ML022940004

Emergency Plan Implementing Procedure Revision

ML022940004
Person / Time
Site:	Browns Ferry
Issue date:	10/08/2002
From:	Abney T Tennessee Valley Authority
To:	Document Control Desk, Office of Nuclear Reactor Regulation
References
Download: ML022940004 (18)

Text

S Tennessee Valley Authority, Post Office Box 2000, Decatur, Alabama 35609-2000 October 8, 2002 10 CFR Part 50, App E U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, D.C. 20555-0001 Gentleman:

In the Matter of )) Docket Nos. 50-259 Tennessee Valley Authority 50-260 50-296 BROWNS FERRY NUCLEAR PLANT (BFN) - UNITS 1, 2, and 3 EMERGENCY PLAN IMPLEMENTING PROCEDURE (EPIP) REVISION TVA is submitting this notification in accordance with the requirements of 10 CFR Part 50, Appendix E, Section V.

Specifically, EPIP-10 was revised to Revision 23. The revision has an effective date of September 30, 2002.

The enclosed information is being sent by certified mail.

The signed receipt signifies that you have received this information. If you have any questions, please telephone me at (256) 729-2636.

Manager o icensi g an ndustry Af airs

c. See Page 2 ZA:A Fnnted o recycled paper

U.S. Nuclear Regulatory Commission Page 2 October 8, 2002 cc (Enclosure):

NRC Resident Inspector (Enclosure provided by Browns Ferry Nuclear Plant BFN Document Control Unit)

P.O. Box 149 Athens, Alabama 35611 Mr. Paul E. Fredrickson, Branch Chief (2 Enclosures)

U.S. Nuclear Regulatory Commission Region II Sam Nunn Atlanta Federal Center 61 Forsyth Street S.W., Suite 23T85 Atlanta, Georgia 30303-8931 Mr. Kahtan N. Jabbour, Senior Project Manager (w/o Enclosure)

U.S. Nuclear Regulatory Commission One White Flint, North (MS 08G9)

Office of Nuclear Reactor Regulation 11555 Rockville Pike Rockville, Maryland 20852-2738

ENCLOSURE TENNESSEE VALLEY AUTHORITY BROWNS FERRY NUCLEAR PLANT UNITS 1, 2, AND 3 EMERGENCY PLAN IMPLEMENTING PROCEDURE (EPIP) REVISION EPIP-10 SEE ATTACHED

GENERAL REVISIONS GENERIC FILING INSTRUCTIONS FILE DOCUMENTS AS FOLLOWS:

PAGES TO BE REMOVED PAGES TO BE INSERTED EPIP-10 Revision 22 EPIP-10 Revision 23

TENNESSEE VALLEY AUTHORITY BROWNS FERRY NUCLEAR PLANT EMERGENCY PLAN IMPLEMENTING PROCEDURE EPIP-10 MEDICAL EMERGENCY PROCEDURE REVISION 23 PREPARED BY: T. W. CORNELIUS PHONE: 2038 RESPONSIBLE ORGANIZATION EMERGENCY PREPAREDNESS APPROVED BY: GILBERT LITTLE DATE: 09/27/2002 EFFECTIVE DATE: 09/30/2002 LEVEL OF USE: REFERENCE USE QUALITY-RELATED

REVISION LOG Procedure Number EPIP-10 Re, ision Number 23 Pages Affected: 1.4.5.6 Description of Change" IC 23 This revision is being conducted to update a telephone number and a reference for contacting a TVA Physician.

Page 9 - Reference change for contacting the TVA Physician. Change from "refer to REND Section K" to "Contact Site Medical Office".

Page 12 - Change cellular phone operator assistance number from "Cellular One 1-800-333 4004" to "Verizon Wireless. 9-1-800-922-0204.

IC 24 The revision is being conducted to support completion of Problem Evaluation Report 02 003140-000 The revision involves adding a checklist ilem for iie Shift Manag-er to notify industrial safety of a fatality or catastrophic injury. The revision also implements recommendation 3 from the from Quality Assurance Audit SSA0206. by clarif- ing Medical Services involvement in responses

MEDICAL EMERGENCY BROWNS FERRY PROCEDURE EPIP-10 NUCLEAR PLANT MEDICAL EMERGENCY PROCEDURE 1.0 PURPOSE To provide timely response to medical emergencies at Browns Ferry.

2.0 SCOPE This procedure applies to Medical Emergency response for both radioactively contaminated and non-radioactivelycontaminated injured individuals 3.0 INSTRUCTIONS 3.1 Initial Notificatiorn by Ufiit Operator "

3.1.1 Upon receiVing a'Medical Emerge'ncy call, the Control'Room Unit Operator will:

"* Obtain Name of caller.

"* Obtain Location of medical emergency.

"* Obtain Type of medical emergency.

"* Obtain Number of People involved.

"* Obtain Telephone Number from caller.

3.1.2 If not activated, activate the plant medical/fire alarm Announce medical emergency location over the plant public address (PA) system; repeating at regular intervals to alert the Medical Emergency Response Team (MERT) to the location until instructed otheiwise by Shift Manager or Unit Supervisor.

3.1.3 Notify the Fire Protection Personnel using the Operations/Fire Protection Radio.

3.1.4 Notify the Shift Manager of the emergency.

3.1.4.1 The MERT consist of the following

"* Incident Commander (as defined in FPP).

"* Medical/Fire Operation Personnel

"* RADCON Personnel (if location of emergency is in a Radiological Controlled Area) i - "

"* Nuclear Security Personnel

"* Medical Services (as requested)

"* Level II Responders (as defined in FPP)

PAGE 1 OF 12 REVISION 23

MEDICAL EMERGENCY BROWNS FERRY PROCEDURE EPIP- 10 NUCLEAR PLANT 3.0 INSTRUCTIONS (CONTINUED) 3.2 The Shift Manager will:

I Dispatch Unit Supervisor or designee to the scene to act as Incident Commander.

2 Establish and Maintain communication with the Unit Supervisor 3 Notify the nurse on duty (if requested by the MERT Leader).

3.3 The Incident Commander will:

1 Ensure and Maintain the MERT Team's passage route.

2 Ensure that the Shift Manager is keep knowledgeable, of the situation 3 Request the Shift Manager to obtain ambulance as needed.

4 Establish radio communication with the Shift Manager:

5 Ensure that plant operations do not impose any hazardous conditions on the injured or Medical Response Team 3.4 The Medical/Fire Operations Personnel will:

1 Provide medical emergency supplies to the location of the emergency 2 Provide emergency medical assistance to injured personnel.

3. Transport injured personnel as required.

4. Communicate applicable support recommendations to the Incident Commander 3.5 The Radiological Control Personnel will:

Assist the medical/fire operations team personnel concerning

"* Radiological Protection

"* Radiological Protective measures

"* Control of Contamination

"* As requested 3.6 The Nuclear Security Services Personnel will:

I Ensure crowd control

2. Assist the Incident Commander

/

PAGE 2 OF 12 REVISION 23

MEDICAL EMERGENCY BROWNS FERRY PROCEDURE rrPIP-4 NUCLEAR PLANT 3.0 INSTRUCTIONS (CONTINUED) 3.7 The Medical Services Personnel will when requested:

Respond to medical emergencies to support and assist the Incident Commander.

3.8 The Level I1 Responders will:'

1. Report to fire equipment cages in the Turbine Building elevation 557!.

2 Establish radio or telephone contact with the Incident Commander.

3 Ensure emergency equipment is ready for use.,

4. Direct the movement'of equipment to the emergency scene.

3.9 All members of the Medical Emergency-Response Team proceed to the scene upon hearing theannouncement-or as directed by the MERT Leader.

3.10 Transport Offsite (If Required)

NOTE: If patient is not contaminated/irradiated,'transport to Athens-Limestone Hospital, unless otherwise directed. ýIf patient is contaminated/irradiated, only transport to hospitals listed below: - ,

, Decatur GeneralHospital (see Attachment D)"

• . Huntsville Hospital (see Attachment E) "

3.10.1 Shift Manager calls for an ambulance from outside ambulance service, if requested by MERT Leader or Incident Commander.

NOTE- See Attachment F for Medical Emergency telephone numbers.

3.10.2 Shift Manager complete Attachment A and provide information to receiving hospital. Forward completed Attachment A'to the REP Manager to be filed.

3.10.3 Attachments D, and E give directions to various hospitals PAGE 3 OF 12 REVISION 23

MEDICAL EMERGENCY BROWNS FERRY PROCEDURE EPIP- 10 NUCLEAR PLANT 3.0 INSTRUCTIONS (CONTINUED) 3.11 If contamination/irradiation is suspected, RADCON personnel will accompany ambulance, and furnish radiological services as requested 3.12 Follow-Up 3.12.1 EMT/RADCON makes follow-up call to hospital from the ambulance to give/receive additional information concerning patient's condition and estimated time of arrival 3.12.2 Shift Manager is responsible for any further notifications per EPIP-2 through EPIP-5 3.13 TVA Notification 3.13.1 The Shift Manager, should notif/ BFN Industrial Safety, itsomeone is ill or injured to the extent they require ambulanc'e iransportation to a hospital or if the medical emergency has resulted in a fatality orcatastrophic injury ( i.e three (3) or more hospitalized).

3.13.2 RADCON should notify the TVA Physician Representative (refer to the REND, Section K) any time TVA personnel are suspected of receiving radiation exposure in excess of the recommended TVA occupational exposure limits 3.13.3 Notify the Operations Duty Specialist (751-1700) of all offsite ambulance responses, regardless of emergency or non-emergency requests 4.0 ATTACHMENTS Attachment A - Medical Emergency Notification Form (SHIFT MANAGER)

Attachment B - Patient Care Guidelines Attachment C - Procedure for Cytogenetics Blood Studies By REAC/TS Attachment D - Typical Layout of Decatur General Hospital Attachment E - Typical Layout of Huntsville Hospital Attachment F - Medical Emergency Telephone Numbers PAGE 4 OF 12 REVISION 23

MEDICAL EMERGENCY BROWNS FERRY PROCEDURE ', EPIP-IO NUCLEAR PLANT ATTACHMENT A

,(Page 1 of 1)

MEDICAL EMERGENCY NOTIFICATION FORM Reported By (Shift Manager / Unit Supervisor)

ý ý1 Date: I I Time oflInjun:__ _

Hospital: Individual Contacted:

Time Contacted: Total number of Victims:

Victim(s) Name Condition, ,Typ,c of Injur3.

444 4~ - 4 -

The Victim(s) is (Check all that apply, or list the number of victims for each)

[] Not a Radiation Accident Victim E. Potentially Contam iniated (Suriev-'incomplete due to injuries)

, r ]E Cointaminated ith r.ndioaitih e material' EJ Irradiated (o eri-xpogd) i'hole boily dose' is _ Rem If Contaminated. are levels known at this time? El Yes 0 No If ies, provide the following information:'. 4 , ,

I Leel of Contamination 4 (CPM) or (MRAD* Hr) - Circle one

2. , Type of Contamination E] Alpha. f] B1ta,'or [] Beta/Gam'ma-Is Internal Contamination Expected? Lj Yes , .No If -es By [] Inhalation, El .pen Wounds. rE Ingestion. or El Other Isotopes" E Isotopes are unknown at this time.

- Isoiopcý are known and are as follo"i "

Estimated' Time of Arrival, (If Known) ETA=

Operations Duty Specialist Notification Notil" the Operations Duty Specialist (751-1700) of all offsitc ambulance responses, regardless of emergency or non-emergency requests - - '

Industrial Safety Notification If the niedical einergenc, has resulted in either ýn ambulance transportation to a hospital, or a fatalit) or catastrophic injui,.y (i'e three (3) or more hospitalized). 'then notify Indugirial Safety. if on dut'. at extension 7839 If Industrial Safety is not on dut. then notify the Operations Duty Specialist and request the "On-Call" Industrial Safety representative be contacted and informed of medical emergency.

PAGE 5 OF 12 REVISION 23

MEDICAL EMERGENCY BROWNS FERRY PROCEDURE nrIr-i10 NUCLEAR PLANT ATTACHMENT B (Page 1 of'3)

PATIENT CARE GUIDELINES 1.0 GENERAL 1.1 First aid and emergency medical care should be provided for onsite to preserve life and to minimize injury and suffering.

1.2 The Medical Emergency Response Team (MERT) will take appropriate action as directed by the Team Leader 1.3 If requested, the nurse should assist from outside any contamination zone unless the medical condition of the patient necessitates her/his presence 1.4 As applicable a doctor should be consulted when further professional attention is needed.

1.5 The care of persons known or suspected to be associated with radiation exposure or contamination will be coordinated with the RADCON representative The essential aims of the MERT-RADCON team are a Minimize the injury and further radiation exposure to the victim b Protect attending personnel from excessive and unnecessary radiation exposure c Control spread of radioactivity contamination

d. Assess and document the patient's radiological exposure.

e- Immediate lifesaving and disability limiting procedures will take precedence over noncritical decontamination and dosimetry assessment procedures 1.6 Coordinate, the care, disposition, and reporting of all injuries known or suspected to be associated with excess levels of radiation exposure or contamination with the CECC, when staffed 2.0 NONCONTAMINATED - NONIRRADIATED When it is known that the patient is not contaminated and has not been overexposed to radiation, advise the patient, ambulance crew, receiving hospital, and attending physician of the absence of Radiological Complications.

PAGE 6 OF 12 REVISION 23

MEDICAL EMERGENCY BROWNS FERRY PROCEDURE EPIP-10 NUCLEAR PLANT ATTACHMENT B

,* (Page2 of3).

PATIENT CARE GUIDELINES 3.0 IRRADIATED-NONCONTAMINATED 3.1 Remove the victim from further exposure providing only essential first aid in the process,' then direct attention to medical care ofother physical injuries 3.2 Medical care of the radiation exposure is governed by'the medical status of the patient and the findings-oftheRADCON representative. The treatment of illness or physical injury takes precedenoe over treatment for radiation exposure.

3.3 -Individuals who have received an acute totalbody radiation exposure greater than 5 Rem should have hematological studies performed to detect chromosomal aberrations or other changes in blood constituent. REACTS can provide this service and should be contacted by the attending physician.

3.4 Advise all involved personnel of radiological conditions..

4.0 CONTAMINATED PATIENTS 4.1 The patient should be given initial emergency care by the medical emergency response team All decontamination that the medical status of the patient will allow should be accomplished The appropriate sequence of care must be determined on an individual basis by the medical-RADCON team The injured person will be iransported and treated in one of two ways:

a. If the person is severely injured, they may be transported directly to Huntsville Hospital or Decatur General Hospital. Every reasonable effort should be made to reduce the radioactive contamination level to less than 0.5 rem per hour at one foot. Spread of contamination may be minimized by removing the patient's excess clothing and wrapping him in a sheet, as his injuries permit.

b. In cases of less severe injuries, the patient will be sent to the personnel decontamination facility in the service building (or radwaste building, if stretcher bound) treated in the emergency treatment area 6 r transferred to Huntsville Hospital or Decatur General Hospital.

PAGE 7 OF 12 REVISION 23

MEDICAL EMERGENCY BROWNS FERRY PROCEDURE PIrr-w 10NUCLEAR PLANT ATTACHMENT B (Page 3 of 3)

PATIENT CARE GUIDELINES 4.0 CONTAMINATED PATIENTS (Continued) 4.2 The RADCON representative will collect, identify, label, and analyze all biological specimens as required and deemed necessary He will obtain the injured person's personal dosimetry and replace with equivalent dosimetry if appropriate 4.3 The RADCON group will control contamination during transportation to the receiving hospital 4.4 Advise all involved personnel of Radiological conditions.

PAGE 8 OF 12 REVISION 23

MEDICAL EMERGENCY BROWNS FERRY PROCEDURE EPIP-1O NUCLEAR PLANT

. ATTACHMENT C PROCEDURE FOR CYTOGENETICS BLOOD STUDIES BY REAC/TS TVA has an agreement with the Radiation Emergency Assistance Center/Training Site (REAC/TS) Cytogenetics Laboratory for support services including a white blood cell (lymphocyte) culture for dose assessment of whole-body -xposures to ionizing radiation.

Upon the' order of a physician," and in coordination- with a health physicist, REAC/TS shall be contacted to request and coordinate the shipmneni and return of a blood sample kit This kit contains all necessary collection, shilping, and instruction materials. The kit is provided by REACMTS to promote optimal test results by use of controlled sample handling materials.

KEY INFORMATION ON CYTOGENETIC BLOOD STUDIES:

WHEN: Upon the order of a' resp6n'sible physician, with verification that known or suspected ionizing radiation exposure (acute whole-body) exceeds 5 REM.

FREQUENCY: Once, unless directed otherwise by REAC/TS or physician.

TO REQUEST KIT: Attending physician should contact:

REAC/TS, attention Cytogenetics Laboratory COORDINATE RESULTS WITH:

TVA Physician Representative (Contact Site Medical Office))

SHIPMENT. Refer to instruction sheet in REAC/TS kit Kit is designed as return shipping container, complete with chemical ice pack. REAC/TS recommends air shipment, however, undelayed method of shipment by TVA services may be considered if coordinated with REAC/TS PAGE 9 OF 12 REVISION 23

MEDICAL EMERGENCY BROWNS FERRY PROCEDURE EPIP- 10 NUCLEAR PLANT ATTACHMENT D (Page 1 of 1)

Typical Layout of Decatur Hospital i 1 8 TH. Street. S.E.

CO) r N

TENNESSEE RIVER TO BFN 1 HWY 31 PAGE 10 OF 12 REVISION 23

MEDICAL EMERGENCY BROWNS FERRY PROCEDURE -EPIP-lIO NUCLEAR PLANT ATTACHMENT E

-(Page 1 of 1)

,Typical Layout of Huttsville Hospital I','*

PAGE 11 OF 12 REVISION 23

MEDICAL EMERGENCY BROWNS FERRY PROCEDURE EPIP- 10 NUCLEAR PLANT ATTACHMENT F (Page ! of 1)

MEDICAL EMERGENCY TELEPHONE NUMBERS BROWNS FERRY

"* Medical Station 4747,2700

• TVA Emergency Services/Ambulance Rescue 3313, 2491 LOCAL AMBULANCE SERVICE

"* Athens-Limestone Hospital Ambulance Service 9-232-2525

"* Athens, Alabama 9-233-9159 HEAR SYSTEM FREQUENCY 155 340MHz HOSPITALS

"* Athens - Limestone Hospital 9-233-9155

"* Athens, Alabama 9-233-9151

• Decatur General Hospital 9-1-256-341-2174

• Decatur, Alabama 9-1-256-341-2175 (Use only if other numbers are busy) 9-1-256-341-2000

• Huntsville, Hospital 9-1-256-517-8137 Huntsville, Alabama H 9-1-256-517-8139 (Use only if other numbers are busy) 9-1-256-517-8020 REAC/TS OAK RIDGE. TENNESSEE

"* Day Shift (8 a m. - 4:30 p.m.) 9-1-865-576-3131

"* After Hours 9-1-865-576-1005 Ask for REAC/TS TVA-BFN-EMERGENCY VEHICLE CELLULAR PHONES

"* Huntsville Area Roamer Access 9-1-256-656-7626

"* "Verizon Wireless" Assistance Operator 9-1-800-922-0204

"* BFN-Ambulance Cellular Phone 9-1-256-656-0137

"* BFN-REP Truck #5 9-1-256-508-4872

"* BFN-REP Truck #6 9-1-256-656-9623 LAST PAGE PAGE 12 OF 12 REVISION 23