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Introduction to Radiation Response and Preparedness in Illinois Illinois Emergency Management Agency Bureau of Disaster Assistance and Preparedness. Basics to Illinois Preparedness. Where is Illinois in the Nuclear/Radioactive Material Business? Who’s is in charge?
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Introduction to Radiation Response and Preparedness in Illinois Illinois Emergency Management Agency Bureau of Disaster Assistance and Preparedness
Basics to Illinois Preparedness • Where is Illinois in the Nuclear/Radioactive Material Business? • Who’s is in charge? • How does Illinois Prepare? • What exactly does the state do? • Contaminated patients • Contamination Control • Resources available
Nuclear Illinois • •Illinois has 6 operating plants • 11 reactors • Spent storage facilities • Argonne National Lab • Major shipping corridors • 750 Radioactive Material Licensees • 20,000 radiation producing machines
Who is in Charge??? • Exelon is owner/operator of Illinois’ reactors • Nuclear Regulatory Commission (NRC) oversees Exelon • Federal Emergency Management (FEMA) oversees planning and safety outside the fence • Illinois Emergency Management Agency (IEMA) implements Illinois Plan for Radiological Accidents (IPRA)
Preparedness is addressed through IPRA • IPRA Establishes a state-wide policy for responders • IPRA outlines responsibilities for: • State • County • Municipal Jurisdictions
Responsibilities • Each agency has specific roles outlined in the IPRA plan • ISP security and traffic access and control • IDNR secures waterways and state parks • IDPH notifies POD hospitals • IEMA coordinating agency • Division of Nuclear Safety is the response/scientific arm
IEMA • Monitors plants • Remotely • Gamma Det. Network (GDN), Reactor Data Link (RDL), Gaseous Emission Monitoring System (GEMS) Directly • On-site via Resident Inspectors • Quarterly environmental samples • Extensive Training Program • State • County • Municipal •
Ensuring Preparedness • •Plans are developed around 16 planning standards • Plans are exercised every 2 years • Last 2 years IEMA has averaged 4,000 + participants each year • 2011 Activities • Dresden 3/23/11 Partial • Quad Cities 4/20/11 Utility • LaSalle 5/18/11 Utility • Byron 7/27/11 Partial • Braidwood 9/14/11 Utility • Zion 11/2/11 Defueled • Clinton 11/30/11 Full
RAFT Capabilities • Field Teams Collect • Air, water, grass, soil and foods (corn and garden plants) • Mobile Laboratory • Prepares and analyzes samples • Isotopes • Radiation Levels • IDOT Helicopter is equipped with detection equipment • Maps plume outline and levels
Radiation Incidents Radiation incidents can be caused by human error or intentional acts: • Transportation • Power plant (members of the public only) • Radiological Dispersal Device (RDD) • Improvised Nuclear Device (IND)
Injured Contaminated Public • Radioactive Materials are considered hazardous • Contamination is often considered more “nuisance” HOWEVER • Injury takes precedence over contamination • Stabilize patient first
Contamination vs Exposure • Exposed patients pose no contamination issue • Contaminated patients can pose both • Contamination issues • Potential inhalation/ingestion hazard (airborne particulate)
Protect Yourself • Universal Precautions • Gown, face shield, bouffant, booties and DOUBLE GLOVES • Control contamination by • Changing gloves frequently • Minimize access to treatment area • Utilizing Nuclear Medicine Staff for monitoring • Bag patients hands and remove clothing
Decontamination • • • Removing clothing can reduce contamination by 80-90% • Clothing should be double bagged and stored in designated area • Minimize use of water so contamination does not spread • Baby wipes • Saline and 4x4 pads • Use towels etc. to absorb any runoff
Considerations • Upon notification of a contaminated/potentially contaminated patient • Notify additional staff • Nuclear Medicine • Maintenance • Emergency Department Staff • Contaminated patients are personnel intensive
Resources Available • IEMA – Radiological Duty Officer • Contamination control measures • Decontamination methods • Dispatch additional staff • Monitoring and radiation levels • REAC/TS – Radiation Emergency Assessment Center/Training Site • Recommend chelating agents • Contaminated wounds • Contaminated samples • Internal dose assessments
Want more information? • Visit our website!!!! • IEMA http://iema.illinois.gov/iema/ • RTF http://iema.illinois.gov/radiation/pdf/BNFS_RTFBrochure.pdf • REAC • http://iema.illinois.gov/radiation/pdf/BNFS_REACBrochure.pdf
Resources • Radiation Emergency Assistance Center/ Training Site (REAC/TS) (865) 576-1005 • www.orau.gov/reacts/ • Medical Radiobiology Advisory Team (MRAT) Armed Forces Radiobiology Research Institute (AFRRI) (301) 295-0530 • www.afrri.usuhs.mil • Websites: • www.acr.org - Disaster Preparedness for Radiology Professionals • www.afrri.usuhs.mil - Medical Management of Radiological Casualties Handbook; Jarrett, 2003, and Terrorism with Ionizing Radiation Pocket Guide