ML15084A131

FEMA, Submittal of Final After Action Report for the October 14-15, 2014 Medical Service Drills of the Offsite Radiological Emergency Response Plans Site-Specific for Fort Calhoun Nuclear Station

ML15084A131
Person / Time
Site:	Fort Calhoun
Issue date:	02/26/2015
From:	Freeman B US Dept of Homeland Security, Federal Emergency Management Agency
To:	Dapas M L NRC Region 4
References
Download: ML15084A131 (27)

Text

U.S. Department of Homeland SecurityRegion VII9221 Ward Parkway, Suite 300Kansas City, MO 64114-3372IFEMAFEB 26 2015Mr. Marc DapasRegional AdministratorU.S. NRC Region IV1600 East Lamar Blvd.Arlington, Texas 76011-4511

Dear Mr. Dapas:

Enclosed is a copy of the Final After Action Report for the October 14-15, 2014, medical service drills ofthe offsite radiological emergency response plans site-specific to the Fort Calhoun Nuclear Station. TheState of Iowa, State of Nebraska, University of Nebraska Medical Center, Blair Fire and Rescue(Nebraska), and Missouri Valley Fire and Rescue (Iowa) participated during these out-of sequence drills.The report was prepared by the Federal Emergency Management Agency (FEMA) Region VII staff.Copies of the final report will be provided to the States of Iowa and Nebraska.During the October 14-15, 2014, drill no Deficiencies were identified. One Area Requiring CorrectiveAction (ARCA) and One Planning Issue were identified. The ARCA remains open to be demonstratedduring the next medical drill or biennial exercise. The Planning Issue remains open pending thedevelopment and approval of operating procedures.Based on the results of this medical drill, the offsite radiological emergency response plans and preparedness forthe States of Iowa and Nebraska and the affected local jurisdictions, site-specific to the Fort Calhoun NuclearStation, can be implemented and are adequate to provide reasonable assurance that appropriate measures can betaken offsite to protect the health and safety of the public in the event of a radiological emergency at the site.Therefore, the Title 44 CFR, Part 350, approval of the offsite radiological emergency response plans andpreparedness for the States of Iowa and Nebraska, site-specific to the Fort Calhoun Nuclear Station, granted onJuly 22, 1981, will remain in effect.If you have questions or concerns regarding the report, please contact Chuck Gregg at (816) 283-7926 orChuck.Gregg&fema.dhs.gov.Sincerely,Beth FreemanRegional AdministratorEnclosurecc: Vanessa Quinn, HQ REPBill Maier, NRC Region IVNRC 'HQ, Dcument Control DesltRobert Lewis, NRC, NSIRLisa Hamilton, HQ REPErick Plautz, OPPD iFort Calhoun Nuclear StationAfter Action Report/Improvement PlanDrill Date -October 14, 2014Radiological Emergency Preparedness (REP) Program.FEMAJ FEPublished February 25, 2015j Unclassified,Radiological Emergency Preparedness Program (REP)After Action Report/Improvement PlanFort Calhoun Nuclear StationThis page is intentionally blank.

_J*UnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear StationFort Calhoun Nuclear StationAfter Action Report/ImprovementPlanPublished February 25, 2015ContentsExecutive Summary 3Section 1: Exercise Overview 41.1 Exercise Details 41.2 Exercise Planning Team Leadership 41.3 Participating Organizations 6Section 2: Exercise Design Summary 72.1 Exercise Purpose and Design 72.2 Exercise Objectives, Capabilities and Activities 82.3 Scenario Summary. 9Section 3: Analysis of Capabilities 103.1 Drill Evaluation and Results 103.2 Summary Results of Drill Evaluation 103.3 Criteria Evaluation Summaries 123.3.1 Risk Jurisdictions 123.3.1.1 Missouri Valley Fire and Rescue -Iowa 123.3.2 Nebraska Jurisdictions 123.3.2.1 University of Nebraska Medical Center 123.3.3 Risk Jurisdictions 133.3.3.1 Blair Fire and Rescue -Nebraska 13Section 4: Conclusion 17Appendix A: Improvement Plan 18Appendix B: Drill Evaluators and Team Leaders 22Appendix C: Acronyms and Abbreviations 231

.1UnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement PlanFort Calhoun Nuclear StationThis page is intentionally blank.2 UnclassifiedRadiological Emergency Preparedness Program (REP)After Action ReportlImprovement Plan Fort Calhoun Nuclear StationEXECUTIVE SUMMARYOn October 14-15, 2014, the Federal Emergency Management Agency (FEMA), Region VII,conducted out-of-sequence medical drills in the plume emergency planning zone (EPZ) aroundthe Fort Calhoun Nuclear Station(FCNS). The purpose of these drills was to assess the level ofstate and local preparedness in responding to a radiological emergency. These drills were held inaccordance with FEMA's policies and guidance concerning the exercise of state and localradiological emergency response plans and procedures.The previous medical drills at these sites were conducted on September 17, 2012, for MissouriValley Fire and Rescue, University of Nebraska Medical Center, and Blair Fire and RescueSquad. The qualifying emergency preparedness exercise for FCNS was conducted on July 22,1981.FEMA wishes to acknowledge the efforts of all who participated in and supported these drills. Inthe State of Nebraska, the Risk County of Washington and the University of Nebraska MedicalCenter participated. In the State of Iowa, the Risk County of Harrison participated. The efforts ofthe utility, the State of Iowa and the State of Nebraska are also commended for their work ontraining and drill preparation.Protecting the public health and safety is the full-time job of some of the exercise participantsand an additional assigned responsibility for others. Still others have willingly sought thisresponsibility by volunteering to provide vital emergency services to their communities. Aspecial thank you is once again extended to those invaluable volunteers. Cooperation andteamwork of all the participants were evident during these drills.The state and local organizations demonstrated knowledge of their emergency response plansand procedures and adequately implemented them. One Area Requiring Corrective Action(ARCA) and no Deficiencies were identified as a result of these drills. One Planning Issue wasidentified. There were no previous ARCAs nor any Deficiencies to be corrected during thesedrills.3 UnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear StationSECTION 1: EXERCISE OVERVIEW1.1 Exercise DetailsExercise NameFort Calhoun Nuclear StationType of ExerciseDrillExercise DateOctober 14, 2014ProgramDepartment of Homeland Security/FEMA Radiological Emergency PreparednessProgramScenario TypeRadiological Emergency1.2 Exercise Planning Team LeadershipDebra RobinsonState PlannerNebraska Emergency Management AgencyEmergency Management Planning Specialist -Tech Hazards2433 NW 24th StreetLincoln, Nebraska, 68524402-471-7408debra.robinson@nebraska.govAfua KwartengState PlannerNebraska Emergency Management AgencyEmergency Management Planning Specialist -Tech Hazards2433 NW 24th Street4 IUnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear StationLincoln,, Nebraska, 68524402-471-7007afua.kwarteng@nebraska.govKathy StodolaState PlannerIowa Department of Homeland Security & Emergency ManagementOperations Officer7105 NW 70th AvenueCamp Dodge, Building W-4Johnston, Iowa, 50131515-323-4320kathy.stodola@iowa.govChristopher WorthingUtility RepresentativeOmaha Public Power DistrictSenior Emergency Planning Representative9610 Power LaneFC-2-1Blair, Nebraska, 68008402-533-7307cworthing@oppd.comJudy DodgenSite Specialist and EvaluatorFederal Emergency Management Agency Region 7Technological Hazards Specialist9221 Ward ParkwaySuite 300Kansas City, Missouri, 64114816-283-7091judy.dodgen@fema.dhs.gov5 Unclassified. *Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station1.3 Participating OrganizationsAgencies and organizations of the following jurisdictions participated in the Fort CalhounNuclear Station drill:State JurisdictionsNebraska Emergency Management Agency (NEMA)University of Nebraska Medical CenterIowa Department of Homeland Security and Emergency Management (IHSEM)Risk JurisdictionsWashington County Emergency Management AgencyBlair Fire and RescueHarrison County Emergency Management AgencyMissouri Valley Fire and RescuePrivate OrganizationsOmaha Public Power DistrictFederal JurisdictionsFederal Emergency Management Agency (FEMA)6

'IUnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear StationSECTION 2: EXERCISE DESIGN SUMMARY2.1 Exercise Purpose and DesignThe purpose of the drills conducted in association with the Fort Calhoun Nuclear Station (FCNS)was to demonstrate the adequacy of the emergency plans, associated implementing procedures,facilities, and equipment of the emergency responders and supporting entities in the communitiesin the immediate vicinity of FCNS, specifically within the 10- mile emergency planning zone(EPZ).Further, these drills were to test the FCNS emergency response community's ability to assess andrespond to emergency conditions and coordinate efforts with other agencies for protection of thehealth and safety of the public.The conduct and evaluation of these drills provide additional training for emergency responseorganization personnel as a means to enhance FCNS emergency response capability.The purpose of this particular drill was to activate and evaluate portions of the Washington andHarrison County Emergency Plans, and associated implementing procedures, in accordance with44 CFR 350.The scenario for this drill was developed by personnel at the Fort Calhoun Nuclear Station, thenwas reviewed and approved for use by FEMA Region VII. The scenario was utilized by theexercise controllers and evaluators as the control mechanism for the conduct of the drill.The scenario for this drill was designed to depict a sequence of events during a radiologicalaccident simulation at the Fort Calhoun Nuclear Station, located near Fort Calhoun, inWashington County, Nebraska; and Harrison County, Iowa, that result in the need for theassessment and care of injured, and potentially contaminated, victims.The scenario design provided the basis to observe and evaluate the capabilities and effectivenessof the Emergency Response Plans for Blair Fire and Rescue, Missouri Valley Fire and Rescue,and the University of Nebraska Medical Center.7 Unclassified.Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station2.2 Exercise Objectives, Capabilities and ActivitiesThe Fort Calhoun Nuclear Station(FCNS)Emergency Preparedness Exercise & Drill Programobjectives are based on the Federal requirements delineated in 44 CFR 350, as well as on thepriorities and procedures detailed in the Radiological Emergency Preparedness plans. for theState of Nebraska; the State of Iowa;Washington County in Nebraska; and Harrison County inIowa. Additional guidance provided in NUREG-0654, NUREG-0696, and NUREG-0737, wasutilized in developing these objectives.,The objective of this drill was to test the implementation of the plans and procedures of theparticipating agencies, and the capability of these agencies to conduct operations in accordancewith these plans. This objective is further defined by the criteria evaluated for each participant.These criteria are listed in Table 3.1.The 'medical services drill was designed to allow the University of Nebraska Medical Center andBlair Fire and Rescue, in Nebraska, and Missouri Valley Fire and Rescue, in Iowa, todemonstrate the ability to initiate, maintain, and show control and treatment of contamination inpatients, and illustrate the adequacy of emergency vehicles, equipment and personnel fortransporting and treating contaminated patients. Each ambulance service and the hospital wereevaluated based upon the plans and procedures which they have established for use in aradiological emergency.These drills were performed out-of-sequence, which is not concurrent to a full scale exercise andnot in synchronized time with other sites. To compensate for the artificiality of an out-of-sequence drill, the activities for each evaluation accepted simulation of some tasks. This allowedfor the evaluators to focus on the activities specified in the drill criteria, which are usually thoseleast familiar to the exercise players. For example, each ambulance service was permitted tosimulate the location of the accident site, and demonstrated all treatment at their ambulancestations, up to loading the patient into the ambulance, and short of actual transport to anothersite. These teams drive their vehicles to real emergency accident sites on a daily basis; theircapabilities in this area were not in the focus of the evaluation. None of the simulationscompromised the ability to demonstrate and evaluate the objective of the drill.8 UnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station2.3 Scenario SummaryAt 7:08 a.m. Fort Calhoun Station declared a General Emergency. A nuclear accident hasoccurred which has resulted in a radioactive plume being released from the plant. General areadose rates in the plume have been determined to be approximately 12 mR/hr.Harrison/Washington County has set up a registration center to receive citizens from thesurrounding communities that are in the pathway of the plume. This morning,Harrison/Washington County officials notified all Police/Fire/EMS agencies of the situation.Harrison/Washington County officials have requested all emergency agencies to be prepared towear personal dosimetry. The plume is expected to be out of the area by 4:05 p.m.While an individual was evacuating in his private vehicle he noticed he had a flat tire. While theindividual was outside fixing the flat tire, a sharp piece of metal became unstable. As theindividual attempted to grab the metal, the individual's right wrist was cut. The injured person isin extreme pain in the right wrist area (On a scale 'of 10 10/10). The patient has a history of high,cholesterol and hypertension.9 UnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear StationSECTION 3: ANALYSIS OF CAPABILITIES3.1 Drill Evaluation and ResultsContained in this section are the results and findings of the evaluation of all jurisdictions andfunctional entities which participated in the October 14-15, 2014, drill events to test the offsiteemergency response capabilities of State and local governments in the 10-mile EPZ surroundingthe Fort Calhoun Nuclear Station.Each jurisdiction and functional entity was evaluated on the basis of its demonstration of criteriacontained in FEMA's Radiological Emergency Preparedness Program Manual, dated June 2013.3.2 Summary Results of Drill EvaluationExercise criteria are listed by number and the demonstration status of those criteria is indicatedby the use of the following letters:M -Met (No Deficiency or ARCAs assessed and no unresolved ARCAs from prior exercises)D -Deficiency assessedA -Area Requiring Corrective Action (ARCA) assessed or unresolved ARCA(s) from priorexercises)N Not Demonstrated (Reason explained in subsection B)Criteria with no corresponding letter were not evaluated in this drill.10 UnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement PlanFort Calhoun Nuclear StationTable 3.1 -Summary of Drill EvaluationDATE: 2014-10-14SITE: Fort Calhoun Nuclear Station, NEM: Met, A: ARCA, D: Deficiency, P: Plan Issue, N: Not Demonstrated >0Mobilization lalFacilities IblDirection & Control iciCommunications Equipment IdiEquipment and Supplies lel M M MEW Exp. Control Decisions 2alPARs 2b 1PADs 2b2PADs for Disabled/Functional Needs 2clIngestion PADs 2dlRRR Decisions 2elMEM,EW Exp. Control Implementation 3al M M PKI Public/lnstitutionalized 3b1PAD Imp. Disabled/Functional Needs 3clPAD Imp. Schools 3c2TACP Establishment 3d 1Impediments to Evacuation 3d2Implementation of Ingestion PADs 3e1Ingestion Strategies and Information 3e2Imp. of RRR Decisions 3f1RESERVED 4alField Team Management 4a2Field Team Operations 4a3Field Team Sampling 4blLaborator Operations 4clInitial Alert & Notification 5alRESERVED 5a2Backup Alert & Notification 5a3Exception Area Alerting 5a4Subsequent Public Information 5blReception Center Operations 6alEW Monitoring & Decon 6b1Congregate Care 6c1Contaminated Injured Transport & Care 6dl M M A11 ilJUnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station3.3 Criteria Evaluation Summaries3.3.1 Risk Jurisdictions3.3.1.1 Missouri Valley Fire and Rescue -IowaThe Missouri Valley Fire and Rescue Team demonstrated innovative cross contaminationcontrolto prepare the patient for transport.In summary, the status of DHS[FEMA criteria for this location is as follows:a. MET: L.e.1, 3.a.1, 6.d.1.b. AREAS REQUIRING CORRECTIVE ACTION: Nonec. DEFICIENCY: Noned. PLAN ISSUES: Nonee. NOT DEMONSTRATED: Nonef. PRIOR ISSUES -RESOLVED: Noneg. PRIOR ISSUES -UNRESOLVED:,None3.3.2 Nebraska Jurisdictions3.3.2.1 University of Nebraska Medical CenterThe Staff of the University of Nebraska Medical Center demonstrated good knowledge ofRadiological Equipment and Radiological Exposure Limits.In summary, the status of DHS/FEMA criteria for this location is as follows:a. MET: l.e.1,3.a.1,6.d.1.b. AREAS REQUIRING CORRECTIVE ACTION: Nonec. DEFICIENCY: Noned. PLAN ISSUES: Nonee. NOT DEMONSTRATED: Nonef PRIOR ISSUES -RESOLVED: Noneg. PRIOR ISSUES -UNRESOLVED: None12 UnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station3.3.3 Risk Jurisdictions3.3.3.1 Blair Fire and Rescue -NebraskaThe Blair Fire and Rescue Service Team demonstrated good communicationskills.,In summary, the status of DHS/FEMA criteria for this location is as follows:a. MET: L.e.1.b. AREAS REQUIRING CORRECTIVE ACTION: 6.d.1.ISSUE NO.: 25-14-6dl-A-02CRITERION: The facility/ORO has the appropriate space, adequate resources, andtrained personnel to provide transport, monitoring, decontamination, and medicalservices to contaminated injured individuals.CONDITION: Blair Fire and Rescue staff was-not able to successfully demonstrate.adequate contamination control. The specific shortcomings identified were:* The lead EMS representative had two pairs of latex gloves (inner and outer pair)when he began to treat the patient. While'treating the patient, he removied the o uter"pair of latex gloves and did not re-glove to continue treating the patient after touchingother potentially contaminated surfaces'.'* The Assisting EMS member, while bringing a Tyvek suit for use in covering thepatient, dragged the Tyvek suit along the ground.* While assisting the patient onto the gurney, the crew left one side of the blanketlater used for wrapping the patient laying on the ground.* The lead EMS member, while doffing protective clothing, inadvertently tugged onthe outside of the suit and then touched the inside of the suit potentially cross :contaminating that area.* When the lead EMS member completed the doffing process, he did not iemove hislast pair (inner) gloves nor did he re-glove prior to entering the ambulance to-continue patient care. The assisting staff member also failed to re-glove prior tocontinuing patient care. If they are to continue patient treatment, they must useappropriate PPE and therefore just removing the last pair (inner) gloves is notconsistent with industry standards and practices .They would need to re-glove with a13 7PUnclassifiedRadiological Emergency Preparedness Program.(REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Stationsingle or double layer depending upon their SOP assuming that those gloves werepotentially contaminated by touching a surface other than the patient.POSSIBLE CAUSE: The Blair Fire and Rescue Crew has not received adequatetraining on contamination control procedures.

REFERENCE:

NUREG-0654/FEMA-REP-1, F.2; H.10; K.5.a, b; L.1, 4EFFECT: Lack of adequate training made the Blair Fire and Rescue staff unable toeffectively treat and transport contaminated individuals without potentially furthercontaminating the patient or themselves.RECOMMENDATION: An enhanced training regimen must be put in place for thisorganization. This criterion must be redemonstrated during the next medical drill orbiennial exercise for Fort Calhoun.c. DEFICIENCY: Noned. PLAN ISSUES: 3.a.1.ISSUE NO.: 25-14-3al-P-01CRITERION: The OROs issue appropriate dosimetry, KI, and procedures, andmanage radiological exposure to emergency workers in accordance with theplans/procedures. Emergency workers periodically and at the end of each missionread their. dosimeters and record the readings on the appropriate exposure record orchart. Appropriate record-keeping of the administration of KI for emergency workersis maintained.CONDITION: There was not a written Operating Procedure available for the BlairFire and Rescue Squad. It should be noted that most of the information is availableeither in the current version of the Washington County Plan and/or on the NebraskaEmergency Workers Pocket Cards. However, a procedure should be available (ordeveloped) that includes all information required by the FEMA REP ProgramManual, dated June 2013, .or references where the information can be easily found.Examples of the type of information that should be included or referenced to readily14 UnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Stationavailable sources are:-materials for a thorough radiological briefing-Instructions for the use of direct-reading dosimeters, including how to zero them andhow to record exposure levels.-Reporting of radiation exposure limits and turn-back values.-Information on workers undertaking life-saving missions or protecting valuableproperty or large populations that may face increased risk from radiation.-Proper use of the Permanent Record Dosimeter (PRD)-Information on KI usage, including why it is administered, how to document KIingestion, and information regarding potential adverse effects of KI.-Information on where emergency workers should report to for monitoring anddecontamination of themselves, their vehicle(s) and equipment. This informationshould be consistent with the plans and should include map(s) and/or directions tothese locations. : .-Where and to whom to return their dosimetry at the conclusion of the emergency ormission.-Donning and Doffing procedures for Personal Protective Equipment.-Methods and techniques to minimize cross contamination of personnel, equipment,and vehicles.-Primary. and backup communication methods and contact information'A list of primary and secondary receiving hospitals for contaminated injuredpersons.POSSIBLE CAUSE: Procedures forf the Blair Fire and Rescue for response to apotential radiologically contaminated injury are currently being written and olderversions of procedures were not available.

REFERENCE:

NUREG-0654/FEMA REP-1, K:3.a, K.3.b, K.4, EPA-400, FDAGuidance, and REP Program Manual page 11-102 thru 11-109.EFFECT: Without appropriate briefings and lack of written instructions, EWs couldmiss information on how to operate and document the use of equipment, protectivedrugs, and instructions, and how to report administrative exposure limits. In addition,they may not have enough information to enable them to make an informed decision15 Unclassified 4LRadiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Stationon whether to volunteer for higher dose rates. Finally, the EWs could be confused asto the appropriate location for where to turn in their equipment and/or where to reportto for monitoring and decontamination needs.RECOMMENDATION: Develop a Blair Fire & Rescue procedure that includes allapplicable information required by the FEMA Radiological Emergency PreparednessProgram Manual or include attachments and references to other documents thatcontain the necessary information. Nebraska Emergency Management Agency(NEMA) will work with and/or support Blair Fire and Rescue in the review, revisionor development of SOPs upon their request and/or continue to make necessaryrequests for information (RFI) from Blair Fire and Rescue to obtain copies orreference locations in accordance with (IAW) the June 2013 RadiologicalPreparedness Program Manual.e. NOT DEMONSTRATED: Nonef. PRIOR ISSUES -RESOLVED: Noneg. PRIOR ISSUES -UNRESOLVED: None16 UnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear StationSECTION 4: CONCLUSIONBased on the results of these drills, the offsite radiological emergency response plans andpreparedness for the State of Nebraska and the State of Iowa and the affected local jurisdictionsare deemed adequate to provide reasonable assurance that appropriate measures can be taken toprotect the health and safety of the public in the event of a radiological emergency. Therefore, 44CFR Part 350 approval of the'offsite radiological emergency response plans and preparedness forthe State of Nebraska and the State of Iowa, site-specific to the Fort Calhoun Nuclear Station,will remain in effect.17 FUnclassified 'Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear StationAPPENDIX A: IMPROVEMENT PLAN18 tUnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement PlanFort Calhoun Nuclear StationI Issue Nuniber: 25-14-3al-P-01 Criterion: 3a I IISSUE: There was not a written OperatingProcedure available for the Blair Fire and Rescue Squad. It should benoted that most of the information is available either in the current version of the Washington County Plan and/oron the Nebraska Emergency Workers Pocket Cards. However, a procedure should be available (or developed) thatincludes all information required by the FEMA REP Program Manual, dated June 2013, or references where theinformation can be easily found. Examples of the type of information that should be included or referenced toreadily available sources are:-materials for a thorough radiological briefing-Instructions for the use of direct-reading dosimeters, including how to zero them and how to record exposurelevels.-Reporting of radiation exposure limits and turn-back values.-Information on workers undertaking life-saving missions or protecting valuable property or large populations thatmay face increased risk from radiation.-Proper use of the Permanent Record Dosimeter (PRD)-Information on KI usage, including why it is administered, how to document KI ingestion, and informationregarding potential adverse effects of KI.-Information on where emergency workers should report to for monitoring and decontamination of themselves,their vehicle(s) and equipment. This information should be consistent with the plans and should include map(s)and/or directions to these locations.-Where and to whom to return their dosimetry at the conclusion of the emergency or mission.-Donning and Doffing procedures for Personal Protective Equipment.-Methods and techniques to minimize cross contamination of personnel, equipment, and vehicles.-Primary and backup communication methods and contact information-A list of primary and secondary receiving hospitals for contaminated injured persons.RECOMMENDATION: Develop a Blair Fire & Rescue procedure that includes all applicable informationrequired by the FEMA Radiological Emergency Preparedness Program Manual or include attachments andreferences to other documents that contain the necessary information. Nebraska Emergency Management Agency(NEMA) will work with and/or support Blair Fire and Rescue in the review, revision or development of SOPs upontheir request and/or continue to make necessary requests for information (RFI) from Blair Fire and Rescue to obtainconies or reference locations in accordance with (IAW) the June 2013 Radiological Prenaredness Program Manual.19 0UnclassifiedRadiological.Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear StationCORRECTIVE ACTION DESCRIPTION: .Nebraska agrees in part with the findings, but would'recommend a revision to the declarative evaluation statements to ensure accuracy.1. 'Blair Fire and Rescue did not produce copies of their Standard Operating Procedures for NEMA or for theFEMA evaluators when requested before or after the drill.The 2012 Washington County REP plan remains in effect until the new plan is adopted and the old plan rescinded.Please see below notations where the bulleted information can be found in the plan as identified below:* Instructions for the use of direct-reading dosimeters, including how to zero them and how to record exposurelevels. (Annex F, IV.C.; D.4; Radiological Emergency Worker Individual Dose Record Form)* Reporting of radiation exposure limits and turn-back values. (Annex F, IV.D .1-5; Nebraska AllowableExposures for Emergency Workers Wallet Reference Cards)-Information on workers undertaking live-saving missions or protecting valuable property or large populationsthat may face increa'sed risk from radiation. (AnnexF. IV.D. 1-2; Nebraska Allowable Exposures for Emergency Workers Wallet Reference Cards)" Proper use of Permanent Record Dosimeter (PRO) (Annex F. IV.C)" Information on KI usage, including why it is administered, how to document -11 ingestion, and informationregarding potential adverse effects of KI. (Annex F, Attachment 2; Attachmeni 3; Radiological Emergency WorkerIndividual Dose Record Form)Information on where emergency workers should report to for monitoring and decontamination of themselves,their vehicle[s] and equipment. This information should be consistent with the plans and should include map[s]and/or directions to these locations. (Annex F, IV.B.4-8; Annex F.V.G; Annex F, Attachment 5b; 5d)-Where and to whom to return their dosimetry at the conclusion of emergency or mission. (Annex F, IV.C.;Radiological Emergency Worker, Individual Dose Record Form)" Donning and doffing procedures for personal protective equipment (PPE)" Primary and backup communication methods and contact information. (Annex B.IV.C; Annex B, Attachment 2" A list of primary and secondary receiving hospitals for contaminated and injured persons. (Annex F, V.F)2. Blair Fire and Rescue has been issued and maintains a sufficient supply of pocket cards that clearly states the"Nebraska Allowable Exposures for Emergency Workers". and "Instructions for the use of Potassium Iodide (KI) byEmergency Workers."3. Blair Fire and Rescue also received and had available a complete supply of "Individual Dose Redord Form'sthat includes instructions on how and when to read and record dosimeter findings and instructions for contacting.the Radiological Officer. That form also explains the TLD Badge as a permanent record of their exposures duringtheir assignment and includes additional information including:" Instructions on how to properly dosimetry" Instructions on what to do with dosimeters , TLD badges and individual dose record forms at the end of theirshift" An Emergency Worker Checklist" Information on the authorization required for the ingestion of KI" Information on regarding those who might have adverse reactions and/or should avoid taking KI" Procedures for those who refuse to take KI4. Nebraska Emergency Management Agency (NEMA) will work with and/or support Blair Fire and Rescue in thereview, revision or development of SOPs upon their request and/or continue to make necessary requests forinformation (RFI) from Blair Fire and Rescue to obtain copies or reference locations in accordance with (IAW) theJune 2013 Radiological Preparedness Program Manual.CAPABILITY: PRIMARY RESPONSIBLE AGENCY:Emergency Triage and Pre-Hospital Treatment Nebraska Emergency Management Agency (NEMA)CAPABILITY ELEMENT: START DATE:Planning 2015-02-05AGENCY POC: ESTIMATED COMPLETION DATE:Debra Robinson, Fort Calhoun Offsite Planner 402-471 -2015-04-157408 120 UnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear StationISSUE: Blair Fire and Rescue staff was not able to successfully demonstrate adequate contamination control. Thespecific shortcomings identified were:-The lead EMS representative had two pairs of latex gloves (inner and outer pair) when he began to treat thepatient. While treating the patient, he removed the outer pair of latex gloves and did not re-glove to continuetreating the patient after touching other potentially contaminated surfaces.-The Assisting EMS member, while bringing a Tyvek suit for use in covering the patient, dragged the Tyvek suitalong the ground.-While assisting the patient onto the gurney, the crew left one side of the blanket later used for wrapping thepatient laying on the ground..-The lead EMS member, while doffing protective clothing, inadvertently tugged on the outside of the suit and thentouched the inside of the suit potentially cross contaminating that area.-When the lead EMS member completed the doffing process, he did not remove his last pair (inner) gloves nor didhe re-glove prior to entering the ambulance to continue patient care. The assisting staff member also failed to re-glove prior to continuing patient care. If they are to continue patient treatment, they must use appropriate PPE andtherefore just removing the last pair (inner) gloves is not consistent with industiy standarids and practices .Theywould need to re-glove with a single or double layer depending upon their SOP assuming that those gloves were,potentially contaminated by touching a surface other than the patient.RECOMMENDATION: An enhanced training regimen must be put in place for this organization. Thiscriterion must be redemonstrated during the next medical drill or biennial exercise for Fort Calhoun.CORRECTIVE ACTION DESCRIPTION: 1. Bullet #2-Nebraska concurs with the findings.2. Bullet #3-Nebraska concurs with the findings.'3. Bullet #4-Nebraska conctirs with the findings. "CAPABILITY: .PRIMARY-RESPONSIBLE AGENCY:Emergency Triage and Pre-Hospital Treatment Nebraska Emergency Management Agency (NEMA):CAPABILITY ELEMENT:. START DATE:Training. 2015-02-05AGENCY POC: ESTIMATED COMPLETION DATE:..Debra Robinson, Fort Calhoun Offsite Planner 402-471- 2015-11-307408 ....21 qUnclassifiedRadiological Emergency Preparedness Program (REP)After Action Report/Improvement PlanFort Calhoun Nuclear StationAPPENDIX B: DRILL EVALUATORS AND TEAMLEADERSDATE: 2014-10-14, SITE: Fort Calhoun Nuclear Station, NEUniversity of Nebraska Medical Center A Canida FEMA RVIIMissouri Valley Fire and Rescue -Iowa *Audie Canida -FEMA RVIIBlair Fire and Rescue -Nebraska *Judvodeen F M A RVll22 UnclassifiedRadiological Emergency Preparedness Program (REP)/ After Action Report/Improvement PlanFort Calhoun Nuclear StationAPPENDIX C: ACRONYMS ANDABBREVIATIONSARCA Area Requiring Corrective ActionDHS Department of Homeland SecurityDOT Department of TransportationEMS Emergency Medical ServiceEPZ Emergency Planning ZoneEW Emergency WorkersFCNS Fort Calhoun Nuclear StationFEMA Federal Emergency Management AgencyKI Potassium IodideMVFR Missouri Valley Fire and RescuePPE Personal Protective EquipmentPRD Permanent Record DosimeterREA Radiation Emergency AreaREO Radiological Equipment OfficerREP Radiological Emergency Preparedness23 UnclassifiedRadiological Emergency Preparedness Program (REP)Fort Calhoun Nuclear StationAfter Action Report/Improvement PlanThis page is intentionally blank.24