ML17340A391

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Medical Services Drill, After Action Report/Improvement Plan
ML17340A391
Person / Time
Site: Susquehanna  Talen Energy icon.png
Issue date: 10/26/2017
From:
US Dept of Homeland Security, Federal Emergency Management Agency
To:
Office of Nuclear Security and Incident Response
Shared Package
ML17340A373 List:
References
Download: ML17340A391 (24)
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Text

Sus~tuehanna Steam Electric Station Medical Services Drill

  • After Action Report/Improvement Plan .

Drill Date- October 26, 2017 Radiological .E111ergency Preparedness (REP) Program

  • , FEMA Published:Noveniber 20, 2017

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Unclassified e Radiological Emergency Preparedness Program (REPP)

After Action Report/Improvement Plan Susquehanna Steam Electric Station Susquehanna Steam Electric Station Medical Services Drill After Action Report/Improvement Plan Published Date: November 20, 2017

  • Contents EXJECUTIVE SUMM.ARY ***********************************oo************************************************************************ 3 SECTION 1: EXERCISE OVERVIEW e***********"************************************************************************* 4 1.1 Drill Details **..*..*.*..**..**....*..*.*.******...**.*.*.*...***......***......*"***..*.*.*......*.*.*.*.*.*.**......**.******..***..** 4 1.2 Planning Team Leadership *..***.*.*...**..****.*.....*...........*...................***.-. .*.***.*........*..........**..** 4 1.3 Participating Oi-ganizations....*..*...*~ *....*..*..*........**..*****.************..*...*.*.*.*.*...*.*.*.*.****.* ~********o 5 SECTION 2: DESIGN SUMM.ARY.........**...................*...*...*..*.*...*....*.*.**...............**..*.*.***.*.*****.*. 6
  • 2.1 Purpose and Design ******...*.*****...**.*******..*.*. ~ .....*****.**.********....**...*.***...***.*.*.*...**.***.***.****.*.**.** 6 2.2 Objectives, Capabilities alid *Activities*..*... 11 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ ***************************** 7 2.3 Scenario Summary ******...* 0 * * * * * * * * * * * * * * * * * * * * * * * * * *
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  • 8 SECTION 3: ANALYSIS OF CAPABILITIES **** o ************************************************************************ 9 3.1 Evaluation and Results ...*....*......................*.....*....*.*****.****.........*.*. ~ .*.*.*...***..*.. ~*****~************* 9 3.2 Summary Results of Evaluation .......*..*..*..*..*.**.**....*.*****..****.*****.*.*..***......*........*..*...********** 9 3.3 Criteria Evaluation Summaries**..**.*.*.***.**.***.**.*.**.*...**. ~ .*.**.*...................**.*.*....*.***.*.**.*..* 12 3.3.1 Private Organizations ............................................................................................. 12
  • SECTION 4: CONCLUSION ..**.****.*.********.**.**.****..*..*.****....*...*....*....*.....

APPENDIX A: EVALUATORS AND TEAM LEADERS .......................................................... 14 0 ************************************ 13 APPENDIX B: ACRONYMS AN'D ABBREVIATIONS .******.****.*.*****..*.***.*.*.*..........*..**. o *********** 15 APPlENDIX C: EXTENT-OF-PLAY AGREEMENT .. 0 ************************************************************** 16 1

Unclassified Radiological Emergency Preparedness Program (REPP) e After Action Report/Improvement Plan Susquehanna Steam Electric Station This page is intentionally blank.

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Unclassified e Radiological Emergency Preparedness Program (REPP)

After Acdon Report/Improvement Plan Susquehanna Steam Electric Stildon EXECUTIVE

SUMMARY

On October 26, 201 7 a Medical Services (MS- I) Drill was conducted for the 10-mile Plume Exposure Pathway, Emergency Planning Zone (EPZ) around the Susquehanna Steam Electric Station (SSES) by the Department of Homeland Security (DHS), Federal Emergency

  • Management Agency (FEMA) Region III. The most recent prior MS-1 Drill for this site was c~nducted on October 21, 2015.

The purpose of the SSES MS-1 Drill was to assess the State and local offsite response organizations preparedness in: responding to a radiological medical emergency. The Drill was held in accordance with FEMA's policies and guidance concerning the evaluation of State and e local Radiological Emergency Response Plans (RERP) and procedures.

FEMA wishes to acknowledge the efforts of the many individuals in the Commonwealth of Pennsylvania, Lycoming County Emergency Management Agency, UPMC Susquehanna/Williamsport Regional Medical Center and the Susquehanna Regional Emergency Medical Services, who were evaluated during this Drill.

Protecting the public health and safety is the full-time job of some of the Drill participants and an additional assigned responsibility for others. Still others have willingly sought this responsibility as volunteers providing vital emergency services twenty-four (24) hours a day to the communities in which they live. Cooperation and teamwork of all the participants was observed during this Drill.

This report contains the final evaluation of the MS-I Drill. The Commonwealth of Pennsylvania and local organizations demonstrated knowledge of their emergency response plans and procedures and adequately implemented them. There were no Level I or Level 2 Findings or Plan Issues as a result of this Drill.

  • 3

Unclassified Radiological Emergency Preparedness Program (REPP)

  • After Action Report/Improvement Plan Susquehanna Steam Electric Station SECTION 1: EXERCISE OVERVIEW 1.1 Drill Details Drill Name UPMC Susquehanna/Willi~nsport R_egional Medical Center 2017 Medical Services Drill Type of Drill Medical Services Drill Date October 26, 2017
  • Program .
  • Department of Homeland Security/FEMA Radiological Emerge11.cy-Preparedness Program Scenario Type Radioactive Contaminateµ/Injured Person 1.2 Planning Team Leadership Megean Brown Emergency Management Specialist Federal Emergency Management Agency One Independence Mall 615 Chestnut Street Philadelphia, PA 19106 (202) 674-1281 Megean.Brown@fema.dhs.gov Tony Mull Emergency Management Specialist Pennsylvania Emergency Management Agency 1310 Elme1ion Avenue, Room.204 Harrisburg, PA 17110

(717) 651-2735 Robemull@pa.gov 4

  • Unclassified *

After Action Report/Improvement Plan Susquehanna Steam Electric Station 1.3 Participating Organizations Agencies and organizations of the following jurisdictions participated in the Susquehanna Steam Electric Station 2017 Medical Services Drill:

State Jurisdictions

  • Lycoming County Emergency Management Agency
  • Private Sector Organizations
  • UPMC Susquehanna/Williamsport Regional Medical Center Susquehanna Regional EMS Station 4
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Unclassified Radiological Emergency Preparedness Program (REPP)

  • After Action Report/Improvement Plan Susquehanna Steam Electric Station SECTION 2: DESIGN

SUMMARY

2.1 Purpose and Design.

On December 7, 1979, the President directed the Federal Emergency Management Agency (FEMA) to assume the lead responsibility for all off-site radiological plam1ing and response.

FEMA's activities were conducted pursuant to 44 Code of Federal Regulations (CFR) Parts 350, 351 and 352. These regulations are a key element in the Ra~iological Eniergency Preparedness (REP) Program that was established following the TMI accident in March 1979.

44 CFR 350 establishes the policies and procedures for FEMA's initial and continued approval of State and local governments' i*adiological emergency planning and preparedness for commercial nuclear power plants. This approval is contingent, in pa1t, on State and local government

  • participation in joint exercises with licensees. FEMA' s responsibilities in radiological emergency planning for fixed nuclear facilities include*the following:

A. Taking the lead in offsite emergency planning and in the reviev,r and evaluation of radiological emergency response plans and procedures developed by State and iocal governments; R Detennining whether such plans and procedures can be implemented on the basis of observation and evaluation of exercises of the plans and procedures conducted by State and local governments; C. Responding to requests by the U.S. Nuclear Regulatory Cmmnission (NRC) pursuant to the Memorandum of Understanding between the NRC and FEMA dated December 7, 2015 (Federal Register, Vol. 81, No. 57, March 24, 2016) and; D. Coordinating the activities of the following Federal agencies with responsibilities in the radiological emergency planning process:

- U.S. Deprutment of Commerce

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U.S. Nuclear Regulatory Commission U.S. Enviromnental Protection Agency

- U.S. Department of Energy

- U.S. Depaitment ofl-Iealth and Human Services

- U.S. Department of Transportation

- U.S. Department of Agriculture

- U.S. Department of the Interior

- U.S. Food and Drug Adn1inistration Representatives of these agencies serve on the Region III Regional Assistance Committee (RAC),

which is chaired by FEMA. A Radiological Emergency Preparedness MS-1 Drili was conducted on October 26, 2017, to assess the capabilities of State and local emergency preparedness organizations in implementing theh- radiological emergeilcy response plans and procedures to protect the public health and safety during a radiological emergency involving the Sosquehanna 6

After Action Report/Improvement Plan. Susquebanna*Steam Electric Station Steam Electric Station (SSE~).

The purpose of this After Action Report is to present the Drill results, and findings on the . .

performance of the Off-site Response Organizations (OROs) during a simulated radiological emergency involving a contaminated injured individual. *

  • The Drill was designed to demonstrate and evaluate the responder's knowledge of patierit and responder personal protective measures, equipment preparation and employment, and decontamination procedures. All activities were demonstrated in accordance with the participants' plans and procedures as they would be performed in an actual emergency, except as agreed to in the Exercise Plan and Extent-of-Play Agreement.

I ,

e The findings presented in this report are based on the evaluations of the Federal evaluator team, with final determinations made by the FEMA Region III Regional Assistance Committee (RAC)

.Chairperson and approved by FEMA Headquarters. These reports are provided to the NRC and participating States. State and local governments utilize the findings contained in these reports for the purposes ofplanning, training, and improving emergency response capabilities.

  • Section 1 of this report, entitled Overview, presents the Exercise Planning Team and the Participating Organizations.
  • Section 2 of this report, entitled Design Summary, and includes the Purpose and Design,.

Objectives, Capabilities and Activities, and the Scenario. Summary.. *

  • Section 3 of this report entitled Analysis of Capabilities contains detailed Evaluation and Results; a Summary Results of Evaluation; and Criteria Evaluation Summary. Information on the demonstration for each jurisdiction or functional entity evaluated is presented in a jurisdiction-based, issue-only format.

11 Section 4 of this report entitled Conclusion, is a description ofFEMA's overall assessment of the capabilities of the participating organizations.

  • The criteria utilized in the FEMA evaluation pmcess are contained in the following:
  • o NUREG.,0654/FEMA-REP-l, Rev. 1, "Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants/' November 1980; o Radiological Emergency Preparedness Program Manual, January 2016 2.2 Objectives, Capabilities and Activities The SSES MS-1 Drill evaluated by FEMA, was designed to demonstrate that the ORO can transport, transfer, monitor, decontaminate and treat a contaminated/injured person while minimizing any cross contamination during a radiological emergency.
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Unclassified Radiological Emergency Preparedness Program (REPP)

  • After Action Report/Improvement Plan Susquehanna Steam Electric Sia lion The .demonstration included the ability to:

A. Respond to a radiaiion m~dical emern~ncy following Lycoming ~ounty, UPMC Susquehanna/Williamsport Regipnal Medical *cente1: and Susquehanna Regional EMS Station Region 4 procedures.

B. Monitor for radiation contamination and uptake, and to validate persons pro,,iding these services are adequately prepared to handle contaminated individuals.

C. Conduct timely and accurate communications between the hospital and offsite response agencies.

D. Exhibit c01Tect priorities and appropriate techniques in Emergency Medical Services (EMS);

transportation of patients; and pre-hospital and hospital emergency care of radioactively contaminated patients.

  • E. Demonstrate inter-agency cooperation between the Ambulance Service/EMS and the hospital.

2.3 Scenario Summary The scenario for this Medical Services Drill consisted of simulated notifications of escalating emergency classification levels at the Susquehanna Steam Electiic Station from Site Area Emergency to General Emergency. Subsequent to a release of radiological material the plant declared a General Enierge11.cy.

During an evacuation of the SSES Emergency Planning Zone an evacuee was tunning towards the monitoring and decontamination center and did not notice a fire ho*se lying on the floor. She tripped over it causing herself to fall. The evacuee broke hor fall by landing on the left side of her body. The victim has a possible left wrist fracture aii.d abrasions on his left forearm.

Contamination on both the left f9rearm and right palm. Susquehai}Ila Regional EMS Company 4 personnel arrivec:l at the emergency worker monitoring and decontamination station to assess, prepare for transport and* evacuated the evacuee to UPMC Susquehanna/Williamsport Regional Medical Center. At tbe hospital, the patient was received by staff and monitored for rndioactive contamination.

  • Hospital personnel established an Emergency Radiation* Area/Decontamination Station in a specic;1lly equipped bay oftl1e Susquehann~ Regional Emergency .

l'v1edical Services garage located

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on t)le UPMC Susquehanna/Williamsport Regional Medical Center campus. Gross decontamination was implemented and the patient was subsequeiitly treated for i~juries.

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Susquehanna Steam Electric Station SECTION 3: ANALYS!S OF CAPABILITIES 3.1 Evaluation and Results Contained in this section are the results arid findings of the evaluations of all jurisdictions and

. locations that participated in the October 26, 2017 SSES MS-1 Drill. The Drill was conducted to demonstrate the ability of the OROs to respond to a potentially contaminated injured person associated with the Susquehanna Nuclear Power Plant.

Each jurisdiction and functional entity was evaluated on the basis of its demonstration of the appropriate Demonstration Criteria contained in the REP Program Manual. Detailed information

  • on the Demonstration Criteria and the Extent-of-Play Agreement are found in Appendix C .

The Drill was conducted and evaluated in accordance with the Radiological Emergency Preparedness Program Manual (January 2016) and! NUREG-0654/FEMA-REP-l, Rev. 1. the.

Demonstration Criteria included:

'

1.e.1- Equipment, maps, displays, monitoring instruments, dosimetry, potassium iodide (Kl) and other supplies are sufficient to support emergency operations.

3.a.1- The OROs issue appropriate dosimetry, KI, and procedures, and inanage 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:. OROs maintain appropriate record-keeping of the administration of KI to emergency workers.

6.d.1- The facility/ORO has the appropriate space, adequate resources, and trained personnel to provide transport, monitoring, decontamination, and medical services to contaminated injured individuals.

3.2 Summary Results of Evaluation .

The matrix presented in Table 3 .1, on the following pages, presents the status of the

  • Demonstration Criteria from the REP Program Manual that were scheduled for demonstration during this Drill by all participating jurisdictions and functional entities. Drill Demonstration Criteria are listed by number and the demonstration status of the criteria is indicated by the use of the following letters:

(L 1) Level I Finding: An observed or identified inadequacy of organizational performance in an exercise that could cause a determination that offsite emergency preparedness is not adequate to provide reasonable assurance that appropriate protective measures can be taken in event of a radiological emergency to protect the health and safety of the public living in the vicinity of a Nuclear Power Plant (NPP).

(L2) Level 2 Finding: An observed or identified inadequacy of organizational performance in an exercise that is not considered, by itself,_to adversely impact public health and safety.

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After Action Report/Improvement Plan Unclasslfied Radiological Emergency Preparedness Program (REPP)

Susquehanna Steam Electric Station

.,I (P) Plan Issue: An observed or identified inadequacy in the off-site response organizations' emergency plan/implementing procedures, rather than that of the ORO's performance.

(N) Not Demonstrated: The term applied to the status of a REP Evaluation Area Criterion indicating that the ORO, for a justifiable reason, did not demonstrate the Evaluation Area Criterion, as required in ~e Extent-of-Play Agreement or at the two-year or eight-year interval required in the FEMA REP Program Manual.

(M) Met: The status of a REP Evaluation*Area Criterion indicating that the participating ORO demonstrated all demonstration criteria for the Evaluation Area Criterion to the level required in the Extent-of-Play Agreement with no findings assessed in the current exercise and no unresolved prior -findings.

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  • Unclassified

After Action Report/Improvement Plan Susquehanna Steam Electric Station Table 3.1 - Summary of Drill Evaluation Date: 2017-0ctober-26 Site: Susquehamrn Steam Electric Station (M) Met, (1) Level 1 Findii1g, (2) Level 2 Finding, (P) Planning Issue

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Mobilization lal Facilities !bl Direction and Control lcl Co.mmun ications !di Equipment and Supplies to Support Operations lei M M

  • Emergency Worker Exposure Control Accident Assessment and Pars for the Emergency Event 2al 2bl PAD decision-making prqcess and coordination for the General Public 2b2 PADs for disabilities &access/functional needs people 2cl Radiological Assessment & Decision-making for the Ingestion Pathway 2el Radiological Assessment & Decision making for Relocation/Reentry/Return 2dl ..

.  ;; -----, -: "*-~ -,  ;

.. -***' .*, . . .. -

Implementation ofEmcrgency Worker Exposure Control 3al M M Implementation .of KI PAD for Institutionalized Individuals/Public 3b2 Implementation of PADs for disabilities & access/functional needs people 3cl Jmp"!ementation of PADS for Schools 3c2 Implementation ofTrnffic and Access Control 3dl Impediments to Evacuation 3d2 Implementation ofRelocation/Reentry/Return Decisions 3fl RESERVED 4al Field Team Management 4a2 Plume Phase Field Measurement, Handling, & Analyses 4a3 Post Plume Phase Field Measurements & Sampling 4bl Activation of the Prompt Alett & Notification System (ANS) Sal RESE.RVED 5a2 Activation of the Back-up ANS 5a3

  • Activation of the Exception Area ANS Emergency Information & Instructions to the Public/Media

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Monitoring, Decontamination, & Registration of Evacuees 6al Monitoring/Decontamination ofEmer_gency Workers and Equipment 6bl Temporary Care of Evacuees i5c1 Transpo11ation/Treatment of Contaminated Injured Individuals 6dl M M

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Unclassified Radiological Emergency Preparedness Program (REPP) e After Acdon Report/Improvement Plan Susquehanna Steam Electric Station 3.3 Criteria Evaluation Summaries 3.3.1 Private Organizations In summary, the status ofDHS/FEMA criteria for the Private Sector Organizations are as follows:

3.3.1.1 Lycoming County, UPMC Susquehanna/Williamsport Regional Medical Center.

a. MET: Le.I; 3.a.l; 6.d.l
b. LEVEL I FINDINGS: NONE C. LEVEL 2 FINDINGS: NONE
d. PLAN ISSUES: NONE
e. PRIOR ISSUES - RESOLVED: NONE
f. PRIOR ISSUES -*UNRESOLVED: NONE 3.3.1.2 Lycoming County, Susquehanna Regional EMS Station 4*:
a. MET: Le.I; 3.a.l; 6.d.l
b. LEVEL I FINDINGS: NONE
c. LEVEL 2 FINDINGS: NONE
d. PLAN ISSUES: NONE
e. PRIOR ISSUES - RESOLVED: NONE
f. PRIOR ISSUES - UNRESOLVED: NONE
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  • Unclassilie~

, Radiological Emergency Preparedness Program (REPP)

After Action Report/Improvement Plan Susquehanna Steam Electric Station SECTION 4: CONCLUSION The Commonwealth of Pennsylvania and private sector organizations, except where noted in this report, demonstrated knowledge of their radiological emergency response plans and procedures and they were successfully.implemented during the Susquehanna Steam Electric Station MS-1 Drill evaluated on October 26, 2017.

  • Two FEMA evaluators provided analyses of six evaluation crit~ria. These analyses resulted in a determination of no Findings, no new Plan Issues, and no unresolved Plan Issues.

'*

  • The Susquehanna Regional Emergency Medical Services Station 4 successfully demonstrated that necessary equipment and supplies were available to support the treatment of an injured/contaminated patient. EMS persol)Ilel prioritized life-saving medical practices over contamination concerns, implemented protective measures through the use of Personal Protective
  • Equipment, regular glove changes, and control of cross contamination. Appropriate patient assessments were demonstrated as well as regular and ongoing communications with UPMC.

Susquehanna/Williamsport Regional Medical Center.*

The UPMC Susquehanna/Williamsport Regional Medical Center successfully demonstrated the mobilization of staff, staffing assignments, issue of dosimetry and monitoring equipment, and effective use of Personal Protective Equipment during the exercise. The hospital staff effectively responded to communications from the Lycoming County and Susquehanna Regional Emergency Medical Services Station 4, initiated the set-up and management of a Radiation Emergency Area, and accepted and successfully monitored and decontaminated and treated an injured/contaminated patient. In addition, the medical facility provided security control of the facility and overall protective measures for contamination control and prevention of cross contamination.

Based on the results of the Drill and a review of the offsite radiological emergency response plans and procedures submitted, FEMA Region III has determined they are adequate (meet the planning and preparedness standards of NUREG-0654/FEMA-REP-l, Revision I, November 1980, as referenced in 44 CFR 350.5) and there is reasonable assurance they can be implemented, as e demonstrated during this Drill.

An Improvement Plan (IP) will not be developed as part of this report.

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Unclassified Radiofogical. Emergency Pre?ar~dncss Prog~m.(REP,P)

  • AOer Action Rcp()rtllinprovc111ent flan. Susqtiehiliinil Steatil Electric Station . .

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.APPENDIX A: EVALUATORS .ANIITEAMLEADERS-

... ,, . * . *s . , . ., .. ,; . .*,*;J*,. . ._. * . . . .. , * . * .

The foUciwing is thelistqfEvali1itJots, a;d: 'te*i1 L,e,~d;i§ Jotth~:Su~qµeli~na Steam ElectriciStation 2017 .MS~l I)ril1{ev~luatecl tm Qct,eber.2i5; 20~7~ The following:ccmstitutes.

the managing s_taff for the Evaltu1t1on:

  • " T:hq11,1~s$~a1:diµo~ '.QijS/fEMA-, Regiotµ1l.As~i1,tarice . C0mfuitte.e . Chairniart

" M~g~?iU Brown, BHSIREMA, Technefogteal }Iazards Ptggram Specialist, 1~4 Evaiuator * * ** * * *

  • DAtB:*October 26*'.2017

.. . . *.,* .. *. . .. *; **: r.

SITE~ $usquehan11a Stei:un:Ele~tric*Statipn:

FEMA.1UIJ

  • After Action Report/lmpi-ovemcnt Plan Uncl:1ssi!icd Radiological Eri1ergency Preparedness Program (REPP)

Susquehanna Steam Electric Sfation APPENDIX B: ACRONYMS AND ABBREVIATIONS .

  • l --~~ ~ ,.. ** 1

!Acroil¥ni* . ~C?.l)ip.e;,._

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DHS Department of Homeland Security EMS Emergency Medical Services EMT Emergency Medical Technician EPZ Emergency Plaru1ing Zone FEMA Federal Emergency*Management Agency IP Improvement Plan

  • LyCoSREMS LyCoUPMC MS-1 Lycoming County, Susquehanna Regional Emergency Medical Setvices UPMC Susquehanna/Williamsport Regional Medical Cehtet Medical Services NPP Nuclear Power Plant NRC Nuclear Regulatory Commission ORO O:ffsite Response Organization PEMA Pennsylvania Emergency Management Agency RAC Regional Assistance Committee REP Radiological Emergency Preparedness SSE$ Susquehami.a Stt:!am Electtic Station
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Uoclilsslfied

After Action Report/Improvement Piao Susquebaooa Steam Electri~ Station APPENDIXC:EXTENT-OF-PLAY AGREEMENT Extent of Play Information

  • Susquehanna Steam Electric Station UPMC Susquehanna Medical Services Exercise October 26, 2017 Method of Operation
1. The power station and its personnel will not play as active role in the facilitation of this exercise. The plant's simulated events, radiation releases, and emergency classifications will be injected by off-site Controllers. A pre-approved scenario will be used.
2. The Pennsylvania Emergency Managem~nt Agency* (PEMA), Area Office (Central Area) will not be activated as part of this drill. The Exercise Coordinator will provide pre-exercise coordination and observe exercise activities.
3. PEMA Central Area Office and Talen Energy will participate as Controllers in this exercise.
4. Lycoming County Emergency Management Agency will participate as a Controller in this exercise.
5. Controllers will be supplied by PEMA. Controllers are not players and will provide injects and information to initiate and stimulate drill play by providing radiological readings during the monitoring of personnel. Live radioactive sources will only be used to perform 6.

operational checks of radiological monitoring instruments.

PEMA staff and qualified county emergency management personnel will be assigned to

  • key locations for the purpose of observing, noting response actions and conditions, and recording observations for future use. Observers will not talce an active part in the proceedings, but will interact with staff members*to the extent necessary to fulfill their observer responsibilities .. Coaching of players is not permitted, except as appropriate to provide training to participants awaiting a re-demonstration.

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After Action Report/Improvement Plan Susquehanna Steam Electric Station

8. Exercise activities are scheduled to commence on or about 9:00 a.m. on October 26, 2017 and continue until the participants have completed the exercise objectives and demonstrated the Exercise Evaluation Criteria.

. 9. Participants and agencies will Stand Down when the Controllers have confirmed with the

  • Evaluators that all evaluation criteria have been demonstrated and when the State and County Observers are satisfied that the Objectives have been met.
10. An emergency plan is drafted to address the generally expected conditions of an emergency. Not everything in the emergency plan may be applicable for a given scenario.

The main purpose of an emergency plan is to assemble sufficient expertise and officials so

  • as to properly react to the events as they occur. The responders should not be so tied to a plan that they cannottake actions that are more protective of the public. Therefore, if, by not following the plan, the responders protect the public equally, as well as provided in the plan, it should be noted for possible modification of the plart, but not classified as a negative incident. Furthermore, if, by following the plan there is a failure to protect the public health and safety, it should be noted so that the plan can be modified and the appropriate negative assessment irrected. * .
11. During the exercise, any activity that is not satisfactorily demonstrated may be re-demonstrated by the participants during the exercise, provided it does. not negatively interfere with the exercise. Refresher training may be provided by the players, observers, and/or Controllers. Evaluators are not permitted to provide refresher training. Re-demonstrations will be negotiated between the Players, Observers, Controllers, and
  • Evaluators. PEMA may advise the Regional Assistance Committee Chair prior to initiating any re-demonstrations. It is permissible to extend the demonstration window, wi~n reason, to accommodate the re-demonstration. Activities corrected from a re-demonstration will be so.noted.

Obiectives A. Demonstrate the ability to respond to a radiation medical emergency following the

  • procedures of Lycoming County Emergency Management Agency, Susquehanna Regional EMS Station, and UPMC .Susquehanna Hospital.
  • B. Demonstrate timely and accurate communications between the hospital and offsite response agencies. (Telephones will be used in lieu of radios whenever possible to limit the potential misinterpretation of the exercise as an actual event.)

C. Demonstrate correct priorities and appropriate techniques in EMS, transportation of

.Patients and pre-hospital and hospital emergency care of radioactively contaminated patients.

  • D. Demonstrate inter-agency cooperation between the ambulance company/EMS and the hospital.

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After Action Report/Improvement Plan Susquehanna Steam Electric Station Extent of Play .

The Extent-of-Play Agreement was extracted from the Exercise Plan, which was drafted by the Pennsylvania Emergency Management Agency (PEMA), and is included in this report as an Appendix. The Extent-of-Play was negotiated and agreed upon by FEMA Region III, and PEMA..

The ~xercise Plan was created as an overall tool for facilitation and implementation of the Susquehanna Steam Electric Station MS-1 Drill and to integrate the concepts and poiicies ofthe Homeland Security Exercise Evaluation Program with the Radiological Emergency Preparedness Program Exercise Methodology.

Evaluation Area 1-Emergency Operations Management Sub-Element 1.e-Equipment and Supplies to Support Operations

  • Intent.

This sub-element is derived from NUREG-0654/FEMA-REP-l, which requires that Offsite Response Organizations (ORO) have emergency equipment and supplies adequate to support the emergency response.

Criterion 1.e~l: Equipment, maps, displays, monitoring instruments, dosimetry, potassium iodide (KI), 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).

Assessment/Extent of Play Assessment of this Demonstration Criterion is accomplished primarily through a baseline evaluation and subsequent periodic inspections.

A particular facility's equipment and supplies must be sufficient and consistent with that facility's assigned role in the ORO's emergency operations plans. Use of maps and other displays is encouraged. For non-facility based operations, the equipment anq supplies must be su~cient and consistent with the assigned operational role. At locations where traffic and access control personnel are deployed, appropriate equipment (e.g., vehicles; barriers, traffic cones, and signs) must be available, or their availability described.

  • Specific equipment and supplies that must be demonstrated under this criterion include KI inventories,
  • dosimetry, and monitoring equipment, as fqllows:

KI: Responsible OROs must demonstrate the capability to maintain inventories of KI sufficient for use by:

(1) emergency workers; (2) institutionalized individuals, as indicated in capacity lists for facilities; and (3) where stipulated by the plans/procedures, members of the general public (including transients) within the plume pathway EPZ. In addition, OROs must demonstrate provisions to make KI available to specialized response teams (e.g., civil support team, Special Weapons and Tactics Teams, urban search and rescue, bomb squads, HAZMAT, or other ancillary groups) as identified in plans/procedures). The plans/procedures must include the forms to be used for documenting emergency worker ingestion of Kl, as well as a mechanism for identifying emergency workers that have declined KI in advance. Consider carefully the placement of emergency workers that have declined KI in advance.

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After Action Repoi1/lmprovemeot Plan Susquehanna Steam Electric Station ORO quantities of dosimetry arid KI available and storage locations(s) will be confirmed by physical at inspection the storage location(s) or through documentation of current inventory submitted during the exercise, provided in the ALC submission, and/or verified during an SAV. Available supplies of KI must be within the expiration date indicated on KI bottles or* blister packs. As an alternative, the ORO may

  • produce a letter from a certified private or State laboratory indicating that the KI supply remains potent, in accordance with U.S. Pharmacopoeia standards.

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Dosimetry: Sufficient quantities of appropriate direct-reading and permanent record dosimetry and dosimeter chargers must be available for issuance to all emergency workers who will be dispatched to perfonn an ORO mission. In addition, OROs must demonstrate provisions to make dosimetry available to specialized response teams (e.g., civil support team, Special Weapons and Tactics Teams, urban search and rescue, bomb squads, HAZMAT, or other ancillary groups) as identified in plans/procedures .

  • Appropriate direct-reading dosimetry must allow an individual(s) to read the administrative reporting limits and maximum exposure limits contained in the ORO's plans/procedures.

Direct-reading dosimeters must be zeroed or operationally checked prior to issuance. The dosimeters must be inspected for electrica:I leakage at least annually and replaced when necessary. Civil Defense Victoreen Model 138s (CD V-I38s) (0-200 mR), due to their docume~ted history of electrical leakage problems, must be inspected for electrical leakage at least quarterly and replaced when necessary. This leakage testing will be verified during the exercise, through documentation submitted in the ALC and/or through an SAV.

Operational checks and testing of electronic dosimeters mµst be in accordance with the manufacturer's instructions and be verified during the exercise; through documentation submitted in the ALC and/or through an SAV.

'

Monitoring Instruments: All instruments must be inspected, inventoried, and operationally checked before each use. Instruments must be calibrated in accordance with the manufacturer's recommendations.

Unmodified CDV-700 series instruments and other instruments without a manufacturer's recommendat~on ..

must be calibrated annually. Modified CDV-700 instruments must be calibrated in accordance with the

  • recommendation of the modification manufacturer. A label indicating such calibration must be on each instrument or calibrated frequency can be verified by other means. In addition, instruments being used to measure activity must have a sticker-affixed to their sides indicating the effective range of the readings.

The range of readings documentation specifies the acceptable range of readings that the meter should indicate when it is response-checked using a standard test source. .

  • For FMTs, the instruments must be capable of measuring gamma exposure rates and detecting beta

. radiation. These instruments must be capable of measuring a range of activity and exposure, including

  • radiological protection/exposure control of team members and detection of activity on air sample collection media, consistent with the intended use of the instrument and the ORO's plans/procedures. An appropriate radioactive check source must be used to verify proper operational response for each low-range radiation measurement instrument (less than 1R/hr) and for high-range .instruments when available. If a source is not available for a high-range instrument, a procedure must exist to operationally test the instrument before entering an area where only a high-range instrument can make useful readings.

In areas where portal monitors are used, the OROs must set up and operationally check the monitor(s). The monitor(s) must conform to the standards set forth in the Contamination Monitoring Standard for a Portal Monitor Used for Emergency Response, FEMA-REP-21 (March 1995) or in accordance with the manufacturer's recommendations .

  • Un'classificd

After Action Report/lmpriwcmcrit Plan Susquehanna Steam Electric Station Mµtual AicJ Resources: If the incoming res.ources arrive with ~1eirm:vn equip1nent(i.e;, monitors and/or dosimetry), they will be evaluated by REP Program standards. FEMA will not inventory equipment that is not part ofthe*REP Program. If an agency has a defined role in the REP Plan, they are subject to the planning process and standards; as well as the guidance of this Manual.

  • All activities mus~ be based on the ORO's plans/pr9cedures and completed as they would be in an actual emergency, unless noted above or otherwise. specified in the Extent-of- Play Agreement.

State Negotiated Extellf ofPlay:

Am.bulance crews are nQt trained qr equipped to operate or*carry radiological monitoring equipntent. In accordance with PE!vlA standard operatingprocedures ambulance crews operating outside the JO mile Emergency Planning Zone are considered "Category C emergency workers; therefore, they are only required to implement protective measures c011siste11t with p,~otection against blood-borne pathogensi i.e.,

long sleevedgarments, trousers, impermeable gloves, andsurgical masks. "Categ01:y C" emergency

  • worker dosimetry issue consists of one permanent reading dosimeter per worker.

Hospital personnel are a/so considered "Categ01J1 C" eme1*gency tvorkers and will conform to P E/vIA SOP protecUve.,neasures at miniinum. Direct Read;,1g Do::iimeters Jnay b,e iss11ed individually; howe\ier; cm Area Kit will be established in the Radiati011'Emergency Area (REA). Individual PRDs will be issued by' the hospital. Radiological Survey Instruments are caljbi*ated pei' manufactures recommendations.

Outstmuliug Issues:

None Evaluation Area 3-Protective Action Implementation Sub-E.lement 3.a-Implementation of Emergency \Vo1;ker Exposure Control This Sub-ele11iei1t is derived thnn NUREGQ654/FEMA-J.13P-l; which 1*equiresthat O:R.bs have the capability to provide for the following: distribution, use, c_ollectjon, and proce.ssing of direct-reading dosimetry and permane.nt record dosimetry; reading of direct-re~ciing dosimet1:y by emerg~ncy wol'kers at appropriate frequencies; maintaining a radiation.doserecord for each emergency w9fker; establishing a decision chain or authorization procedure for emergency workers to iricur radiatio11 exposures in excess of the PAGs, and the capabilityto provide KI for emergqney workers, *always applying the "as l9w as is reasonably achievable" ptinciple as approp!'iate. * *

  • Critel'iQn ~;a.l: The OROs'iss~e appi'.~pdate dosimetry, ~I, and procedures, and manage radiological exposure to emergency ,vorkc1;s in accQ1;danccWith the plans/procedui'cs. Emergency worker$ pcrioclically ancl at the end ofcach.niission re~d tl~cil' dosimeters and record the! readings on the appropriate exposure record or chart.. OR.Os maintaig. appropriate record-keeping of the
  • administta_tion of KI to emergency workers. *

(NUREG-0654/FEMA-REP-l, K.3.a, b; -KA)

Assessment/Ex.tent.of Plav Assessment of this Demonstration Criterion may be i(.cco11)plished during a biennial or tabletop ex~rcise.

Other means niay include driils, seminars or training activities that would fully demonstrate te.chnica\

proficiency.

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  • ,

.

Uncl~ilied Radiological Emergency Preparedness Program (REPP)

Arter Action Report/Improvement Plan Susquehanna Steam Electric Station OROs must demonstrate the capability to provide emergency workers (including supplemental resources) with the appropriate direct-reading and permanent record dosimetry, dosimeter chargers, KI, and instructions on the use of these items. For evaluation purposes, appropriate direct-reading dosimetry is defined as dosimetry that allows an individual(s) to read the administrative reporting limits that are pre-established at a level low enough to consider subsequent calculation ofTEDE and maximum exposure limits, for those emergency workers involved in lifesaving activities, contained in the ORO's plans/procedures.

  • Each emergency worker must have basic knowledge of radiation exposure limits as specified in the ORO's plans/procedures. If supplemental resources are used, they must be provided with just-in-time training to
  • ensure basic knowledge of radiation.exposure control. Emergency workers must demonstrate procedures to monitor and record dosimeter readings and manage radiological exposure control.

During a plume phase exercise, emergency workers must demonstrate the procedures to be followed when administrative exposure limits and tum-back *values are reached. The emergency worker must report accumulated exposures during the exercise as indicated in the plans/procedures. OROs must demonstrate the actions described in the plans/procedures by determining whether to replace the worker, authorize the worker to incur.additional exposures, or take other actions. If exercise play does not require emergency workers to seek authorizations for additional exposure, evaluators rriust interview _at least two workers to detem1ine their knowledge of whom to contact in case authorization is needed, and at what exposure levels.

Workers may use any available resources (e.g., written procedures and/or co-workers) in providing responses.

Although it is desirable for all emergency workers to each have a direct-reading dosimeter, there may be situations where team members will be in close proximity to each other during the entire mission. In such cases, adequate control of exposure can be achieved for all team members using one direct-reading dosimeter worn by the team leader. Emergency workers assigned to low-exposure rate fixed facilities (e.g.,

EOCs and communications center within the EPZ, reception centers, and counting laboratories) may have individual direct-reading dosimeters or they may be monitored using group dosimetry (i.e., direct-reading dosimeters strategically placed in the work area). Each team member must still have his or her own permanent record dosimetry. Individuals authorized by the ORO to re.:.enter an evacuated area during the plume (emergency) phase, must be limited to the lowest radiological exposure commensurate with completing thei~ missions .

  • OROs may have administrative limits lower than EPA- 400-R-92-001 dose limits for emergency workers performing various services (e.g., lifesaving, protection of valuable property; all activities). OROs must ensure that the process used to seek authorization for exceeding dose limits does not negatively impact the 0

capability to respond to an incident where lifesaving and/or protection of valuable p roperty may require an urgent response.

OROs must demonstrate the capability to accomplish distribution of KI to emergency workers*consistent with decisions made. OROs must have the capability to develop and maintain lists of emergency workers who have ingested_KI, including documentation of the date(s) and time(s) they did so. Ingestion of KI recommended by the designated ORO health official is voluntary. For evaluation purposes, the actual

. ingestion of KI shall not be performed. OROs must demonstrate the capability to formulate and disseminate instructions on using KI for those advised to take it. Emergency workers must demonstrate basic knowledge of procedures for using Kl whether or not the scenario drives the implementation of KI*

use. This can be accomplished by an interview with the evaluator.

  • 21

Uoc:lassified

  • Arter Ac:tioo.Report/lmprovemeot Plan Susquehanna Steam Electric: Station

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All activities must be based on the ORO's plans/procedures and completed as they would be in an actual emergency, unless noted above or otherwise specified in the E:xtent-of- Play Agreement.

State Negotiated Extent ofPlay:

  • Demonstrate appropriate procedures and equipment to manage radiological exposure to stq/f.
  • Demonstrate the ability to transport contaminated/injured individuals while using ALARA principles. *
  • Demonstrate the ability to utilize dosimetry, equipment and procedures to manage radiological exposure to emergency workers as required by plans. *
  • Radiological briefings will be provided to address exposure limits andprocedures to replace personnel approaching limits and how permission to exceed limits is obtained At any time, players may ask other players or supervisors to clarify radiological information. In Pennsylvania, emergenc/workers outside the
  • EPZ do not have turn-back values. Standar~ issue ofdosimetry and potassium iodide for each category of emergency worker is as follows:

Category A: 1 PRD, I DRD, and! unit ofKl Category B: I PRD and I unit ofKl Category C: I PRD Note: As per Annex E Appendix 5, page E-5-35, "Emergency responders located outside the EPZ who, due i to assigned taskings during a nuclear emergency, have limited potential for radiation exposure (e.g., l monitoring/decontamination teams, MS-I hospital staffs). Transporters ofcontaminated or potentially.

contaminated individuals outside ofEPZ are not provided dosimetry. "

  • All locations that have dosimetry equipment indicated within their Radiological Emergency Response Plan (RERP) will make the dosimetry equipment (and Kl, as appropriate) available for inspection by the Federal Evaluator. Simulation PRDs with mock serial numbers may he used. *
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