ML23360A171
| ML23360A171 | |
| Person / Time | |
|---|---|
| Site: | South Texas  |
| Issue date: | 10/10/2023 |
| From: | US Dept of Homeland Security, Federal Emergency Management Agency, Region VI |
| To: | Office of Nuclear Reactor Regulation, NRC Region 4 |
| References | |
| Download: ML23360A171 (1) | |
Text
Radiological Emergency Preparedness Program South Texas Project After Action Report South Texas Project
.Medical Services *Drill Date: August 31, 2023 Publication Date: October 10, 2023 FEMA Region 6 1
Radiological Emergency Preparedness Program South Texas Project After Action Report This page is intentionally blank.
FEMA Region 6 2
Radiological Emergency Preparedness Program South Texas Project After Action Report Table of Contents Executive Summary............................................................................................................................ 4 Section 1: Exercise Overview ............................................................................................................5 Section 2: Analysis of Capabilities .................................................................................................... 6 2.1 Summary Results of Assessment ...................................................................................6 2.2 Results of Exercise Evaluation ........................................................................................8 Appendix A:. Participating Organizations ............ ............ ................................................................ 10 Participating Organizations ................................................................................................. 10 Appendix B: Planning and Evaluation Team ............................ ...................................................... 11 Planning Team ..................................................................................................................... 11 Evaluation Team .................................................................................................................. 11 Appendix C: Acronyms and Abbreviations ..................................................................................... 12 Appendix D: Extent of Play Agreement and Scenario.....................................................................13 FEMA Region 6 3
Radiological Emergency Preparedness Program South Texas Project After Action Report Executive Summary On August 31, 2023, the Department of Homeland Security (OHS), Federal Emerge*ncy Management Agency (FEMA), Region 6, evaluated the Matagorda Regional Medical Center and Matagorda County Emergency Medical Services for the South Texas Project, located near Wadsworth, Texas.
During the medical services drill, FEMA assessed the ability of state and local officials to implement plans and procedures to protect the public in the event of a radiological incident.
This drill is part of the FEMA Radiological Emergency Preparedness Program. This program ensures that adequate capabilities exist to prevent, protect against, mitigate the effects of, respond to, and recover from incidents involving commercial nuclear power plants. This drill implemented the revised NUREG 0654/FEMA-REP-1, Rev. 1 document and the 2016 Radiological Emergency Preparedness Program Manual (RPM).
This report conta ins the final written evaluat ion of the drill. The state and local ,organizations demonstrated knowledge of their emergency response plans and procedures and .:adequately implemented them. There were no Level 1 Findings, Level 2 Findings, or Plan Issues ,,,
id~ntified .
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' I FEMA Region 6 4
Radiological Emergency Preparedness Program South Texas Project After Action Report
- Section 1: Exercise Overview Name Dates 2023 South Texas Project Medical Services Drill August 31, 2023 The purpose of the medical services drill was to assess the level of preparedness of offsite response organizations to respond to a Purpose simulated radiological emergency.
Protection M1ss1on Area(s)
Response
- Operational Coordination Core Environmental Response/Health and Safety Capab1l1t1es Public Health, Health Care, and Emergency Medical Services Screening, Search and Detection Emergency Operations Management Objectives Exposure Control Operate Threat or Release of radiological materials from a commercial nuclear power Hazard plant.
This drill required coordinated decisions of offsite response organizations (OROs) to address a radiologica l hazard from an emergency at the South Texas Project (STP). The OROs demonstrated the implementation of protective actions to preserve health and safety of the public due to a potential or actual offsite release of radioactive materials from STP.
Participating A complete list of participating agencies and organizations is attached Organ1zat1ons in Appendix A.
- FEMA Region 6 5
Radiological Emergency Preparedness Program South Texas Project After Action Report Section 2: Analysis of Capabilities 2.1 Summary Results of Assessment Table 1 below lists the assessment areas, criteria, selected core capabilities, and status of each capability target evaluated.
Each jurisdiction and functional entity were evaluated based on the demonstration of core capabilities and capability targets. The demonstration status of the capability targets is indicated using the following terms:
Met (M): The jurisdiction or functional entity performed all activities under the objective/capability target to the level required per the work plan and/or the extent of play agreement, with no Level 1 or Level 2 Findings evaluated under that objective/capability target during the current activity and no unresolved prior Level 2 Finding(s).
Level 1 Finding (L1): An observed or identified inadequacy of organizational performance during an assessment activity that could cause a determination that offsite emergency preparedness is not adequate to provide reasonable assurance that appropriate protective measures can be taken in the event of a radiological emergency to protect the health and safety of the public living in the vicinity of a Nuclear Power Plant.
Level 2 Finding (L2): An observed or identified inadequacy of organizational performance during an assessment activity that is not considered, by itself, to adversely impact public health and safety.
Plan Issue (P): An observed or identified inadequacy in the OROs emergency plan/implementing procedures, rather than in that of the OROs performance.
Not Demonstrated (N): For a justifiable reason, the jurisdiction or functional entity did not perform assessment activities under the objective/capability target as specified in the extent of play agreement.
Not Applicable (N/A): The objective/capability target does not apply to the jurisdiction.
FEMA Region 6 6
Radiological Emergency Preparedness Program South Texas Project After Action Report
- Table 1. Summary Results of Criteria Venue Criterion Assessment Area 1: Emergency Operations Management Core Capabilities Status Matagorda Regional Medical Environmental Response/Health and 1.e.1 M Center Safety Environmental Response/Health and Matagorda County EMS 1.e.1 M Safety Assessment Area 3: Protective Action Implementation Matagorda Regional Medical Operational Coordination, Environmental 3.a.1 M Center Response/Health and Safety Operational Coordination, Environmental Matagorda County EMS 3.a.1 M Response/Health and Safety Assessment Area 6: Support Operations/Facilities Public Health, Health Care, and Matagorda Regional Med ical 6.d.1 Emergency Medical Services; Screening, M Center Search and Detection Public Health, Health Care, and Matagorda County EMS 6.d.1 Emergency Medical Services; Screening, M Search and Detection
- FEMA Region 6 7
Radiological Emergency Preparedness Program South Texas Project After Action Report 2.2 Results of Exercise Evaluation Matagorda Regional Medical Center Assessment Area 1: Emergency Management Operations Criterion 1.e.1: Equipment and Supplies to Support Operations Assessment Area 3: Protective Action Implementation Criterion 3.a.1: Implementation of Emergency Worker Exposure Control Assessment Area 6: Support Operations/Facilities Criterion 6.d.1: Transportation and Treatment of Contaminated Injured Individuals In summary, the status of DHS/FEMA capability targets for this location are as follows:
- a. MET: 1.e.1, 3.a.1, 6.d.1
- b. LEVEL 1 FINDING: None
- c. LEVEL 2 FINDING: None
- d. PLAN ISSUES: None
- e. NOT DEMONSTRATED: None
- f. PRIOR ISSUES - RESOLVED: None
- g. PRIOR ISSUES - UNRESOLVED: None Matagorda County Emergency Medical Services Assessment Area 1: Emergency Management Operations Criterion 1.e.1: Equipment and Supplies to Support Operations Assessment Area 3: Protective Action Implementation Criterion 3.a.1: Implementation of Emergency Worker Exposure Control Assessment Area 6: Support Operations/Facilities Criterion 6.d.1: Transportation and Treatment of Contaminated Injured Individuals In summary, the status of DHS/FEMA capability targets for this location are as follows:
- a. MET: 1.e.1, 3.a.1, 6.d.1
- b. LEVEL 1 FINDING: None
- c. LEVEL 2 FINDING: None FEMA Region 6 8
Radiological Emergency P~eparedness Program South Texas Project After Action Report
- d. PLAN ISSUES: None
- e. NOT DEMONSTRATED: None
- f. PRIOR ISSUES- RESOLVED: None
- g. PRIOR ISSUES- UNRESOLVED: None FEMA Region 6 9
Radiological Emergency Preparedness Program South Texas Project After Action Report Appendix A: Participating Organizations Participating Organizations State Organizations Texas Department of State Health Services Risk Jurisdictions Matagorda County Private Organizations Matagorda Regional Medical Center Matagorda County Emergency Medical Services South Texas Project FEMA Region 6 10
~FEMA Radiological Emergency Preparedness ~rogram South Texas Project After Action Report Appendix B: Planning and Evaluation Team Planning Team Planners Title/ Position Name Agency Regional Assistance Committee Oscar Martinez FEMA Region 6 Chair Federal Planning Team Lead Timothy Pflieger FEMA Region 6 Senior Site Specialist State Planning Team Lead Vanessa Danese DSHS Emergency Planner Licensee Planning Team Lead Stacia Taylor STP Emergency Response Specialist Consultant/Planner Evaluation Team Team Leaders and Evaluators Venue/ Location Evaluation Team Agency Matagorda Regional Medical Timothy Pflieger
- FEMA Region 6 Center Melisa Ogrodnik FEMA Region 6 Matagorda County Emergency Misty Chance FEMA Region 6 Medical Services
- Team Leader
- FEMA Region 6 11
Radiological Emergency Preparedness Program South Texas Project After Action Report Appendix C: Acronyms and Abbreviations BZ Acronym Buffer Zone Description
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CPM Counts Per Minute DSHS Department of State Health Services OHS Department of Homeland Security ORD Direct Reading Dosimeter FEMA Federal Emergency Management Agency Kl Potassium Iodide MCEMS Matagorda County Emergency Medical Services MRMC Matagorda Regional Medical Center ORO Offsite Response Organizations PPE Personal Protective Equipment PRO Permanent Record Dosimeter REA Radiation Emergency Area RO Radiological Officer RPM Radiological Emergency Preparedness Program Manual STP South Texas Project TLD Thermoluminescent Dosimeter FEMA Region 6 12
Radiological Emergency Preparedness Program South Texas Project After Action Report Appendix D: Extent of Play Agreement and Scenario Exercise Evaluation Areas and Extent of Play Agreement The Evaluation Areas applicable to this exercise are taken from the Federal Emergency Management Agency (FEMA) Evaluation Area Criterion for Medical Exercises. The extent of play follows the criterion in these documents. Any exception to the Evaluation Area is noted with the Evaluation Area and extent of play.
Successful demonstration of this exercise criterion will satisfy the requirements for the following HSEEP Core Capabilities as p er the FEMA REP Program Manual dated January 2016, Part IV.H: Integration of REP Demonstration Criteria and Core Capabilities.
EVALUATION AREA 1.e.1-EQUIPMENT, MAPS, DISPLAYS, MONITORING INSTRUMENTS, DOSIMETRY, POTASSIUM IODIDE (Kl), AND OTHER SUPPLIES ARE SUFFICIENT TO SUPPORT EMERGENCY OPERATIONS. (NUREG-0654/FEMA-REP-1, H.7, 10; 1.7, 8, 9; J .10.a, b, e; J.11, 12; K.3.a; K.5.b)
CORE CAPABILITY: Environmental Response/Health and Safety OBJECTIVE: MRMC and MCEMS demonstrate that supplies, equipment, displays, and personal protective equipment are available for ensuring responder health and safety.
OBJECTIVE: Verify that instruments are operationally checked before use.
OBJECTIVE : Verify that instruments are calibrated in accordance with manufacturers recommendations, and that there is a label indicating calibration on each instrument.
OBJECTIVE: Sufficient quantities of appropriate electronic personal dosimeters (EPDs) and permanent record dosimetry (PRDs) are available for issuance to all categories of emergency workers deployed by each facility.
EXTENT OF PLAY Demonstration of this evaluation area will be in accordance to plans and procedures.
Correction on the spot is requested .
Demonstration Criterion will be met during an in-person assessment.
Admin ist ration of Kl will not be demonstrated.
FEMA Region 6 13
Radiological Emergeocy Preparedness Program South Texas Proj ect After Action Report EVALUATION AREA3.a.1- IMPLEMEMTATION OF EMERGENCY WORKER EXPOSURE CONTROL -
OROS ISSUE APPROPRIATE DOSIMETRY, Kl, AND PROCEDURES, AND MANAGE RADIOLOGICAL EXPOSURE TO EMERGENCY WORKERS IN ACCORDANCE WITH THE PLANS/PROCEDURES.
(NUREG-0654/FEMA-REP-1, J.1O.e; K.3.a, b; K.4)
CORE CAPABILITY: Operational Coordination OBJECTIVE: MRMC and MCEMS will issue appropriate dosimetry and procedures and manage radiological exposure.
CORE CAPABILITY: Environmental Response/Health and Safety OBJECTIVE: Emergency workers will periodically and at the end of each mission read their dosimetry and record the readings on the appropriate exposure record or chart.
EXTENT OF PLAY If Potassiu m Iod ide (Kl) is not recommended, administration and record-keeping of Kl can be demonstrated by interview. An interview wil l be conducted on t he knowledge of Kl, where to obtain it, who authorizes it, and record keeping. Ingestion of Kl will not occur.
Demonstrat ion Criterion will be met during an in-person assessment.
Correction on the spot is permitted with issues related to dosimetry use, reading dosimetry, alarm set points and record keeping.
EVALUATION AREA 6.d.1- TRANSPORTATION AND TREATMENT OF CONTAMINATED INJURED INDIVIDUALS (NUREG-0654/FEMA-REP-1, F.2; H.10; K.5.a, b; L.1, 4)
CORE CAPABILITY: Public Health, Health Care, and Emergency Medical Services OBJECTIVE: MRMC and MCEMS demonstrate that they have adequate space, resources, and trained personnel to provide transport and medical services to contam inated ,
injured individuals.
CORE CAPABILITY: Screening , Search and Detection OBJECTIVE: MRMC and MCEMS demonstrate that they can provide monitoring and decontamination to contaminated, injured individuals.
EXTENT OF PLAY The patient wi ll be staged at the Palacios Ambulance Barn (1510_4 th Street Palacios, Texas 77 465) until t he am bulance arrives. This locat ion is simulat ing the Palacios Reception Center.
Monitoring and decontamination of the Radiation Emergency Area in order to place the room back into full service will be demonstrated through interview.
FE MA Region 6 14
Radiological Emergency Preparedness Program South Texas Project After Action Report Correction on the spot is permitted with issues related to the adequacy of vehicles, equipment, and procedures, decontamination techniques, cross contamination issues for personnel transporting and treating contam inated injured or exposed individuals. Correction on the spot is requested.
Narrative Summary and Event Timeline An Alert is declared by STP based on the failure of the reactor to automatically shut down; however, a manual shutdown was successful. Matagorda County Sheriff Dispatch contacts the Emergency Operations Center (EOC) emergency workers to respond immediately to the EOC. The Radiological Director and the Matagorda County Hospital District representative are included in t his call-out.
Conditions further degrade at the Station, and a Site Area Emergency is declared by STP due to a loss of both fuel clad and the reactor coolant system. The County and Station officials discuss the potential need to open a Reception Center to receive the evacuated non-essential Station employees for monitoring. It is determined the Palacios Reception Center will be opened as a precautionary measure. The Radiological Director and the Matagorda County Office of Emergency Management (MCOEM) Coordinator request the Environmenta l Health Department, DSHS, and MCOEM staff respond and activate the Reception Center.
County and Station officials discuss the potential need to send Station employees to the Reception Center for monitoring and decontamination purposes. The Station determines this is not requ ired and Station non-essential employees wi ll be evacuated to their homes. County officials decide to continue the activation of the Reception Center as a precautionary measu re.
Condit ions continue to degrade, and the Station declares a General Emergency based on the loss of all three fission product barriers with a release of radioactive material via the main steam line. A Protect ive Action Recommendation is communicated to the Emergency Director, and the decision is made by the county to evacuate all residents 10-miles down-wind of t he plant.
Eventually, plant personnel are successful in ending the offsite radiological release.
A Matagorda County Emergency Worker (MC Sheriff's Officer) is directing traffic at the Reception Center when a member of the general public arriving at the Reception Center prior to driving thru a rad iat ion plume fai ls to control his speed and comes in contact with the officer. The officer is knocked down which causes a laceration on the right forearm and a large bump on the head.
She appears disoriented and in pain.
The Environmental Health Director requests the Monitoring and Decontamination Supervisor to contact the Matagorda County EOC for an ambulance. The ambulance unit located in Palacios is on a call-out and not available (simulated), resulting in a unit from Bay City being dispatched (unit will be pre-staged in Palacios). When the Matagorda County EMTs arrive, they evaluate medical conditions and determine the individual needs to be transported to an offsite medical facility, as the laceration on her right forearm is bleeding and her head is bruising/swollen. The EMTs contact the Matagorda Regional Medical Center Emergency Room that a potential FEMA Region 6 15
Radiological Emergency Preparedness Program South Texas Project After Action Report contaminated patient is being transported to the hospital. Palacios Community Medical Center is on drive by status which requires transport to MRMC.
A Matagorda County radiological monitor located at the Reception Center is assigned to monitoring the injured Matagorda County Emergency Worker.
Once surveyed by radiological monitor, the injured Matagorda County Emergency Worker is found to have 500 - 1000 cpm (~y) on clothing and exposed skin (refer to Figure 10.0-1.) If the patient's contaminated clothing is removed, skin contamination remains (refer to Figure 10.0-2.).
Upon arrival of the ambulance, the radiological monitor/EMT provides a briefing to Matagorda County Emergency Medical Services (MCEMS) crew regarding the patient's condition. A Reception Center Matagorda County radiological monitor accompanies the patient and provides radiological information and contamination control. Matagorda County requests two additional monitors. These individuals are called out and directed to report to the MRMC. DSHS is providing a radiological operations support specialist to provide assistance to the hospital as needed.
In route, the hospital is appraised of the patient's physical and radiological condition.
Upon hospital arrival, the Reception Center radiological monitor and ambulance attendants brief the emergency room staff. Upon completion of the briefing, the attendants turn the injured patient over to emergency room staff care. The Reception Center radiological monitor who travels with the ambulance stays with the vehicle to monitor, and decontaminate, if required. Prior to the release of the ambulance, the Reception Center radiological monitor will survey the crew and their equipment.
The hospital staff provides initial treatment and decontamination. Medical treatment will take priority over contamination. Decontamination techniques will be demonstrated. Once the patient is stabilized, treated, and decontam inated, the patient will be transferred out of the Radiological Emergency Area (REA) using recognized transfer techniques for standard admittance to the hospital.
Once the patient is transferred, the hospital staff inside the REA will appropriately doff their protective clothing ensuring control of contamination.
FEMA Region 6 16
Radiological Emergency Preparedness Program South Texas Project After Action Report MESSAGE TIME SEQUENCE OF EVENTS NUMBER 8 :30 Initial conditions established. 1 8:35 The telephone cell implements storyboard information. 2 CONTROLLER NOTE Communications with offsite for support will be made to Matagorda County Emergency Medica l Services (MCEMS).
8:40 The Matagorda County EOC (simulated phone ce ll) contacts Matagorda 3 County Emergency Med ical Services (MCEMS) at (979) 323-9020 and requests they respond to t he Palacios Reception Center.
CONTROLLER NOTE For more information on the injured Emergency Worker vital signs, refer to Table 10.0-2, Patient Performance Paths.
For more information on the injured Emergency Worker radiological conditions, refer to Figures 10.0-1, Patient's Contamination-with Clothing, and 10.0-2, Patient's Skin Contam ination.
8:45 Matagorda Regional Medica l Center directs the patient to MRMC for 4&5 treatment, as PCMC is on drive by status.
Ambulance arrives on scene.
9:00-9:15
- FEMA Region 6 17
Radiological Emergency-Preparedness Program South Texas Project After Action Report MESSAGE TIME SEQUENCE OF EVENTS NUMBER 9:30 MCEMS contacts MRMC with known patient information including 6 contamination levels.
9:45 MCEMS arrives at MRMC with the patient 9:45 Pat ient is met by medical staff at the un loading area for medical briefing, in itial treatment, and decontamination.
9:50 Stabilization and decontamination of patient begins.
CONTROLLER NOTE For more information on pat ient contamination, refer to Table 10.0-1, Patient's Skin Contamination After Decontamination.
10:10 Matagorda Cou nty Emergency Medical Services personnel, vehicle, and equipment are monitored, decontaminated as needed, and released.
10:25 Patient decontamination is complete.
10:30 Patient is moved from REA for final treatment and hospital admittance.
Hospital personnel exit decontamination room.
10:35 Medica l Exercise is terminated. 7 11:00 Critique begins.
FEMA Region 6 18
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- FEMA Region 6 19