ML12263A352

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After Action Report/Improvement Plan
ML12263A352
Person / Time
Site: River Bend Entergy icon.png
Issue date: 09/06/2012
From: Lawrence Hammond
US Dept of Homeland Security, Federal Emergency Management Agency
To: Collins E
NRC Region 4
References
Download: ML12263A352 (28)
v • d • e


Text

U.S. Department of Homeland Security Region VI 800 N. Loop 288 Denton, TX 76209-3698 AR 0:FEMA September 6, 2012 Mr. Elmo E. Collins, Jr.

Regional Administrator, U.S. NRC, Region IV 611 Ryan Plaza Drive, Suite 400 Arlington, TX 76011-4005

Dear Mr. Collins:

Enclosed is a copy of the radiological emergency preparedness final report for the River Bend Station medical drill evaluated on July 26, 2012. FEMA Region VI staff evaluated the Acadian Ambulance Service and Our Lady of the Lake Regional Medical Center located in Baton Rouge, Louisiana. There were no Deficiencies, and one Area Requiring Corrective Action (ARCA) identified that was corrected during the drill.

Based on the results of the drills, the offsite radiological emergency response plans and preparedness for the State of Louisiana and the affected local jurisdictions are deemed adequate t6 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 Louisiana-specific to River Bend Station will remain in effect.

Sincerely, RAC Chair Enclosure cc: NRC Headquarters Document Control Desk DHS/FEMA Headquarters - Vanessa Quinn, Renae Connell GOHSEP - Kevin Davis LDEQ - Tim Knight RBS - Dean Burnett www.fema.gov

River Bend Station After Action Report/

Improvement Plan Drill Date - July 26, 2012 Radiological Emergency Preparedness (REP) Program

~Published September 06, 2012

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station River Bend Station After Action Report/Improvement Plan Published September 06, 2012 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 5 Section 2: Exercise Design Summary 6 2.1 Exercise Purpose and Design 6 2.2 Exercise Objectives, Capabilities and Activities 6 2.3 Scenario Summary 6 Section 3: Analysis of Capabilities 7 3.1 Drill Evaluation and Results 7 3.2 Summary Results of Drill Evaluation .7 3.3 Criteria Evaluation Summaries 9 3.3.1 Support Jurisdictions 9 3.3.1.1 Our Lady of the Lake Regional Hospital 9 3.3.2 Private Organizations 10 3.3.2.1 Acadian Ambulance Service 10 Section 4: Conclusion 11 Appendix A: Drill Evaluators and Team Leaders 12 Appendix B: Acronyms and Abbreviations 13 Appendix C: Exercise Plan 14 1

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station EXECUTIVE

SUMMARY

On July 26, 2012, an out-of-sequence Medical Services drill was conducted for the River Bend Station (RBS), located near St. Francisville, Louisiana. Personnel from the U.S.Department of Homeland Security/Federal Emergency Management Agency (DHS/FEMA) Region VI; evaluated all activities. The purpose of the drill was to assess the level of preparedness of local responders to react to a simulated radiological emergency at River Bend Station. The previous medical drill at this site was conducted on September 2, 2010. The previous plume exercise was conducted on June 13, 2012.

Personnel from the State of Louisiana, River Bend Station, East Baton Rouge Parish, Our Lady of the Lake Regional Medical Center, and Acadian Ambulance participated in the drills.

Cooperation and teamwork of all the participants was evident during the drill and DHS/FEMA wishes to acknowledge these efforts.

This report contains the final evaluation of the out-of-sequence drill. The participants demonstrated knowledge of their emergency response plans and procedures and adequately demonstrated them. There were no Deficiencies, and one Area Requiring Corrective Action (ARCA) identified which was corrected during the drill.

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Unclassified Radiological Emergency Preparedness Program'(REP)

After Action Report/Improvement Plan River Bend Station SECTION 1: EXERCISE OVE 1VIEWW" 1.1 Exercise Details .

Exercise Name River Bend Station Type of Exercise Drill Exercise Date July 26, 2012 Program Department of Homeland Security/FEMA Radiological Emergency Preparedness Program Scenario Type Radiological Emergency 1.2 Exercise Planning Team Leadership Lisa Hammond RAC Chair FEMA Region VI Technological Hazards Branch Chief 800 North Loop 288 Denton, Texas, 76209 940-898-5199 lisa.hammond@fema.dhs.gov Timothy Pflieger Federal Planning Team Lead FEMA Region VI Technological Hazards Program Specialist 800 North Loop 288 4

Unclassified Radiological Emergency Preparedness Program (REP)

After Action ReportlImprovement Plan River Bend Station Denton, Texas,. 762Q9-....

940-383-7325 ' . . .. . .

timothy.pflieger@fema.dhs.gov - ' :. .

Cheryl Chubb State Planning Team Lead Lousiana Department of Environmental Quality ..

Environmental Scientist 602 North Fifth Street Baton Rouge, Louisiana, 70802 225-219-3626 cheryl.chubb@la.gov 1.3 Participating Organizafions Agencies and organizations of the following jurisdictions participated in the River Bend Station drill:

Support Jurisdictions East Baton Rouge Parish Private Organizations Acadian Ambulance Service Our Lady of the Lake Regional Medical Center River Bend Station 5

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station SECTION 2: EXERCISE DE SIGN;

SUMMARY

2.1 Exercise Purpose and Design , ,. .. ;,,

The DHS/FEMA Region VI Office evaluated the drill on July:.26;.120 12-to assess the capabilities of local emergency prepatedness organizations, inrimple-inenting their. Radiological:

Emergency Respionse Plans"and,Procedures to' protect the. phblii hiealth and :safety during a radiological emergency involving River Bend Station (RB S). The purpose of this report' is to represent the results and findings on the performance of the offsite response organizations during a simulated radiological emergency. ' , . , -

2.2 Exercise Objectives, Capabilities"and Activities Exercise objectives and identified Capabilities/REP Criteria selected.to be-exercised are discussed in the Exercise Plan (EXPLAN), Appendix D:

2.3 Scenario Summary The drill scenario was developed to evaluate the response of drill participants to an incident:

requiring evacuation of the public from. the Louisiana portion of the 10-mile' Emergency Plan:nng Zone surrounding the River Bend Station. The drill'scenario provided for the -7 evaluation of Our Lady of the Lake Regional 'Medical Center's and.Acadian Ambulance Service's ability to transport and treat a contaminated injuried individual.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station

' SECTION ANALYS IS OFCAPABILITIES 3.1 Drill Evaluation and Results , , . .... -

Contained in this section are the, results and, findings, of the evaluatior of all jurisdictions and fini.tional entities that, participated inthe July, 26, 2012,drill to test the offsite emergency-.,

response capabilities of states and l6ca!-governments in the. 10-mile EPZ surrounding ,the River, Bend Station. , ..... '.,.

Each jurisdiction and functional entity was evaluated on the basis of~its-demonstration of criteria.

delineated in the exercise evaluation areas as outlined in the April 25, 2002, Federal Register, Radiological Emergency Preparedness: Emergency,. Operations Management, Protective Action Decision Implementation, Field Measurement and Analysis, and Support Operations/Facilities.

Detailed information on the exercise evaluation :area-criteria, and the extent of play agreement.

used in this drill are found in Appendix D of this report; 3.2 Summary Results of Drill EValuation . '

The matrix presented in Table 3.1, on.the following page, represents the status of all exercise i evaluation area criteria that were scheduled for demonstration during this exercise by all.

participating jurisdictions and functional entities. -Exercise criteria are listed by number and the demonstration status 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 - ARCA(s) assessed or unresolved ARCA(s) from prior exercise(s)

N - Not Demonstrated 7

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvcment Plan River Bend Station Table 3.1 - Summary of Drill Evaluation DATE: 2012-07-26 SITE: River Bend Station, LA M: Met, A: ARCA, D: Deficiency, P: Plan Issue, N: Not Demonstrated < o imergenuy perauonsaLnagemen Mobilization - lal Facilities lbl Direction and Control 1c1 Communications Equipment idl Equipment and Supplies lel W M EW Exp. Control Decisions 2a"

PARs 2b]

PADs 2b2 PADs for Disabled/Functional Needs 2c1 Ingestion PADs 2d1 RRR Decisions , .. , '

EW Exp. Control Implementation 3al M KI Public/Institutionalized .'-3bl PAD Imp. Disabled/Functional Needs 3cl PAD Imp. Schools 3c2 TAcP Esiablishlient 3dl Impediments to Evacuation 3d2 Implementation of Ingestion PADs 3el1 Ingestion Strategies and Information 3e2 Im. of RRR Decisions 3fl Ejild asremntad MEa ss RESERVED 4al Field teamMana~gemen.. 4a2 Field Team Operations 4a3 Field Team Sampling 4b 1 Laboratory Operations 4c 1 Initial Alert & Notification 5a1 Backup Alert & Notification 5a3 Exception Area Alerting 5a4 Subsequent Public.Information 5bl S"iupport eratiOns/E"diiti.es......

Reception Center Operations 6al1 EW Monitoring & Decon' ' 6bl Congregate Care 6cl Contaminated Injured Transport & Care 6d1 M M 8*

Unclassified Radiological Emergency Preparedness Program (REP)

After*Action Report/Improvement Plan River Bend Station 3.3 Criteria Evaluation Summaries. -

3.1.1 Support Jurisdictions 13.3.1.1 OurLady. of the Lake.Regional Hospital

.In summary, the status of DHS/FEMA driteria for this location is as follows:

,a. MET: l.e.l,3.a.l,6.d.1.

b.- AREAS REQUIRING CORRECTIVE ACTION: 6.d.l..

ISSUE NO.: 53-12-6dl-A-01 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: The patient was transferred out of the controlled area without having been fully surveyed for contamination. The patient's back was not surveyed before, -

the transfer process to the hospital was initiated.

POSSIBLE-CAUSE: The staff did not follow plans or.procedures to conduct a full"

,patient survey at any point during the monitdring and decontamination process or prior to releasing the patient to the hospital.

REFERENCE:

NUREG-0654 FEMA REP-I, Criteria K.5.b and L.1 I EFFECT: Radioactive contamination could have been spread outside of the controlled area causing potential exposure to staff and other persons in the hospital.

CORRECTIVE ACTION DEMONSTRATED: The staff re-demonstrated the transfer after a full survey of the patient was conducted.

c. DEFICIENCY: None
d. PLAN ISSUES: None 9

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/improvement Plan River Bend Station

e. NOT DEMONSTRATED: None ,. .
f. PRIOR ISSUES -RESOLVED' Ndhe.
g. PRIOR ISSUES - UNRESOLVED: None

.. 3.z*.* rivaw Organilzatlios

  • ..... *.. .itI 3.3.2.1 AcadiAii Ambuianc'e Service' ,

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In summary, the status of DHS/FEMA criteria for this l6cafion-is as follows:

a. MET: 1.e.1,3.a.l,6.d.l.
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 10

N -

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station SECTION 4: CONCLUSION Based on the results of the drills, the offsite radiological emergency response plans and preparedness for the State of Louisiana 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:, z approval of the offsite radiological emergency response plans and preparedness for the State of Louisiana site-specific to.River.BendStation will remain inreffect. . - .

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Unclassified Radiological Emergency Preparedness Program (REP)

After-Action Report/Improvement Plan .River Bend Station APPENDIX A: DRILL EVALUATORWAND TEAM

-,, ,LEADERS. ,A*:

DATE: 2012-07.-26, SE: RierBend Station .;. .

Our Lady of the Lake Regional Hospital - .-- *NanClon - FEMA RVI Linda Gee, FEMA RVI.

Acadian Ambulance Service *Timothy Pflieger-- FEMARVI.

  • earnLead.e 1.2

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After Action Report/Improvement Plan River Bend Station ABREVB IATIONS ARCA Area RequiringCo6riectiveAction., ':

DRD Direct Reading Dosimeter EBRP East Baton Rouge Parish ____-__

EOC Emergency Operations. Center EPZ- Emergency Planhing Zone EW - Emergency Worker KI Potassium Iodide MD Medical Doctor OSL Optically Stimulated Luminescent RBS River Bend Station REA Radiation Emergency Area TLD Thermoluminescent Dosimeter 13

Unclassified Radiological Emergency Preparedness Program (REP)

AfterAction Report/Improvement Plan I , . .River Bend Station APPEND..DIX C: EXERCISETPLAN C .~

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Unclassified Radiological Emergency Preparedness Program (REP)

.After'Action Report/Improvement Plan River Bend Station PIVER REND STATION., -'

20O1ý-MEDICAL`EMERGENCY RESPONSE EVALUATED DRILL July 26, 2012 EVALUATION AREAS AND EXTENT-OF-PLAY (EOP) AGREEMENT RADIOLOGICAL EMERGENCY MEDICAL DRILL SCENARIO FOR RIVER BEND STATION OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER AND ACADIAN AMBULANCE SERVICE July 26, 2012 RDRL-EP-1 2MS1 DRIL 15

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station i', RIVER BENDSTATION

,:20.12 MEDICALI"EMERGENC-YRESPONSE-EVALUATED!DRILL

, Q*U1926'ý JL 2012 i EVALUATION AREASAND EXTENT-OF-2PLAY (EOP.),AGREEMENT I PURPOSE 4_ý -

This simulated radiation medical emergency is being conducted in order to exercise the'emergency medi'balresponse Mt.Our.Lady. ofthe'LakeKRegional'[.7 Medical Center and the responding Acadian Ambulance Service. The basic objective is to assess the ability of the hospital and ambulance emergency service to handle contaminated and injured patients.

11 PROPOSED SCHEDULE DATE: July 26, 2012 TIME: . :--." 7:00,AM LOCATION: Our Lady of the Lake Regional Medical Center ILLNESS/INJURY: Motor vehicle accident with. leg laceration, II1ll'" " EXERCISE CONTROLLERS/EVALUA-TORS '"

Fred Hurst EBR EOC 324-6020 Gil Cosnett OLOL Medical Center 1-856-261-5760 Sequence of Events: ..... * .

0700: Ambulance arrives .(EBR.EOC),, ; .

0730 Ambulance departs (EBR EOC) 0800 Ambulance arrives at Our Lady of the Lake Regional MedicalCenter Emergency Room 0900 Drill Terminated (time may vary based on drill scenario flow)

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'Unclassified Radiological EmergencyPreparedness Program (REP)

.After Action Report/Improvement Plan River Bend Station RIVER BEN DSTATION S2012MEDICAL-- EMERGENCY'RESRONSE-EVALUATED DRILL

-,N>.uJUysW,L201 2

.,EVAIUATONsAEAS ANYEXTENT-OF-PLAY (EOP),AGREEMENT IV EVALUATION AREAS AND EXTENT-OF-PLAY-OFFSITE l i EVALUATION AREA, 1:.EMERGENCY OPERATIONS MANAGEMENT-

.. . ... ", ' ' 5. . ': .:,,,,. , ' ; i * ', -  : .. ... .,

Sub-element I.e- Equipment and Supplies to Sup6ort Operations .

Criterion 1.e.1: Equipment, maps, displays, monitoring instruments, dosimetry, potassium iodide (KI) and other supplies are sufficient to support emergency operation (NUREG-06541FEMA-REP-1, H.7, 10; 1.7,8,9; J.10.a, b, e; J.11, 12; K.3.a;K.5.b)

Locations Our Lady of the Lake Regional Medical Center and Acadian Ambulance Service -

Extent of Play The ambulance Crewshould be krioWledgeable on hoW:to acquire dosimetry kits and potassium iodide (KI) during a declared emergency. The ambulance crew will discuss the method of obtaining dosimetry kits and KI from the parish when an emergency has been declared at the nuclear power plant. The discussion can be accomplished by interview with the evaluator. In accordance with the scenario for this evaluation, the parish-will provide necessary dosimetry to the ambulancecrew.

"Correction-on-the-spot" will be applicable for this demonstration. -

EVALUATION AREA 3: PROTECTIVE ACTION IMPLEMENTATION Sub-element 3.a - Implementation of Emergency Worker Exposure Control Criterion 3.a.1: The OROs issue appropriate dosimetry, KI, and procedures, and manage radiological exposure to emergency workers in accordance with the planslprocedures.

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 tobeme-rgency.workers.(NUREG-0654/FEMA-REP-1, J.10.e; K.3.a, b; K.4)

Locations Our' Lady of the Lake Regional Medical Ce'nter and Acadian Ambulance Service Extent of Play . -  : .. .

Dosimeters and a simulated TLD will be issqe, to participating ambulance crew members by East Baton Rouge Parish personnel. Hospital peI"onnel will be issued dosimeters and TLDs at the hospital. "Correction-on-the-spot" will be applicable for this demonstration.

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan - River Bend Station

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RIVER :BEND *STA'TION

'..,2012MEDICAL:EMERýGEN-CY'RfSPONSE EV,ALUATED'DRILL

.',uly.26K2012

-EVALUATION. AREAS"AND EXTENTi-OF-PLAY (EOP,).AGREEMENT EVALUATION AREA 6: SUPPORT OPERATION/FACILITIES Sub-element 6.d--Transportation and Treatment of Contaminated Injured individuals

.Criterion 6.d.1: The facility/ORO has the appropriate space, adequate.resources, and trained personnel to provide transport, monitoring, decbntamination, and medical services to contaminated injured individdalsý '(NURI*G-0654IFEMA-REP-1,"F.2; H.10;'K.5.a, b; L.1, 4)

Locations Our Lady of the Lake Regional Medical Ceiter andAcadian Ambulance Service Extent of Play The ambulance service will pick up the victim at a pre-stagedocation, the East Baton Rouge Parish

. Emergency Operation Center. ,.Rempval of victim's, clothing-,will be simulated. Decontamination will be .performed onand around wound areasdthat wil-.. bevunclothed,.and other. areas if necessary.

Ilritrusive bioassay samp!es'wi'llbe 'simuIated No actua! surgical procedures, X-ray, drawing of blood samples, etc. will be conducted. "Correction-orn-the-spdt" will be applicable for this demonstration.

GENERAL EXTENT-OF-PLAY (EOP):

1. With regard to last minute additions.or changes to any previously approved Extent-of-Play, el. suggested changes must be forwarded to the RA9 Chair for approval...
2. The goal of all offsite response organizations (ORO) is to-protect the he~lth and safety of the public. This goal is achieved through the execution of appropriate plans and procedures. It is recognizeddhat'situations may arise that couldlimit theorganizafions in the exact-execution of these plans and procedures.
3. In the event of an unanticipated situation OROs are permrittedto exerc ise flienxbty n-the implementation of their plans, and' procedures ii orderto succbssfully acceie the objectiVeof protection of public health and safety and protection 6f the environment.: ' .
4. As a statement of fact, no. ORO will:deliberately deviatei from its plans and procedures with the intent of avoiding responsibility. ..

I. * , -  : i * ,I.*. .. - . , o* : . '  : ' : :, . -.

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References:

.'*2 *,

As indicated in the Extent-of-Play AgreehtehtstheState of*Louisiana requests theoption to correct issues immediately as'defined.in FEMAI Policy Paper,.Strategic.-Review,:Steedngr Committee, Initiative 1.5, Correct Issues Immediately, effective March 31, 2000, signed byKay C. Goss,, CEM, Associate.Director for Preparedness Trainingand Exercises. Acceptable locatons/actities for "on-the-spot-correction" are clearly indicated in the extent of play portion under each criterion.

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Unclassified Radiological Emergency Preparedness Program (REP)

-AfterAction Report/Improvement Plan - River Bend Station

,RIVERB.EN D.1STATI ON 14-2012MEDIGA. EMERGENQ.CýY'RESPONSE"EVALUATED.DRILL

. y*'UIyQ2:,2012

.EVALATION-AREAS AND-EXTENT-OF-PLAY. (EOP).',AGREEMENT NARRATIVE SCENARIO NOTE: The Acadian Ambulance unit will be requested to pre-stage at the East Baton Rouge Parish 'Eimergency Oleration'Center'(EIBREOC), parkinig lot due to time constraints. T-he drif will be conducted to allow for an arrival time at Our Lady of the"Lake Regional Medical Center at aplproximately 8:00AM.

The scenario is based on the premise that there has been a radiological release from the River Befid Nuclear Station.

NOTE: Our Lady of the Lake Regional Medical Center will be advised of the events at

.,East Baton Rouge EOC-by a-simulated EOC staff member (controller). This will occur in adVanceof the hospital' notification by the ambulance of the incoming injured contamii-ated-'patient: This advisembnt Will be perfermed by the Hospital DrillController,(see Controlleir Message #1).'

An evacuation has been ordered and the general public is exiting the 10-mile EPZ. In this scenario, an evacuee is injured in.a motor vehicle accident and-has:..

been transported by relatives to the East Baton Rouge Parish EOC. The evacuee has been surveyed by the EOC staff and has been found to be contaminated.'

Acadian Ambulance has been reiijestedto provide treatmen~ttransportati'o:rof a contaminated patient to-Our. Lady ofthe Lake Regional Medical Center.for treatment. , ,

The Acadian Ambulance unit has been dispatched to the locationmof the evacuee at the East Baton Rouge Parish EOC. The initial advisement to the a3,'mbuilance has been that there is an. injured individdal, located at the EOC that is,.

radiologically contaminated due to airadiological release from River Bend. Once the ambulance arrives the individual should be medically evaluated. A turnover (controller) of the radiological statUs will.'be provided to the ambulance personnel. As medical treatment and patient transport evolve, contamination control measures' should continue. The ambulance personnel should provide a radio message to Our Lady of the Lake upon their departure from the EOC which should include 'medical andrradiologicaLinformation aswell asan ETA (estimated time of arrival.). .,

., -:Upon notification of the situation, the hospital should prepare the medical and radiolcgical teami (anti-contaminat-ion clothing and d6sirnetry)as wella'sthe REAX (Radiation Emergency Area). "

When the ambulance arrives aat~the hospital, Emergency Department staff person should meet the patient outside for the purpose of immediately determining the acuity of the case. The patient should be transferred into the REA. The ambulance personnel will be detained temporarily while a member of the hospital's radiological monitoring team surveys the ambulance personnel, equipment, and vehicle. 19 The patient should be evaluated as appropriate for their condition. A hospital radiological monitoring staff person should complete a thorough radiological survey of the patient and the findings should be verbalized and documented. The medical

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan 7- 1 River Bend Station

'/ )RVER(BEND STATION J20t2 MEDICAL:EMERGNCY'RESPONSE'EV.ALuAT-EIYDRILL "Ju I'-26! 2012

-,* EVALUATION AREAS AND -EXTEN1,-OF-PL,.(EOP,4AGREEMENT team should proceed with sample taking and decontamination. Radiological samples should be taken from contaminated areas of intact skin and wounds.

Facial orifices should be sampled as well.

Decontamination efforts should be carried out until the radiological surveys indicate. that background levels are obtained-, Particular-attention to the decontamination of the open'leg wound should be obserVed.

Following the successful decontamination of the patient, the patient exit process should commence. The patient should receive a full body survey-prior to exiting the REA. At this point the staff should exit the REA one at a time'and follow the posted Staff Exit chart.

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Unclassified Radiological Emergency Preparedness Program (REP)

,After Action Report/Improvement Plan River Bend Station 7,:1RIVER,BEND$SJATION 201'2 .MEDIC MERG ENC REPONSE EVALUATED ,DRILL Juuyw2P:! 2012 iEVA.UAT!ON.AEAS'ANID-EXTENT-OF-PLAY. (EOR)AGREEMENT HOSPITALCONTROLLER MESSAGE Message #"f Time: 0700" THIS IS A DRILL HOSPITAL CONTROLLER MESSAGE TO DRILL PARTICIPANTS AT HOSPITAL (EMERGENCY DEPARTMENT):

DRILL MESSAGE TO THE EMERGENCY DEPARTMENT: You have just received a notification telephone message from the East Baton Rouge Parish Emergency Operations Center that a radiologically contaminated, injured individual is at their location. Acadian Ambulance has been requested to provide transportation to OLOL for treatment.

THIS IS A DRILL 2.:

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station

,iRIVE4R(BEND STATION i:2012, MEDICAL EMERGE1-1Y'RESPONSE'EVALUATED DRILL JUIV..261,2012

'."I EVALUATION"AREAS AND EXTENT-OF-PLAY (EOP,).AGREEMENT ANATOMICAL DIAGRAM

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Unclassified Radiological Emergency Preparedness Program (REP)

After-Actioni Report/Improvement Plan River Bend Station

' RIVER BEIND'STATION

. 20;1.2 M,'2EDICAIL EMERGENC-YRESPONSE:EVALUATED DRILL

'.'1' July 261 ,2012

(*:iEVALUATIONAREAS AND. EXTENT-OF-PLAY' (EOP,),AGREEMENT S-" " ",

  • CONTROLLER MESSAGE Message # 2: MEDICAL INFORMATION THIS IS A, DRILL Phase 1 EMS Arrival Patient is conscious Pulse: 90, strong and bleeding slightly from a Resp.: 24, regular leg Wound. B.P.: 106/70 Leg wound '/2' deep x 3' 1g. Skin: Pale, warm, dry NOTE: Patient will remain, conscious during the drill.

Phase 2 Phase 3 , Phase 4 EMS Transport Hospital Arrival Hospital Treatment Pulse: 88; strong Vitals Unchanged Pulse: 92, strong Resp.:- " 20, regular' Resp.: 12, regular B.P. 112/74 B.P.: 118/78 Skin: olor good, Skin: color good, warm., dry warm, dry THIS IS A DRILL 2-3"

Unclassified Radiological Emergency Preparedness Program (REP)

After Acztion Report/Improvement Plan * . River Bend Station RIVEREEND. STATION S!2012 MEDIC AL: EMERGEN-Y'RESPONSE EVALUIATED DRILL

.. ;EVALUATION AI3EAS'AND:JuIY26&2012EXTENTI-OF-PLAY (E-OR),,AGREEMENT CONTROLLER MESSAGE

-Message #:3:. RADIOLOGICAL*DAT1A ..

THIS IS A DRILL Initial Levls .

Leg Wound: -3000 cpm. (1 mR/hr),.,

After Vst Decontamination .. ,. ., ,...

Leg Wound: 1,500 cpm (0.5 mR/hr)

After 2nd Decontamination . ..

Leg Wound: 900 cpm (0.3 mR/hr)

After 3rd Decontamination All areas background: As -read on instrument THIS IS A DRILL 24

Unclassified Radiological Emergency Preparedness Program (REP)

,After Action Report/Improvement Plan River BendStation

-RIVER BENDDSTTION

. 20,12-MED]ICAL -_EIMERG ENCY'RESPONSE EVALUATED DRILL

-:July'261t2012 TiEVAIJUATION.AREAS AND -EXTENT-OF-PLAY (EOP) AGREEMENT GENERAL EXTENT-OF-PLAY (EOP):

1. With regard to last minute aoddrt on:9hanges.oqany previousfy approved Extent-of-Play, all suggested changes must be forwarded to the RAC Chair for approval.
2. The goal of all offsite response organizations (ORO)'is to protect the health. and safety of.the public. This goal is achieved through the execution of appropriate plans and procedures. It is recognized that, situations may arise. that could limit' the organizations in the exact execution of these plans and procedures.
3. In the event of an unanticipated situation, OROs are permitted to exercise flexibility in the implementation of their plans and procedures in order to successfully achieve the objective of protection of public health and safety, and protection of the environment.
4. As a statement of fact, no ORO will deliberately deviate from its plans and procedures with the intent of avoiding responsibility.
5. Exercise participation may be susperfded4so the-ORO, wor members of its staff, can respond to an actual emergency should one occur during the time the exercise is being conducted.

References:

REP Manual 111-21 .

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan River Bend Station This page is intentionally blank.

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