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 Security Region VII 9221 Ward Parkway, Suite 300 Kansas City, MO 64114-3372 IFEMA FEB 26 2015 Mr. Marc Dapas Regional Administrator U.S. NRC Region IV 1600 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 of the offsite radiological emergency response plans site-specific to the Fort Calhoun Nuclear Station. The State 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 Corrective Action (ARCA) and One Planning Issue were identified.

The ARCA remains open to be demonstrated during the next medical drill or biennial exercise.

The Planning Issue remains open pending the development and approval of operating procedures.

Based on the results of this medical drill, the offsite radiological emergency response plans and preparedness for the States of Iowa and Nebraska and the affected local jurisdictions, site-specific to the Fort Calhoun Nuclear Station, can be implemented and are adequate to provide reasonable assurance that appropriate measures can be taken 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 and preparedness for the States of Iowa and Nebraska, site-specific to the Fort Calhoun Nuclear Station, granted on July 22, 1981, will remain in effect.If you have questions or concerns regarding the report, please contact Chuck Gregg at (816) 283-7926 or Chuck.Gregg&fema.dhs.gov.

Sincerely, Beth Freeman Regional Administrator Enclosure cc: Vanessa Quinn, HQ REP Bill Maier, NRC Region IV NRC 'HQ, Dcument Control Deslt Robert Lewis, NRC, NSIR Lisa Hamilton, HQ REP Erick Plautz, OPPD i Fort Calhoun Nuclear Station After Action Report/Improvement Plan Drill Date -October 14, 2014 Radiological Emergency Preparedness (REP) Program.FEMA J FEPublished February 25, 2015 j Unclassified, Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station This page is intentionally blank.

_J*Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station Fort Calhoun Nuclear Station After Action Report/Improvement Plan Published February 25, 2015 Contents Executive Summary 3 Section 1: Exercise Overview 4 1.1 Exercise Details 4 1.2 Exercise Planning Team Leadership 4 1.3 Participating Organizations 6 Section 2: Exercise Design Summary 7 2.1 Exercise Purpose and Design 7 2.2 Exercise Objectives, Capabilities and Activities 8 2.3 Scenario Summary. 9 Section 3: Analysis of Capabilities 10 3.1 Drill Evaluation and Results 10 3.2 Summary Results of Drill Evaluation 10 3.3 Criteria Evaluation Summaries 12 3.3.1 Risk Jurisdictions 12 3.3.1.1 Missouri Valley Fire and Rescue -Iowa 12 3.3.2 Nebraska Jurisdictions 12 3.3.2.1 University of Nebraska Medical Center 12 3.3.3 Risk Jurisdictions 13 3.3.3.1 Blair Fire and Rescue -Nebraska 13 Section 4: Conclusion 17 Appendix A: Improvement Plan 18 Appendix B: Drill Evaluators and Team Leaders 22 Appendix C: Acronyms and Abbreviations 23 1

.1 Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station This page is intentionally blank.2 Unclassified Radiological Emergency Preparedness Program (REP)After Action ReportlImprovement Plan Fort Calhoun Nuclear Station EXECUTIVE

SUMMARY

On 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) around the Fort Calhoun Nuclear Station(FCNS).

The purpose of these drills was to assess the level of state and local preparedness in responding to a radiological emergency.

These drills were held in accordance with FEMA's policies and guidance concerning the exercise of state and local radiological emergency response plans and procedures.

The previous medical drills at these sites were conducted on September 17, 2012, for Missouri Valley Fire and Rescue, University of Nebraska Medical Center, and Blair Fire and Rescue Squad. 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. In the State of Nebraska, the Risk County of Washington and the University of Nebraska Medical Center participated.

In the State of Iowa, the Risk County of Harrison participated.

The efforts of the utility, the State of Iowa and the State of Nebraska are also commended for their work on training and drill preparation.

Protecting the public health and safety is the full-time job of some of the exercise participants and an additional assigned responsibility for others. Still others have willingly sought this responsibility by volunteering to provide vital emergency services to their communities.

A special thank you is once again extended to those invaluable volunteers.

Cooperation and teamwork of all the participants were evident during these drills.The state and local organizations demonstrated knowledge of their emergency response plans and 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 was identified.

There were no previous ARCAs nor any Deficiencies to be corrected during these drills.3 Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station SECTION 1: EXERCISE OVERVIEW 1.1 Exercise Details Exercise Name Fort Calhoun Nuclear Station Type of Exercise Drill Exercise Date October 14, 2014 Program Department of Homeland Security/FEMA Radiological Emergency Preparedness Program Scenario Type Radiological Emergency 1.2 Exercise Planning Team Leadership Debra Robinson State Planner Nebraska Emergency Management Agency Emergency Management Planning Specialist

-Tech Hazards 2433 NW 24th Street Lincoln, Nebraska, 68524 402-471-7408 debra.robinson@nebraska.gov Afua Kwarteng State Planner Nebraska Emergency Management Agency Emergency Management Planning Specialist

-Tech Hazards 2433 NW 24th Street 4 IUnclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station Lincoln,, Nebraska, 68524 402-471-7007 afua.kwarteng@nebraska.gov Kathy Stodola State Planner Iowa Department of Homeland Security & Emergency Management Operations Officer 7105 NW 70th Avenue Camp Dodge, Building W-4 Johnston, Iowa, 50131 515-323-4320 kathy.stodola@iowa.gov Christopher Worthing Utility Representative Omaha Public Power District Senior Emergency Planning Representative 9610 Power Lane FC-2-1 Blair, Nebraska, 68008 402-533-7307 cworthing@oppd.com Judy Dodgen Site Specialist and Evaluator Federal Emergency Management Agency Region 7 Technological Hazards Specialist 9221 Ward Parkway Suite 300 Kansas City, Missouri, 64114 816-283-7091 judy.dodgen@fema.dhs.gov 5

Unclassified.

• Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station 1.3 Participating Organizations Agencies and organizations of the following jurisdictions participated in the Fort Calhoun Nuclear Station drill: State Jurisdictions Nebraska Emergency Management Agency (NEMA)University of Nebraska Medical Center Iowa Department of Homeland Security and Emergency Management (IHSEM)Risk Jurisdictions Washington County Emergency Management Agency Blair Fire and Rescue Harrison County Emergency Management Agency Missouri Valley Fire and Rescue Private Organizations Omaha Public Power District Federal Jurisdictions Federal Emergency Management Agency (FEMA)6

'I Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station SECTION 2: EXERCISE DESIGN

SUMMARY

2.1 Exercise

Purpose and Design The 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 communities in 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 and respond to emergency conditions and coordinate efforts with other agencies for protection of the health and safety of the public.The conduct and evaluation of these drills provide additional training for emergency response organization 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 and Harrison County Emergency Plans, and associated implementing procedures, in accordance with 44 CFR 350.The scenario for this drill was developed by personnel at the Fort Calhoun Nuclear Station, then was reviewed and approved for use by FEMA Region VII. The scenario was utilized by the exercise 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 radiological accident simulation at the Fort Calhoun Nuclear Station, located near Fort Calhoun, in Washington County, Nebraska; and Harrison County, Iowa, that result in the need for the assessment and care of injured, and potentially contaminated, victims.The scenario design provided the basis to observe and evaluate the capabilities and effectiveness of 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 Station 2.2 Exercise Objectives, Capabilities and Activities The Fort Calhoun Nuclear Station(FCNS)Emergency Preparedness Exercise & Drill Program objectives are based on the Federal requirements delineated in 44 CFR 350, as well as on the priorities and procedures detailed in the Radiological Emergency Preparedness plans. for the State of Nebraska; the State of Iowa;Washington County in Nebraska; and Harrison County in Iowa. Additional guidance provided in NUREG-0654, NUREG-0696, and NUREG-0737, was utilized in developing these objectives., The objective of this drill was to test the implementation of the plans and procedures of the participating agencies, and the capability of these agencies to conduct operations in accordance with 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 and Blair Fire and Rescue, in Nebraska, and Missouri Valley Fire and Rescue, in Iowa, to demonstrate the ability to initiate, maintain, and show control and treatment of contamination in patients, and illustrate the adequacy of emergency vehicles, equipment and personnel for transporting and treating contaminated patients.

Each ambulance service and the hospital were evaluated based upon the plans and procedures which they have established for use in a radiological emergency.

These drills were performed out-of-sequence, which is not concurrent to a full scale exercise and not 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 allowed for the evaluators to focus on the activities specified in the drill criteria, which are usually those least familiar to the exercise players. For example, each ambulance service was permitted to simulate the location of the accident site, and demonstrated all treatment at their ambulance stations, up to loading the patient into the ambulance, and short of actual transport to another site. These teams drive their vehicles to real emergency accident sites on a daily basis; their capabilities in this area were not in the focus of the evaluation.

None of the simulations compromised the ability to demonstrate and evaluate the objective of the drill.8 Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station 2.3 Scenario Summary At 7:08 a.m. Fort Calhoun Station declared a General Emergency.

A nuclear accident has occurred which has resulted in a radioactive plume being released from the plant. General area dose 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 the surrounding 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 to wear 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 the individual was outside fixing the flat tire, a sharp piece of metal became unstable.

As the individual attempted to grab the metal, the individual's right wrist was cut. The injured person is in 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 Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station SECTION 3: ANALYSIS OF CAPABILITIES

3.1 Drill

Evaluation and Results Contained in this section are the results and findings of the evaluation of all jurisdictions and functional entities which participated in the October 14-15, 2014, drill events to test the offsite emergency response capabilities of State and local governments in the 10-mile EPZ surrounding the Fort Calhoun Nuclear Station.Each jurisdiction and functional entity was evaluated on the basis of its demonstration of criteria contained in FEMA's Radiological Emergency Preparedness Program Manual, dated June 2013.3.2 Summary Results of Drill Evaluation Exercise criteria are listed by number and the demonstration status of those criteria is indicated by the use of the following letters: M -Met (No Deficiency or ARCAs assessed and no unresolved ARCAs from prior exercises)

D -Deficiency assessed A -Area Requiring Corrective Action (ARCA) assessed or unresolved ARCA(s) from prior exercises)

N Not Demonstrated (Reason explained in subsection B)Criteria with no corresponding letter were not evaluated in this drill.10 Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station Table 3.1 -Summary of Drill Evaluation DATE: 2014-10-14 SITE: Fort Calhoun Nuclear Station, NE M: Met, A: ARCA, D: Deficiency, P: Plan Issue, N: Not Demonstrated

>0 Mobilization lal Facilities Ibl Direction

& Control ici Communications Equipment Idi Equipment and Supplies lel M M M EW Exp. Control Decisions 2al PARs 2b 1 PADs 2b2 PADs for Disabled/Functional Needs 2cl Ingestion PADs 2dl RRR Decisions 2el MEM, EW Exp. Control Implementation 3al M M P KI Public/lnstitutionalized 3b1 PAD Imp. Disabled/Functional Needs 3cl PAD Imp. Schools 3c2 TACP Establishment 3d 1 Impediments to Evacuation 3d2 Implementation of Ingestion PADs 3e1 Ingestion Strategies and Information 3e2 Imp. of RRR Decisions 3f1 RESERVED 4al Field Team Management 4a2 Field Team Operations 4a3 Field Team Sampling 4bl Laborator Operations 4cl Initial Alert & Notification 5al RESERVED 5a2 Backup Alert & Notification 5a3 Exception Area Alerting 5a4 Subsequent Public Information 5bl Reception Center Operations 6al EW Monitoring

& Decon 6b1 Congregate Care 6c1 Contaminated Injured Transport

& Care 6dl M M A 11 ilJ Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station 3.3 Criteria Evaluation Summaries 3.3.1 Risk Jurisdictions 3.3.1.1 Missouri Valley Fire and Rescue -Iowa The Missouri Valley Fire and Rescue Team demonstrated innovative cross contaminationcontrol to 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: None c. DEFICIENCY:

None d. PLAN ISSUES: None e. NOT DEMONSTRATED:

None f. PRIOR ISSUES -RESOLVED:

None g. PRIOR ISSUES -UNRESOLVED:,None

3.3.2 Nebraska

Jurisdictions 3.3.2.1 University of Nebraska Medical Center The Staff of the University of Nebraska Medical Center demonstrated good knowledge of Radiological 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: None c. DEFICIENCY:

None d. PLAN ISSUES: None e. NOT DEMONSTRATED:

None f PRIOR ISSUES -RESOLVED:

None g. PRIOR ISSUES -UNRESOLVED:

None 12 Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station 3.3.3 Risk Jurisdictions 3.3.3.1 Blair Fire and Rescue -Nebraska The 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-02 CRITERION:

The facility/ORO has the appropriate space, adequate resources, and trained personnel to provide transport, monitoring, decontamination, and medical services 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 touching other potentially contaminated surfaces'.'

• The Assisting EMS member, while bringing a Tyvek suit for use in covering the patient, dragged the Tyvek suit along the ground.* While assisting the patient onto the gurney, the crew left one side of the blanket later used for wrapping the patient laying on the ground.* The lead EMS member, while doffing protective clothing, inadvertently tugged on the 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 his last 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 to continuing patient care. If they are to continue patient treatment, they must use appropriate PPE and therefore just removing the last pair (inner) gloves is not consistent with industry standards and practices

.They would need to re-glove with a 13 7P Unclassified Radiological Emergency Preparedness Program.(REP)

After Action Report/Improvement Plan Fort Calhoun Nuclear Station single or double layer depending upon their SOP assuming that those gloves were potentially contaminated by touching a surface other than the patient.POSSIBLE CAUSE: The Blair Fire and Rescue Crew has not received adequate training on contamination control procedures.

REFERENCE:

NUREG-0654/FEMA-REP-1, F.2; H.10; K.5.a, b; L.1, 4 EFFECT: Lack of adequate training made the Blair Fire and Rescue staff unable to effectively treat and transport contaminated individuals without potentially further contaminating the patient or themselves.

RECOMMENDATION:

An enhanced training regimen must be put in place for this organization.

This criterion must be redemonstrated during the next medical drill or biennial exercise for Fort Calhoun.c. DEFICIENCY:

None d. PLAN ISSUES: 3.a.1.ISSUE NO.: 25-14-3al-P-01 CRITERION:

The OROs issue appropriate dosimetry, KI, and procedures, and manage radiological exposure to emergency workers in accordance with the plans/procedures.

Emergency workers periodically and at the end of each mission read their. dosimeters and record the readings on the appropriate exposure record or chart. Appropriate record-keeping of the administration of KI for emergency workers is maintained.

CONDITION:

There was not a written Operating Procedure available for the Blair Fire and Rescue Squad. It should be noted that most of the information is available either in the current version of the Washington County Plan and/or on the Nebraska Emergency Workers Pocket Cards. However, a procedure should be available (or developed) that includes all information required by the FEMA REP Program Manual, 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 readily 14 Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station 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 exposure levels.-Reporting of radiation exposure limits and turn-back values.-Information on workers undertaking life-saving missions or protecting valuable property 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 KI ingestion, and information regarding 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.POSSIBLE CAUSE: Procedures forf the Blair Fire and Rescue for response to a potential radiologically contaminated injury are currently being written and older versions of procedures were not available.

REFERENCE:

NUREG-0654/FEMA REP-1, K:3.a, K.3.b, K.4, EPA-400, FDA Guidance, and REP Program Manual page 11-102 thru 11-109.EFFECT: Without appropriate briefings and lack of written instructions, EWs could miss information on how to operate and document the use of equipment, protective drugs, and instructions, and how to report administrative exposure limits. In addition, they may not have enough information to enable them to make an informed decision 15 Unclassified 4L Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station on whether to volunteer for higher dose rates. Finally, the EWs could be confused as to the appropriate location for where to turn in their equipment and/or where to report to for monitoring and decontamination needs.RECOMMENDATION:

Develop a Blair Fire & Rescue procedure that includes all applicable information required by the FEMA Radiological Emergency Preparedness Program Manual or include attachments and references 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 upon their request and/or continue to make necessary requests for information (RFI) from Blair Fire and Rescue to obtain copies or reference locations in accordance with (IAW) the June 2013 Radiological Preparedness Program Manual.e. NOT DEMONSTRATED:

None f. PRIOR ISSUES -RESOLVED:

None g. PRIOR ISSUES -UNRESOLVED:

None 16 Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station SECTION 4: CONCLUSION Based on the results of these drills, the offsite radiological emergency response plans and preparedness for the State of Nebraska and the State of Iowa and the affected local jurisdictions are deemed adequate to provide reasonable assurance that appropriate measures can be taken to protect the health and safety of the public in the event of a radiological emergency.

Therefore, 44 CFR Part 350 approval of the'offsite radiological emergency response plans and preparedness for the State of Nebraska and the State of Iowa, site-specific to the Fort Calhoun Nuclear Station, will remain in effect.17 F Unclassified

'Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station APPENDIX A: IMPROVEMENT PLAN 18 t Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station I Issue Nuniber: 25-14-3al-P-01 Criterion:

3a I I ISSUE: There was not a written OperatingProcedure available for the Blair Fire and Rescue Squad. It should be noted that most of the information is available either in the current version of the Washington County Plan and/or on the Nebraska Emergency Workers Pocket Cards. However, a procedure should be available (or developed) that includes all information required by the FEMA REP Program Manual, 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 readily 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 exposure levels.-Reporting of radiation exposure limits and turn-back values.-Information on workers undertaking life-saving missions or protecting valuable property 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 KI ingestion, and information regarding 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 information required by the FEMA Radiological Emergency Preparedness Program Manual or include attachments and references 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 upon their request and/or continue to make necessary requests for information (RFI) from Blair Fire and Rescue to obtain conies or reference locations in accordance with (IAW) the June 2013 Radiological Prenaredness Program Manual.19 0 Unclassified Radiological.Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station CORRECTIVE 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 the FEMA 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 exposure levels. (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 Allowable Exposures for Emergency Workers Wallet Reference Cards)-Information on workers undertaking live-saving missions or protecting valuable property or large populations that may face increa'sed risk from radiation. (Annex F. 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 information regarding potential adverse effects of KI. (Annex F, Attachment 2; Attachmeni 3; Radiological Emergency Worker Individual 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) by Emergency Workers." 3. Blair Fire and Rescue also received and had available a complete supply of "Individual Dose Redord Form's that 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 during their 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 their shift" 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 KI 4. Nebraska Emergency Management Agency (NEMA) will work with and/or support Blair Fire and Rescue in the review, revision or development of SOPs upon their request and/or continue to make necessary requests for information (RFI) from Blair Fire and Rescue to obtain copies or reference locations in accordance with (IAW) the June 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 2015-02-05 AGENCY POC: ESTIMATED COMPLETION DATE: Debra Robinson, Fort Calhoun Offsite Planner 402-471 -2015-04-15 7408 1 20 Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station ISSUE: 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 removed the outer pair of latex gloves and did not re-glove to continue treating 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 suit along the ground.-While assisting the patient onto the gurney, the crew left one side of the blanket later used for wrapping the patient laying on the ground..-The lead EMS member, while doffing protective clothing, inadvertently tugged on the 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 remove his last 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 to continuing patient care. If they are to continue patient treatment, they must use appropriate PPE and therefore just removing the last pair (inner) gloves is not consistent with industiy standarids and practices

.They would 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.

This criterion 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.

2015-02-05 AGENCY POC: ESTIMATED COMPLETION DATE:..Debra Robinson, Fort Calhoun Offsite Planner 402-471- 2015-11-30 7408 ....21 q Unclassified Radiological Emergency Preparedness Program (REP)After Action Report/Improvement Plan Fort Calhoun Nuclear Station APPENDIX B: DRILL EVALUATORS AND TEAM LEADERS DATE: 2014-10-14, SITE: Fort Calhoun Nuclear Station, NE University of Nebraska Medical Center A Canida FEMA RVII Missouri Valley Fire and Rescue -Iowa *Audie Canida -FEMA RVII Blair Fire and Rescue -Nebraska *Judvodeen F M A RVll 22 Unclassified Radiological Emergency Preparedness Program (REP)/ After Action Report/Improvement Plan Fort Calhoun Nuclear Station APPENDIX C: ACRONYMS AND ABBREVIATIONS ARCA Area Requiring Corrective Action DHS Department of Homeland Security DOT Department of Transportation EMS Emergency Medical Service EPZ Emergency Planning Zone EW Emergency Workers FCNS Fort Calhoun Nuclear Station FEMA Federal Emergency Management Agency KI Potassium Iodide MVFR Missouri Valley Fire and Rescue PPE Personal Protective Equipment PRD Permanent Record Dosimeter REA Radiation Emergency Area REO Radiological Equipment Officer REP Radiological Emergency Preparedness 23 Unclassified Radiological Emergency Preparedness Program (REP)Fort Calhoun Nuclear Station After Action Report/Improvement Plan This page is intentionally blank.24