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LLNL Emergency Management Plan Rev 24 January 2019 Medical supplies for the administration of chelation therapy for patients with internal radiological contamination are stored in the Fire Department ambulances for transport to Stanford Health Care-ValleyCare and Eden Medical Centers as well as at the main Health Services site. This equipment and medication are supplied and maintained by the HSD. 9.4 Transportation and Evacuation Injured personnel are transported from the scene to either Health Services or the appropriate offsite facility(see Section 9.1 above)by LLNL-owned ambulance (two at Site 200; one at Site 300) or private ambulance arranged by ACFD. Personnel with known or suspected contamination are transported to the decontamination entrance of the HSD. Critically injured and chemically-, biologically-, or radiologically-contaminated victims are transported directly to Eden Medical Center by the Fire Department. Air ambulance service is requested in accordance with Alameda County critical trauma protocols and ACFD emergency operations policy and procedure by the IC. The ACRECC is responsible for dispatch of the next available air ambulance. LLNL will provide equipment and expertise, as needed, at the receiving facilities in support of chemically,biologically, or radiologically contaminated victims in accordance with the MOUs. Communication to the receiving facility is the responsibility of the initiating organization. LLNL will communicate in accordance with the Alameda County Emergency Medical Services policy and procedure, and will also notify the HSD of the transport. Medical staff at the HSD will contact the receiving hospital regarding personnel transported from either medical facility. Special evacuation procedures are not needed for HSD. 9.5 Communications In addition to dispatching for Site 200 and Site 300, ACRECC provides dispatch service for a large portion of eastern Alameda County. ACRECC is located at the Site 200 and operates under Alameda County Emergency Medical Services and the California Governor's Office of Emergency Services policies and procedures. When operational, the EOC monitors 400 MHz emergency radio traffic between the IC and dispatch. This radio is also monitored by the HSD during normal work hours. The IC will keep the HSD informed about the status of situations involving injured personnel. During normal work hours, the HSD has responsibility for notifications to Laboratory management and family members with regard to ill or injured employees; outside of normal work hours, the LEDO has notification responsibility. In the event of an Operational Emergency, LLNL will utilize the State ICS for communication and mobilization of resources at the direction of the IC. Additional communication tools include the COPS database and the VERG network. COPS is used by the EOC and the DOCs to record and monitor information during Operational Emergency events. 91