0:FEMA

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
•
FEMA
~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
Section 1: Exercise Overview
1.1 Exercise Details
3
4
4
1.2 Exercise Planning Team Leadership
4
5
1.3 Participating Organizations
Section 2: Exercise Design Summary
2.1 Exercise Purpose and Design
6
6
2.2 Exercise Objectives, Capabilities and Activities
6
2.3 Scenario Summary
6
Section 3: Analysis of Capabilities
3.1 Drill Evaluation and Results
7
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
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10
3.3.2 Private Organizations
3.3.2.1 Acadian Ambulance Service
Section 4: Conclusion
Appendix A: Drill Evaluators and Team Leaders
Appendix B: Acronyms and Abbreviations
Appendix C: Exercise Plan
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Unclassified
Radiological Emergency Preparedness Program (REP)
River Bend Station
After Action Report/Improvement Plan
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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.
3
Unclassified
Radiological Emergency Preparedness Program'(REP)
River Bend Station
After Action Report/Improvement Plan
SECTION 1: EXERCISE OVE 1VIEWW"
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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
[email protected]
Timothy Pflieger
Federal Planning Team Lead
FEMA Region VI
Technological Hazards Program Specialist
800 North Loop 288
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Unclassified
Radiological Emergency Preparedness Program (REP)
After Action ReportlImprovement Plan
River Bend Station
Denton, Texas,. 762Q9-....
940-383-7325
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[email protected]
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Cheryl Chubb
State Planning Team Lead
Lousiana Department of Environmental Quality
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Environmental Scientist
602 North Fifth Street
Baton Rouge, Louisiana, 70802
225-219-3626
[email protected]
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
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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.
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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
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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.
6
Unclassified
Radiological Emergency Preparedness Program (REP)
After Action Report/Improvement Plan
'
SECTION
River Bend Station
ANALYS IS OFCAPABILITIES
3.1 Drill Evaluation and Results
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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.
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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
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The matrix presented in Table 3.1, on.the following page, represents the status of all exercise
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:
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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
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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
imergenuy
<
M: Met, A: ARCA, D: Deficiency, P: Plan Issue, N: Not Demonstrated
perauonsaLnagemen
"
Mobilization
lal
-
Facilities
lbl
1c1
Direction and Control
Communications Equipment
Equipment and Supplies
idl
lel
EW Exp. Control Decisions
:PARs
2a"
2b]
PADs
2b2
PADs for Disabled/Functional Needs
Ingestion PADs
2d1
RRR Decisions
,
W
M
2c1
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EW Exp. Control Implementation
KI Public/Institutionalized
o
3al
M
.'-3bl
PAD Imp. Disabled/Functional Needs
3cl
PAD Imp. Schools
TAcP Esiablishlient
3c2
3dl
Impediments to Evacuation
3d2
Implementation of Ingestion PADs
Ingestion Strategies and Information
Im. of RRR Decisions
3el1
3e2
3fl
Ejild
asremntad MEa ss
RESERVED
Field teamMana~gemen..
4al
4a2
Field Team Operations
4a3
Field Team Sampling
4b 1
Laboratory Operations
4c 1
Initial Alert & Notification
5a1
Backup Alert & Notification
Exception Area Alerting
5a3
5a4
Subsequent Public.Information
S"iupport eratiOns/E"diiti.es......
5bl
Reception Center Operations
EW Monitoring & Decon'
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6al1
6bl
Congregate Care
6cl
Contaminated Injured Transport & Care
6d1
8•
M
M
Unclassified
Radiological Emergency Preparedness Program (REP)
River Bend Station
After•Action Report/Improvement Plan
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,, andtrained personnel to provide transport, monitoring, decontamination, and medical'
services to contaminated injured individuals.
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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)
River Bend Station
After Action Report/improvement Plan
e.
NOT DEMONSTRATED: None
f.
PRIOR ISSUES -RESOLVED' Ndhe.
g.
PRIOR ISSUES
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UNRESOLVED: None
.. 3.z•.• rivaw Organilzatlios
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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
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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)
.River Bend Station
After-Action Report/Improvement Plan
APPENDIX A: DRILL EVALUATORWAND TEAM
-,, ,LEADERS. ,A•:
DATE: 2012-07.-26, SE: RierBend Station
Our Lady of the Lake Regional Hospital
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Acadian Ambulance Service
.;. .
*NanClon
Linda Gee,
*Timothy Pflieger--
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earnLead.e
1.2
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FEMA RVI
FEMA RVI.
FEMARVI.
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Unclassified
Radiological Emergency Preparedness Program (REP)
After Action Report/Improvement Plan
River Bend Station
ABREVB
ARCA
DRD
Area RequiringCo6riectiveAction.,
Direct Reading Dosimeter
East Baton Rouge Parish
Emergency Operations. Center
Emergency Planhing Zone
EBRP
EOC
EPZEW
KI
MD
OSL
RBS
REA
TLD
IATIONS
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Emergency Worker
Potassium Iodide
Medical Doctor
Optically Stimulated Luminescent
River Bend Station
Radiation Emergency Area
Thermoluminescent Dosimeter
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Unclassified
Radiological Emergency Preparedness Program (REP)
I ,
AfterAction Report/Improvement Plan
APPEND..DIX C: EXERCISETPLAN
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.River Bend Station
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)
River Bend Station
After Action Report/Improvement Plan
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.
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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),, ;
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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
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EVALUATION AREA, 1:.EMERGENCY OPERATIONS MANAGEMENT..
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Sub-element I.e- Equipment and Supplies to Sup6ort Operations
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Criterion 1.e.1: Equipment, maps, displays, monitoring instruments, dosimetry, potassium
iodide (KI) and other supplies are sufficient to support emergency operation (NUREG06541FEMA-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
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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.
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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
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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
~'V",
:RIVER :BEND •STA'TION
'..,2012
MEDICAL: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.:
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4. As a statement of fact, no. ORO will:deliberately deviatei from its plans and procedures with the intent of
avoiding responsibility.
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References:
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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 Drill''Controller,(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.).
.,
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-: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
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vehicle.
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)
7- 1
After Action Report/Improvement Plan
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)
River Bend Station
,After Action Report/Improvement Plan
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
Time: 0700"
Message #"f
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)
River Bend Station
After Action Report/Improvement Plan
,iRIVE4R(BEND STATION
i:2012, MEDICAL EMERGE1-1Y'RESPONSE'EVALUATED DRILL
JUIV..261,2012
'."I EVALUATION"AREAS AND EXTENT-OF-PLAY (EOP,).AGREEMENT
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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
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CONTROLLER MESSAGE
Message # 2: MEDICAL INFORMATION
THIS IS A, DRILL
Phase 1
EMS Arrival
Patient is conscious
and bleeding slightly from a
leg Wound.
Leg wound '/2' deep x 3' 1g.
Pulse:
Resp.:
B.P.:
Skin:
90, strong
24, regular
106/70
Pale, warm, dry
NOTE: Patient will remain, conscious during the drill.
Phase 2
EMS Transport
Pulse:
Resp.:B.P.
Skin:
88; strong
" 20, regular'
112/74
olor good,
warm., dry
Phase 3
Hospital Arrival
Vitals Unchanged
THIS IS A DRILL
2-3"
, Phase 4
Hospital Treatment
Pulse:
Resp.:
B.P.:
Skin:
92, strong
12, regular
118/78
color good,
warm, dry
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&2012
EXTENTI-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
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..
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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25.
Unclassified
Radiological Emergency Preparedness Program (REP)
After Action Report/Improvement Plan
River Bend Station
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