area suitable for use Distance from the Catawba Station: 27 miles Contact Person: John Baker, M.D.

704/331-2121 Ext. 3181 Hospital has a plan to treat 10 patients.

b. Gast6n Memorial H6 spital, Inc., Gastonia, N.C. ~~

Telephone: 704/866-2000 Administrator: Thomas R. Matherlee, President Bed Capacity: 479 Location: 2424 Court Drive Heliport: Cement pad behind hospital Distance from Catawba Station: 25 miles .

Contact Person: Thomas R. Matherlee, President 704/866-2129 Hospital has a limited plan to treat 5 patients.

4. Radiological survey instrumentation will be provided by consultants to the hospitals listed above. RPS will also make recommendations to the SERT leader for additional support from the Federal government.

5. Transportation of Radiation Victims

a. The Emergency Medical Services (EMS) Section, Facility Services Division, DHR-is responsible for developing procedures to marshal ambulance and rescue resources and for coordinating emergency services at radiation accident sites and shelters,

b. RPS will advise EMS of the medical f acilities to be evacuated, and those f acilities capable of receiving radiated patients.

c. EMS staff, in consultation with RPS, will de te rm ine the number of vehicles needed and dispatch them to a local staging area as required. .

e. If necessary, the Military Assistance to Safety and Traffic (MAST) programs will be used to assist in transporting non-ambulatory persons '

to and from medical facilities.

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APPENDIX 3 OF ANNEX C, MEDICAL FACILITIES FOR RECEIVING  ;

-VICTIMS OF A RADIATION INCIDENT.

I. PURPOSE The purpose of this appendix is to identify local medical facilities in the vicinity of the Catawba Nuclear Station, which have the capability to treat radiologically contaminated, injured individuals.

Additionally, medical facilities throughout the state which are considered capable of providing medical support for contaminated, injured individuals will be listed.

II. MEDICAL FACILITIES IDENTIFIED FOR THE TREATMENT OF RADIOLOGICALLY CONTAMINATED INDIVIDUALS A. Negotiations with local medical facilities have determined the willingness of the following hospitals to provide treatment to radiologically contaminated, injured individuals:

1. Divine Saviour Hospital and Nursing Home 111 South Congress Street g

York, S. C. 29745 BED CAPACITY: 51

2. Other facilities to be added pending results of negotiations.

For Letters of Agreement with the hospitals, see Attachment 3. y B. To determine other dbdical facilities throughout South Carolina considered capable of providing medical support for radiologically contaminated, injured individuals, a statewide survey was conducted in coordination with the South Carolina Hospital Association. Refer to Attachment 2 for copy of the survey questionnaire. Based upon the l survey results received thus far, the following l facilities are considered capable of providing l support:

1. Anderson Memorial Hospital 800 North Fant Street -

Anderson, S. C. 29621 BED CAPACITY: 486

2. Barnwell County Hospital

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Reynolds Road Barnwell, S. C. 29812 BED CAPACITY: 61 C-8 January 1984

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3. Beaufort Memorial Hospital 21 South Ribaut Road Beaufort, S. C. 29902 BED CAPACITY: 99

4. Bruce Hospital, Inc.

514 South Dargan Street Florence, S. C. 29501 BED CAPACITY: 84

5. Byerly Hospital Post Office Box 1070 Hartsville, S. C. >29550 BED CAPACITY: 151

6. Cannon Memorial Hospital 110 Pendleton Street Pickens, S. C. 29671 BED CAPACITY: 67

7. Charleston County Hospital 326 Calhoun Street Charleston, S. C. 29401 BED CAPACITY: 172

8. Cherokee County Memorial Hospital -,

1420 North Limestone Street Gaffney, S. C. 29340 BED CAPACITY: 162

9. Clarendon Memorial Hospital 510 South Mill Street Manning, S. C. 29102 BED CAPACITY: 97

10. Conway Hospital,.Inc.

1600 Ninth Avenue Conway, S. C. 29526 BED CAPACITY: 160

11. Darlington Hospital Post Office Box 506 Darlington, S. C. 29532 BED CAPACITY: 52

12. Divine Saviour Hospital and Nursing Home 111 S. Ccngress Street York, S. C. 29745 ,

BED CAPACITY: 51

13. Doctors Memor.'.al Hospital 389 Serpentine Drive Spartanburg, S . 'C. 29303 BED CAPACITY: 108 C-9 January 1984

( 14. Easley Baptist Hospital Fleetwood Drive Easley, S. C. 29640 BED CAPACITY: 94

15. Elliott White Springs Memorial Hospital 800 West Meeting Street Lancaster, S. C. 29720 BED CAPACITY: 149

16. Georgetown General Hospital 606 Black River Road Georgetown, S. C. 29440 BED CAPACITY: 133 17.

Greenville General Hospital 701 Grove Road Greenville, S. C. 29605 BED CAPACITY: 411 ,

. 18. Lee County Memorial Hospital 800 West Church Street Bishopville, S. C. 29010 BED CAPACITY: 35

19. Lexington County Hospital k 2720 Sunset Boulevard West Columbia, S. C. 29169 BED CAPACITY: 225

20. Mary Black Memorial Hospital 1700 Skylyn Drive Spartanburg, S. C. 29302 BED CAPACITY: 158

21. Medical University of S. C.

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171 Ashley Avenue Charleston, S. C. 29425 BED CAPACITY: 510

22. The Mullins Hospital Post Office Drawer 511 Mullins, S. C. 29574 BED CAPACITY: 80

23. Newberry County Memorial Hospital 2669 Kinard Street Newberry, S. C.. 29108 BED CAPACITY: 102

24. North Trident Regional Hospital University Road and I-26

(' Charleston, S. C. 29405 BED CAPACITY: 220 C-10 January 1984

25 Oconee Memorial Hospital Highway 123, West Seneca, S. C. 29678 BED CAPACITY: 141

26. Providence Hospital 2435 Forest Drive Columbia, S. C. 29204 BED CAPACITY: 191

27. Richland Memorial Hospital 2201 Harden Street Columbia, S. C. 29203 BED CAPACITY: 611

28. Roper Hospital -

316 Calhoun Street Charleston, S. C. 29401 BED CAPACITY: 421

29. Self Memorial Hospital Edgefield Street Greenwood, S. C. 29646 BED CAPACITY: 375

30. Spartanburg General Hospital 101 East Wood Street Spartanburg,'S. C. 29303 BED CAPACITY: 569

31. Piedmont Medical Center

Herlong Avenue Rock Hill, S. C. 29730 BED CAPACITY: 273

[n addition to the above, the Moncrief Army Hospital, Fort Jackson, Columbia, S. C., and the Navy Regional Medical Center, Charleston, S. C., are capable of providing treat-ment support.

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S, + - ATTACHMENT 4 TO APPENDIX 3 - LETTER OF AGREEMENT WITH NORTH , CAROLINA DEPARTMENT OF HUMAN RESOURCES AGREEMENT THIS ' AGREEMENT is made by and between the North Carolina Department of Human Resources and the South Carolina It establishes Depart-ment of Health and Environmental Control. requesting the support of interstate coordination for hospitals in the treatment of radiologically contaminated and injured individuals in the event of an accident at a Fixed Nuclear Facility (FNF). radiological accident at a FNF SECTION 1. Should a exhaust capabil-4 either state's medical treatment ities, the designated Department from the adjoining sister state agrees and coordinate that if no-tified, it will . request f back-up support from its available medical facilities as needed. SECTION 2. The Departments specified in THIS AGREEMENT will assign an individual to serve as a contact and coordinator in this interstate agreement. (Name and emergency telephone numbers to be provided.) SECTION 3. THIS AGREEMENT is to become effective upon signing by both Department Heads. It shall be automatically renewed from year to year, i subject to the right of either Department to terminate THIS AGREEMENT at any time during term by furnishing thirty (30) days the prior, written notice to the other Department that termination is desired. The parties hereunder have executed THIS AGREEMENT as of the day and year herein written. Robert S. Jackson, I /S/ Sarah T. Morrow, M.D. /S/ M.D. ROBERT S. JACKSON, M.D. SARAH T. MORROW, M.D., M.P.H. Secretary Commissioner of the South 4 North Carolina Department of Carolina Departinent of Human Resources Health and Environmental Control 4 11-2-81 11-17-81 Date Date C-21 January 1984

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j l k ATTACHMENT 5 TO APPENDIX 3 - LETTER OF AGREEMENT WITH DEPARTMENT OF ENERGY, OAK RIDGE REACTS Department of Energy Oak Ridge Operations P. O. Box E Oak Ridge, Tennessee 37830 October 22, 1981 Mr. E. Lee Bacot, Coordinator Office of Emergency Preparedness South Carolina Department of Health and Environmental Control 2600 Bull Street Columbia, S. C. 29201

Dear Mr. Bacot:

RADIATION EMERGENCY ASSISTANCE CENTER TRAINING SITE (REACTS) In response to your request of September 28, 1961, we are pleased to inform you that the DOE REACTS facility and team are available to provide backup support and assistance to ( the State of South Carolina in the event of'a radiological accident or emergency occurring at any of South Carolina's Nuclear facilities. The REACTS facility is operated by the Oak Ridge Associated Universities (ORAU) for the U.S. Department of Energy (DOE). Dr. Karl F. Hubner is the Director of REACTS. The REACTS facility and team are part of a continuing DOE program, how-ever, the continued availability of REACTS assistance is dependent on continuing federal appropriations. The REACTS provides very modern facilities for handling radiation accident patients. It is designed to cope with any type of radiation exposure accident which might occur in the Oak Ridge area. The REACTS staff, in conjunction with the Oak Ridge Hospital of the United Methodist Church Disaster Team and staff, is prepared to treat radiation victims quickly and competently and to provide advice and assistance when radiation accidents occur outside the Oak Ridge area. Following initial emergency treatment in REACTS, the patient (s) can be transferred to local hospitals in accordance with usual admission procedures fctr conven-tional medical and surgical follow-up, if necessary. Since radiation accidents are infrequent, the REACTS staff is involved on a daily basis in training programs and radiation exposure studies utilizing the facility to assure its I constant readiness. C-22 January 1984 r_;_g r &WW &[]$%,

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Mr. E. Lee Bacot Page 2 October 22, 1981 REACTS is ' also a source ^ of information on the ' epidemio-looical aspects of human exposure to . radiation. A - compu-terized data bank of human radiation effects from accidental and medical exposures has been established and serves as a basis for epidemiological studies as well as providing timely data to those involved in handling radiation acci-dents. ' No fee or retainer is required for the provision of backup services by REACTS. However, should you desire to utilize - the services of REACTS, we would expect to recover those costs which could reasonably be.related to handling such an incident including all charges billed to DOE or ORAU by hospitals and physicians. You are free to inform the Nuclear Regulatory Commission that REACTS is available as a backup support capability to your ongoing program. We do ask that you inform all members of your staff with the mechanisms and appropriateness of seeking REACTS assistance. This can best be facilitated by direct contact with the REACTS Director, Dr. Karl F. Hubner, Oak Ridge Associated Universities, Post Office Box 117, Oak Ridge, Tennessee 37830 or telephone (615).576-3098. We trust this information is adequate for your needs. Sincerely,

                                                       /S/ William R. Bibb ER-13:REE                        William R. Bibb, Director
                      .                                     Research Division-cc:   C. C. Lushbaugh, ORAU K. F. Hubner, ORAU C. W. Edington, ER-70, HQ, GTN J. W. Thiessen, ER-71, HQ, GTN W. P. Snyder, CC-10, ORO J. W. Range, M-4, ORO
                                                  'C-23                   January 1984}}