ML18318A311

After Action Report/Improvement Plan

ML18318A311
Person / Time
Site:	Comanche Peak
Issue date:	10/17/2018
From:	US Dept of Homeland Security, Region VI
To:	Office of Nuclear Reactor Regulation, NRC Region 4
References
Download: ML18318A311 (26)

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I Comanche Peak Nuclear Power Plant I After Action Report/

I Improvement Plan I Drill Date - September 12, 2018 I Radiological Emergency Preparedness (REP) Program I

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I Comanche Peak Nuclear Power Plant I After Action Report/Improvement I Plan Published I EXECUTIVE

SUMMARY

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!I SECTION 1: EXERCISE OVERVIEW ................................................................................ ............6 1.1 Exercise Details ....................................................................................................................... 6 1.2 Exercise Planning Team Leadership ....................................................................................... 6 I

I 1.3 Participating Organizations .................................................................................................... 7 SECTION 2: EXERCISE DESIGN

SUMMARY

................................................................................8 2.1 Exercise Purpose and Design ................................................................................................... 8 I 2.2 Exercise Objectives, Capabilities and Activities ....................................................................... 8 2.3 Scenario Summary .................................................................................................................. 8

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SECTION 3: ANALYSIS OF CAPABILITIES ................................................................................ ...9 3.1 Exercise Evaluation and Results .............................................................................................. 9 3.2 Summary Results of Exercise Evaluation ................................................................................ 9 I 3.3 Criteria Evaluation Summaries ............................................................................................. 10 3 .3 .1 Private Jurisdictions ................................................................................................................... 10

'I SECTION 4: CONCLUSION ................................................................................ ..................... 11 APPENDIX A: EXERCISE EVALUATORS AND TEAM LEADERS ................................................... 12 I APPENDIX B: ACRONYMS AND ABBREVIATIONS ................................................................... 13 APPENDIX C: EXERCISE PLAN ................................................................................ ................ 14 I

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EXECUTIVE

SUMMARY

I On September 12, 2018 an out-of-sequence drill was conducted for the Comanche Peak Nuclear I Power Plant (CPNPP), located near Glen Rose, Texas. Personnel from the U.S. Department of Homeland Security/FEMA (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 I radiological emergency at the CPNPP. The previous medical drill conducted at Lake Granbury Medical Center was on October 11, 2016.

I Personnel from the Texas Department of State Health Services, Lake Granbury Medical Center, Texas Emergency Medical Service, Hood County and CPNPP participated in the drills.

Evaluation Areas demonstrated included: Emergency Operations Management, Protective Action I Implementation, and Support Operations/Facilities. Cooperation and teamwork of all participants was evident during the drill, and DHS/FEMA Region VI wishes to acknowledge these efforts.

This report contains the final evaluation of this out-of-sequence drill. The participants I demonstrated knowledge of their emergency response plans and procedures and adequately implemented them. There were no findings identified during the evaluation. There were also no planning issues identified.

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SECTION 1: EXERCISE OVERVIEW I 1.1 Exercise Details I Exercise Name: Drill 2018-09-12 Type of Exercise: Drill Exercise Date: September 12, 2018 I Program: Department of Homeland Security/FEMA Radiological Emergency Preparedness Pro gram Scenario Type: Not Applicable I 1.2 Exercise Planning Team Leadership I Denise Bordelon Technological Hazards Branch Chief I FEMA Region VI 800 North Loop 288 Denton, TX, 76209 I (940) 383-7387 denise.bordelon@fema.dhs.gov I Nan Calhoun Regional Assistance Committee Chair I FEMA Region VI 800 North Loop 288 Denton, TX, 76209 I (940) 898-5398 nan.calhoun@fema.dhs.gov I Scott Flowerday Senior Site Specialist I FEMA Region VI 800 North Loop 288 Denton, TX, 76209 I (940) 898-5370 scott.flowerday@fema.dhs.gov I

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After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant I Glenn Corbin I State Planning Team Lead Texas Department of State H~alth Services P.O. Box 149347 I Austin, TX, 78714 (512) 834-6770 glenn. corbin@dshs.state. tx. us I Patrick Allen Emergency Planner I Comanche Peak Nuclear Power Plant P.O. Box 1002 I Glen Rose, TX, 76042 (254) 897-6023 patrick.allen@luminant.com I 1.3 Participating Organizations I Agencies and organizations of the following jurisdictions participated in the Comanche Peak Nuclear Power Plant exercise:

I State Jurisdictions I .Texas Department of State Health Services Risk Jurisdictions I Hood County I Private Organizations Lake Granbury Medical Center I Texas Emergency Medical Service Comanche Peak Nuclear Power Plant I

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SECTION 2: EXERCISE DESIGN

SUMMARY

!1 2.1 Exercise Purpose and Design I The DHS/FEMA Region VI Office evaluated the drill on September 12, 2018 to assess the capabilities of local emergency preparedness organizations in implementing their Radiological I Emergency Response Plans and procedures to protect the public health and safety during a radiological emergency involving Comanche Peak Nuclear Power Plant (CPNPP). The purpose of this report is to present the results and findings on the performance of the offsite response I organizations during a simulated radiological emergency.

2.2 Exercise Objectives, Capabilities and Activities I

Exercise objectives and identified Capabilities/REP Criteria selected to be exercised are I discussed in the Exercise Plan (EXPLAN), Appendix C.

I 2.3 Scenario Summary I The drill scenario for the medical drill was developed to evaluate the response of drill participants to an incident at Comanche Peak Nuclear Power Plant requiring the transportation, treatment, and decontamination of a radiologically contaminated injured individual. The drill I scenario provided for the evaluation of the Texas Emergency Medical Service and Lake Granbury Medical Center.

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SECTION 3: ANALYSIS OF CAPABILITIES I 3.1 Exercise Evaluation and Results I Contained in this section are the results and findings of the evaluation for those organizations that participated in the drill conducted on September 12, 2018.

I The Emergency Medical Service, the Hospital and the Ambulance were evaluated on the basis of its demonstration of criteria delineated in the drill evaluation areas as outlined in the FEMA I Radiological Emergency Preparedness Program Manual. Detailed information on the exercise evaluation area criteria and the extent of play agreement used in this drill are found in Appendix C of this report.

I 3.2 Summary Results of Exercise Evaluation I The matrix presented in Table 3 .1, presents the status of all exercise evaluation area criteria that I were scheduled for demonstration during this exercise by all participating jurisdictions and functional entities.*

Tables 3 .1 - Summary of Exercise Evaluation I Table 3.la- Exercise Evaluation - Criteria Met Date: 09/12/2018 I ::, .'*'"

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Site: Comanche Peak Nuclear Power Plant

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LGMC Equipment and Supplies lel I LGMC LGMC EW Exposure Control Implementation Contaminated Injured Transport & Care 3al 6dl Equipment and Supplies I Texas EMS Texas EMS Texas EMS EW Exposure Control Implementation Contaminated Injured Transport & Care lel 3al 6dl I

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After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant I 3.3 Criteria Evaluation Summaries I 3.3.1 Private Jurisdictions 3.3.1.1 Lake Granbury Medical Center I In summary, the status of DHS/FEMA criteria for the Support jurisdiction is as follows:

a. Met: 1.e.1, 3.a.l, 6.d.1 I b. LEVEL 1 FINDINGS: NONE

,1 c. LEVEL 2 FINDINGS: NONE

d. PLAN ISSUES: NONE I e. PRIOR ISSUES - RESOLVED: NONE

f. PRIOR ISSUES - UNRESOLVED: NONE I 3.3.1.1 Texas Emergency Medical Service In summary, the status ofDHS/FEMA criteria for the Private jurisdiction is as follows:

'I a. Met: 1.e.1, 3.a.1, 6.d.1

,I b. LEVEL 1 FINDINGS: NONE

c. LEVEL 2 FINDINGS: NONE I d. PLAN ISSUES: NONE

e. PRIOR ISSUES - RESOLVED: NONE I f. PRIOR ISSUES - UNRESOLVED: NONE I

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SECTION 4: CONCLUSION I Based on the results of the drill, the offsite radiological emergency response plans and preparedness for the State of Texas and the affected local jurisdictions are deemed adequate to I 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 I Texas site-specific to Comanche Peak Nuclear Power Plant will remain in effect.

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I APPENDIX A: EXERCISE EVALUATORS AND TEAM LEADERS I DATE: 09/12/2018, SITE: Comanche Peak Nuclear Power Plant I ,' ;;

Lake Granbury Medical Center Scott Flowerday FEMA Region VI Scott Flowerday Texas Emerg ency Medical Service Brad Dekorte FEMA Region VI Scott Flowerday I

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APPENDIX B: ACRONYMS AND I ABBREVIATIONS I ---~-----

Acronym

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Description

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I I CPNPP EMS EOC Comanche Peak Nuclear Power Plant Emergency Medical Services Emergency Operations Center I EW RPT Emergency Worker Radiation Protection Technician I

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APPENDIX C: EXERCISE PLAN I As submitted by the State of Texas:

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I LAKE GRANBURY MEDICAL CENTER - MS-1 HOSPITAL DRILL September 12, 2018 I

1.0 Introduction I

This drill will verify that the Lake Granbury Medical Center Radiological Emergency Area (REA} and I personnel assigned to care for contaminated injured patients can meet FEMA MS-1 drill requirements. The drill will also verify that the Texas EMS Ambulance personnel can interface with I the MS-1 hospital.

I 2.0 FEMA Evaluation Criteria I l .e.1: Equipment, maps, displays, dosimetry, potassium iodide (KI) and other supplies are sufficient to support emergency operations. (NUREG-0654, H., J.1 O.a.b.e.f.j .k.,

11, K.3.a.)

I 3.a.1: The offsite response organizations (OROs} issue appropriate dosimetry and procedures, and manage radiological exposure to emergency workers in accordance with the plans I and 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.

(NUREG-0654, K.3.}

I 6.d.1: The facility/ORO has the appropriate space, adequate resources, and trained personnel I to provide transport, monitoring, decontamination, and medical services to contaminated injured individuals. (NUREG-0654, F.2, H.10., K.5.a.b., L.1., 4.)

I 3.0 Guidelines I The following guidelines have been developed to instruct drill participants of the extent of play I required to fulfill the drill evaluation criteria.

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I 1. Drill lead controller is responsible for conducting the drill per the drill package.

I. 2. Controllers will be assigned as needed to ensure the completion of drill objectives.

I 3. This is a FEMA evaluated drill. Therefore, prompting/coaching is not permitted.

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On-the-spot corrections are allowed in accordance with the REP Program Manual.

The controllers should allow free-play. However, free-play will be stopped under the following conditions:

I I a. if the action taken would prevent a drill evaluation criterion from being met or is outside the scope of the drill.

I b. if the actions are judged to be unsafe or leading to violations of the law.

I c. if the actions would degrade systems or equipment, or degrade response to a real emergency.

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6. If an actual emergency occurs, the drill will be terminated.

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7. All radio and telephone communications will begin and end with THIS IS A DRILL.

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8. All signs and postings at the hospital should be marked either FOR TRAINING USE ONLY I or DRILL IN PROGRESS.

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I After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant 4.0 Extent of Play I These guidelines define the extent of play required to meet an objective and identify I planned simulations.

I Criterion 1.e.1: Equipment, maps, displays, dosimetry, potassium iodide (Kl) and other supplies are sufficient to support emergency operations. (NUREG-0654, H., J.10.a.b.e.f. j.k., 11, K.3.a.)

I EMS personnel will demonstrate the Kl portion of this evaluation criterion by interview (i.e. storage, use, precautions). Kl will not be carried on the ambulance and is not I required at the hospital. The Kl for ambulances is stored at the Hood and Somervell County EOCs and would be distributed at that point in the event of the recommendation to do so by the Texas Department of State Health Services (DSHS).

I Criterion 3.a.1: The OROs issue appropriate dosimetry and procedures, and manage radiological I exposure to emergency workers in accordance with the plans and procedures. Emergency workers periodically (approximately every 30 minutes) and at the end of each mission read their dosimeters and record the readings on the appropriate exposure record or chart. (NUREG-0654, I K.3.)

I No exceptions are requested.

I Criterion 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. (NUREG-0654, F.2, H.10., K.5.a.b., L.1., 4.)

I The TexasEMS ambulance with driver and EMT or paramedic and the "contaminated" patient will pre-stage at the TexasEMS Headquarters Building located at 2200 Commercial Ln, Granbury, TX 76048.

I All decontamination will be demonstrated to the extent necessary to satisfy evaluator concerns.

All medical procedures will be simulated except for decontamination of wounds and or abrasions.

I The Controller will use the decontamination chart and written guidance to guide the decontamination processes.

I All injury and contamination levels will be via controller verbal inject from the "Injury Map for Medical Controllers" (Attachment 4a - Anatomical Charts). Free play of this activity is not permitted.

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I After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant 5.0 Participants I

This drill will require the participation of the following agencies:

I Lake Granbury Medical Center Emergency Room Staff and; support staff as needed I TexasEMS Ambulance Personnel Texas Department of State Health Services - Radiation Control Program (DSHS-RCP),

I Medical Facility Liaison Comanche Peak Radiation Protection Personnel I Hood County Emergency Management Personnel I 6.0 Controller and Role Players I A minimum of four (4) controllers will be required for this drill.

I One (1) role player victim will be required for this drill I 7.0 Initial Conditions During a refueling outage at CPNPP, a decontamination technician cleaning a I contaminated area of the plant contacted a defective electrical connection and was knocked unconscious when he fell backwards as a result of the electrical shock. The CPNPP medical response personnel determine that the victim should be transported to I the hospital and call for offsite medical transport. The Somervell County EMS personnel are already responding to calls and are not available. TexasEMS has been dispatched to pick up and transport the injured person. The CPNPP medical responders prepare the I victim for transport and meet the arriving ambulance at the Alternate Access Point (AAP).

The ambulance crew picks up the victim who is prepared for transport by the CPNPP medical responders. The victim is conscious and complaining of pain and a lack of mobility I in his right arm as well as suffering bruises to his back.

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After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant I 8.0 Narrative Summary I Upon arrival at the AAP the TexasEMS crew accepts the patient from the CPNPP medical responders. The patient is then transported to Lake Granbury Medical Center (LGMC). The ambulance communicates patient data and the fact that the patient is possibly radiologically I contaminated while en route.

I LGMC is contacted and activates their Radiation Emergency Area (REA). According to CPNPP procedure and LGMC procedures, a Radiation Protection Technician was dispatched to the I hospital ahead of the ambulance and another is accompanying the victim in the ambulance.

I 9.0 Time Line I 0930 0940 Drill begins [Message Number 1].

Patient data is transmitted to Lake Granbury Medical Center from the Ambulance en-route [Message Number 2].

I 1000 Ambulance arrives at Lake Granbury Medical Center.

I 1100 1115 Drill terminates Critique/ FEMA Exit Brief I 1145 Activities Concluded I 10.0 Facility Addresses/Locations:

TexasEMS Headquarters I 2200 Commercial Ln I Granbury, TX 76048 I Lake Granbury Medical Center 1310 Paluxy Road (Highway 51 South)

I Granbury, TX 76048 19 I

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I MEDICAL INFORMATION FOR CONTROLLERS I ENROUTE HOSPITAL INITIAL I Blood Pressure 150/90 140/88 136/86 Respiration 35rpm 31 25 I Pulse 130 110 100 Breathing Rapid, Shallow Rapid Rapid I Skin Condition Pale, cold, clammy cold, clammy clammy I Blood Glucose Level Consciousness 110 Disoriented, but 110 Disoriented/confused Oriented and 110 responsive responsive I Pupils Equal, reactive Equal, reactive Equal, reactive Significant injury Electrical burn to right I thumb and forefinger with strained right shoulder.

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I INJURY MAP FOR MEDICAL CONTROLLERS I

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ATTACHMENT 4a

• ANATOMICAL CHART I PATIENT'S NAME: SURVEY DATE/TIME:

Directions: Record indicated levels of contamination in counts per minute (CPM) on the patient map.

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TYPE OF iNSTRUMENT USED:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

I *"-* DISTANCE SKIN TO PROBE: _ _ _ _ INCHES

!MODEL ANO NUMBER)

Revision 06/07/2000 22 I

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ATTACHMENT 4a -ANATOMICAL CHART I PATIENrS NAME: SURVEY DATEfTIME:

Directions: Record indicated levels of contamination in counts per minute (CPM) on the patient map.

I I 850 if scrub shirt is on I

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TYPE OF iNSTRUMENT USED:

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ildOOEL ANO NUMBER)

I DISTANCE SKIN TO PROBE: _ _ _ _ INCHES Revision 06/07/2000 23 I

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After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant I INSTRUCTIONS FOR PROVIDING DECONTAMINATION LEVELS 11 I

(Letters below correspond to Anatomical Chart on preceding page)

I Allow the decontamination on the right cheek to be completed as follows:

1. After the first attempt, the reading should be 30 cpm.

I A. If patient still has on scrub shirt, then controller should give readings in accordance with bold number on chart, then proceed to 1 and 2 below. If ER Staff has removed the scrub shirt, then I the decontamination is to be completed as follows:

1. After the first attempt, the reading should be 35 cpm.

I B. Allow the decontamination of back of head to be completed as follows:

1. After the first attempt, 140 cpm remain. Note: They should recognize this reading is I considered clean at this point.

C. Allow the decontamination of right hand palm to be completed as follows:

I 1. After the first attempt, 850 cpm remain

2. After second attempt, 590 cpm remain.

3. After third attempt, 40 cpm remain.

I D. Allow the decontamination of right knee to be completed as follows:

I 1. After the first attempt, 50 cpm remain I

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I September 12, 2018 MESSAGE 1 I

TIME: 0930 I FROM: Comanche Peak Control Room TO: Lake Granbury Medical Center ER (phone# TBD) .

I I TEXT:

THIS IS A DRILL!

I THIS IS THE COMANCHE PEAK NUCLEAR POWER PLANT CONTROL ROOM. AN INJURED PATIENT IS BEING I TRANSPORTED TO YOUR FACILITY BY TEXAS EMS AMBULANCE.

I THE PATIENT IS ASSUMED TO BE RADIOLOGICALLY CONTAMINATED. PLEASE ACTIVATE YOUR RADIATION EMERGENCY AREA FOR RECEIPT OF THE PATIENT.

I MY CALL BACK NUMBER IS _979-324-3984 _ _ __

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THE AMBULANCE WILL CONTACT YOUR FACILITY WHEN EN-ROUTE.

ii PLEASE GIVE ME YOUR NAME FOR THE LOG. A RADIOLOGICAL PROTECTION TECHNICIAN IS EN-ROUTE TO THE HOSPITAL TO ASSIST YOU WITH PREPARATION FOR RECEIPT OF THE PATIENT. ANOTHER IS

!I ACCOMPANYING THE PATIENT.

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THANK YOU.

I THIS IS A DRILL.

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After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant I MS-1 Hospital Drill I September 12, 2018 MESSAGE 2 I TIME: 0940 I FROM: Medic 1 I TO: Lake Granbury Medical Center ER (Phone TBD)

I TEXT:

I THIS IS A DRILL!

I THIS IS TEXASEMS EN-ROUTE TO YOUR FACILITY WITH A MALE PATIENT APPROXIMATELY 35 YEARS OF I AGE WITH A STRAINED RIGHT SHOULDER, BRUISES AND ABRASIONS. THIS PATIENT IS ALSO RADIOLOGICALLY CONTAMINATED.

I PATIENT VITAL SIGNS ARE AS FOLLOWS:

I Vital Sign ENROUTE DATA I Blood Pressure 140/88 I Respiration Pulse 31 110 I Consciousness Disoriented, but responsive I OUR ETA IS 20 MINUTES.

THIS IS A DRILL!

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