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Re: OSHA & Radiation (was: Badges for surgery)



It's a good idea for a facility to provide training to local emergency response

organizations, or, as a minimum, give them a tour of the facility.



The opinions expressed are strictly mine.

It's not about dose, it's about trust.

Curies forever.



Bill Lipton

liptonw@dteenergy.com





"Bradt, Clayton" wrote:



> All NYS Labor Dept. licensees are required to notify the local police and

> fire departments of the presence of rad material at their facility, and

> inform them of any special emergency procedures, contact information, etc.

> as necessary.  There is even a special hazardous materials report form that

> must be submitted to the fire department as well.  It is up to the local

> responding agencies to make use of the information they are given to plan

> their response to these facilities. This is where the breakdown occurs.

> They take the information and file it (maybe) and never follow up on it.  If

> the EMTs who responded to the electrocution incident had just read the

> Emergency Response Guidebook, they would have known there was no reason to

> balk at entering this facility.  But even that level of training was

> lacking.

>

> Clayton J. Bradt, CHP

> Principal Radiophysicist

> NYS Dept. of Labor

> Radiological Health Unit

> voice: (518) 457-1202

> fax:    (518) 485-7406

> e-mail: Clayton.Bradt@labor.state.ny.us

>

> > -----Original Message-----

> > From: William V Lipton [mailto:liptonw@dteenergy.com]

> > Sent: Wednesday, January 14, 2004 11:02 AM

> > To: Bradt, Clayton

> > Cc: Radsafe-Digest (E-mail); 'crispy_bird@YAHOO.COM'

> > Subject: Re: OSHA & Radiation (was: Badges for surgery)

> >

> >

> > This incident shows the importance of emergency planning.

> > Facilities which may

> > require emergency response personnel to enter a posted area

> > should communicate

> > with those organizations who would respond to an emergency

> > regarding the meaning

> > of the posting, the expected hazards, and the appropriate

> > protective actions.

> > As you said, this can be a matter of life and death.

> >

> > It is important to train medical personnel regarding the rule

> > that potential

> > contamination should NEVER interfere with lifesaving medical

> > procedures.  (I had

> > a wakeup call on this, back in 1983.  We did not yet have

> > fuel on site, but were

> > refining our emergency plan.  The site nurse told me that

> > should would not

> > attend to an accident victim until she was sure that he was

> > not contaminated!

> > We quickly corrected that misunderstanding.)

> >

> > The importance of training is illustrated by a medical drill,

> > at another nuclear

> > power plant, where I played a victim.  The scenario had 2

> > victims:  me - heavily

> > contaminated, only slightly hurt, other victim - slight

> > contamination, seriously

> > injured.  I was also instructed to make a lot of noise.   (A

> > scene was recorded

> > on the video of the Nuclear Shift Supervisor telling me to

> > "Shut the **** up.")

> > The responders did a good job, although, in retrospect, I

> > received too much

> > attention and the seriously injured victim not enough.  The

> > ambulance drivers

> > took the whole thing a little too seriously.  I was scared,

> > for real, when they

> > drove the ambulance at high speed through a blizzard.

> >

> > Nuclear power plant emergency plans generally require

> > training for offsite

> > medical responders.  It's a good idea for other facilities.

> >

> > The opinions expressed are strictly mine.

> > It's not about dose, it's about trust.

> > Curies forever.

> >

> > Bill Lipton

> > liptonw@dteenergy.com

> >

> > "Bradt, Clayton" wrote:

> >

> > > John Jacobus wrote:

> > >

> > > "And when was the last (or first) time OSHA inspected a

> > > hospital?  We had an overexposure at our cyclotron

> > > facility, and OSHA did not respond even when we

> > > contacted them.  We are a federal agency, and do not

> > > come under state regulations.  I assume a state agency

> > > would have been interested."

> > >

> > > We had a near electrocution at a cyclotron facility not too

> > long ago.  OSHA

> > > investigated that incident, but radiation exposure wasn't

> > an issue.  OSHA

> > > has very few people with any radiation background.  This of

> > course does not

> > > prevent them from claiming that they regulate in the area

> > of radiation

> > > hazards from x-ray and non-AEA materials.  They want the

> > turf but won't

> > > invest in the personnel to do the job.

> > >

> > > With regard to the electrocution incident: We have had a

> > running battle with

> > > local code enforcement people in some municipalities who

> > insist on requiring

> > > posting on the outside of all buildings where radioactive

> > materials are

> > > stored/used - regardless of the form or quantities.  (For

> > the protection of

> > > first responders, they claim.)  The cyclotron facility was

> > located in one

> > > such municipality, and had a radiation sign on the outside

> > of the building.

> > > When the EMTs arrived, they at first refused to enter

> > because of the sign.

> > > Meanwhile the victim was unconscious on the floor and the

> > pharmacist was

> > > yelling and cursing at the EMTs to get them to come in to

> > treat him.  They

> > > finally overcame their radiophobia and the individual was

> > transported to

> > > hospital.  The victim recovered but had some severe burns.

> > Here again we

> > > have an agency (code enforcement this time) guarding turf

> > in an area in

> > > which they have no expertise.  This time with near fatal

> > consequences.

> > >

> > > I'm sure there is a lesson here for all of us......but I at

> > the moment I

> > > just can't think of what it is.

> > >

> > > Clayton J. Bradt, CHP

> > > Principal Radiophysicist

> > > NYS Dept. of Labor

> > > Radiological Health Unit

> > > voice: (518) 457-1202

> > > fax:    (518) 485-7406

> > > e-mail: Clayton.Bradt@labor.state.ny.us

> > >

> > >

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> >



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