Document: NUREG-0800
Document ID: 030a527a-e2e7-4d90-b34f-4662fb984153
Document Type: srp
Title: STRATEGIES AND GUIDANCE TO ADDRESS LOSS OF LARGE AREAS OF
Source: NUREG-0800
Source URL: https://www.nrc.gov/docs/ML1331/ML13316B202.pdf
Revision Date: 2023-06
Chapter: 19
Section ID: 19.4
CFR Part: 
CFR Title: 

Content:
vent beyond the typical contaminated injured individual medical emergency). Use of county or state mass casualty plans is acceptable, as long as the site plans reference the framework of those offsite procedures. If a state or county mass casualty plan is not utilized, then there should be assurance that the existing medical mutual aid/MOU response framework can deliver adequate medical capabilities. Additional regional medical resources may need to be sought. Licensees are not required to have the medical expertise or equipment onsite to treat casualties; but should provide for the care of casualties until offsite expertise and equipment arrives. The plans and strategies for handling a mass casualty situation should be described in the application in a manner consistent with guidance in Appendix D of NEI 06-12, Revision 3 and subsequently implemented in the site guidelines by the licensee. 14. Triage Areas The reviewer should verify that the applicant has described the location of triage areas. The triage areas should be in an appropriate location(s), of sufficient size, and be documented in plant guidelines or guidance documents. Licensees are not required to have the medical expertise or equipment onsite to treat casualties; but should provide for the care of casualties until offsite expertise and equipment arrives. An acceptable location would be an area at least 100 yards from target areas. The area could be indoors or outdoors (although indoors is preferred due to weather uncertainty), as long as there is sufficient area to hold a large number of injured individuals (approximately 30 to 50). A good practice is to locate a triage area near an area capable of supporting helicopter landing. It is acceptable for guidelines or guidance documents to be annotated to indicate that although preplanned triage areas are defined in the plant documents, the incident commander may choose to locate the triage area at a previously undefined location. 19.4-10 Revision 0 –